Professional Documents
Culture Documents
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME Depla
NAME EXTENSION (JR., SR)
FIRST NAME Maritel
15. AGENCY EMPLOYEE NO. 4636270 21. E-MAIL ADDRESS (if any) maritel.depla001@deped.gov.ph
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME Depla 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
OCCUPATION N/A
SURNAME Diaz
ELEMENTARY President Roxas Elem. School 6/1/1979 3/25/1985 1985 with honors
SECONDARY
VOCATIONAL / Elizalde Academy 6/1/1985 3/28/1989 1989 with honors
Licensure Examination for Teachers 75.2 Aug. 26, 2001 ILOILO CITY 737798 9/20/2020
1/8/2008 3/3/2008 Teacher 1 President Roxas West Elem School 10933.00 N/A Sustitute Yes
7/1/2008 6/30/2009 Teacher I President Roxas West Elem School 12026.00 N/A Permanent Yes
7/1/2009 6/23/2010 Teacher 1 President Roxas West Elem School 14198.00 N/A Permanent Yes
6/24/2010 1/31/2011 Teacher 1 President Roxas West Elem School 15649.00 N/A Permanent Yes
2/1/2011 5/31/2011 Teacher 1 DCS- Mandaluyong 15649.00 SG11-S1 Reg. (P) Yes
6/1/2011 6/31/2011 Teacher 1 DCS- Mandaluyong 17099.00 NBC530SG11-S1 Reg. (P) Yes
7/1/2011 5/31/2012 Teacher 1 DCS- Mandaluyong 17318.00 Step Incr./SG11-S2 Reg. (P) Yes
6/1/2012 6/30/2014 Teacher 1 DCS- Mandaluyong 18735.00 NBC540SG11-S2 Reg. (P) Yes
7/1/2014 12/31/2015 Teacher 1 DCS- Mandaluyong 18922.00 Step Incr./SG11-S3 Reg. (P) Yes
1/1/2016 12/31/2016 Teacher 1 DCS- Mandaluyong 19496.00 NBC562,SG11-S3 Reg. (P) Yes
1/1/2017 12/31/2020 Teacher 1 Highway Hills Integrated School 20088.00 NBC568,SG11-S3 Reg. (P) Yes
4/1/2021 to present Teacher 1 Highway Hills Integrated School 281724.00 NBC568, SG11-S5 Reg. (P) Yes
Gender Development for HHIS: Towards a Responsive Program 12/21/2020 12/21/202 8 Technical Highway Hills Integrated School
Restructuring Teaching Approaches in the New Normal 12/16/2020 12/18/2020 24 Technical Highway Hills Integrated School
Batang MANDunong: Walang Maiiwan, Kabahagi ng Bilang 9/10/2020 9/10/2020 8 Technical Highway Hills Integrated School
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed:
________________________________
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation
YES ✘ NO
by any court or tribunal?
If YES, give details:
________________________________
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, YES ✘ NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased If YES, give details:
out (abolition) in the public or private sector? ________________________________
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except YES ✘ NO
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES ✘ NO
election to promote/actively campaign for a national or local candidate? If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):
40. Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for Disabled Persons (RA
7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following items:
a. Are you a member of any indigenous group? YES ✘ NO
If YES, please specify:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:
Francelita Billanes Polomolok South Cotabato 9205878891 With full and handwritten
name tag and signature over
printed name
Luzviminda Bautista HHIS 9217366390
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
is not acceptable
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines. I authorize the agency head/authorized representative to verify/validate the contents stated herein.
I agree that any misrepresentation made in this document and its attachments shall cause the filing of PHOTO
administrative/criminal case/s against me.
SUBSCRIBED AND SWORN to before me thisJanuary 25, 2021 , affiant exhibiting his/her validly issued government ID as indicated above.
BONY G. ABALOS
ADMINISTRATIVE OFFICER V
Person Administering Oath