CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person
concerned.
READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. 1. CS ID No. (Do not fill up. For CSC use only)

I. PERSONAL INFORMATION
2. SURNAME TUPAS
n/a
FIRST NAME RE CHARLES

MIDDLE NAME PARCON

3. DATE OF BIRTH
(mm/dd/yyyy) 3/2/1991 16. CITIZENSHIP ✘ Filipino Dualby Citizenship
by
birt
naturalization
4. PLACE OF BIRTH BACOLOD CITY If holder of dual citizenship, Pls.hindicate country:
please indicate the details.
5. SEX ✘ Male Female
✘ Married 17. RESIDENTIAL ADDRESS BLK106 L10 Ceasar
6 CIVIL STATUS Single
Wido Separat House/Block/Lot No. Street
Celine Homes Estefania
wed
Other ed
Subdivision/Village Barangay
/s: Bacolod Negros Occidental
7. HEIGHT (m) 5'4'
City/Municipality Province
8. WEIGHT (kg) 160kgs ZIP CODE 6100

18. PERMANENT ADDRESS

9. BLOOD TYPE O
House/Block/Lot No. Street
Purok 3 1
10. GSIS ID NO. n/a
Subdivision/Village Barangay

11. PAG-IBIG ID NO. 1210-3671-3680 Hinoba-an Negros Occidental

City/Municipality Province

12. PHILHEALTH NO. 11-201271380-3 ZIP CODE 6114

13. SSS NO. 07-2612375-3 19. TELEPHONE NO. n/a

14. TIN NO. 404-210-456 20. MOBILE NO. 09178500558

15. AGENCY EMPLOYEE NO. n/a 21. E-MAIL ADDRESS (if any) rctupas@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME n/a 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME n/a

n/a N/A N/A

MIDDLE NAME n/a N/A N/A

OCCUPATION Lawyer N/A N/A

EMPLOYER/BUSINESS NAME Abella & Tupas Law N/A N/A

Rm. 111, Mezanine Flr., Dona Manuela Bldg., Plaza Mart San Juan St., N/A
BUSINESS ADDRESS N/A
Bacolod City
TELEPHONE NO. (034) 468 0134 N/A N/A

24. FATHER'S SURNAME TUPAS N/A N/A

n/a N/A
FIRST NAME REY N/A

MIDDLE NAME GEMORAÑON N/A N/A

25. MOTHER'S MAIDEN NAME N/A N/A

SURNAME TUPAS N/A N/A

FIRST NAME CHARITA N/A N/A

MIDDLE NAME PARCON (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

NAME OF SCHOOL HIGHEST LEVEL/ SCHOLARSHIP/
26. PERIOD OF ATTENDANCE YEAR
BASIC EDUCATION/DEGREE/COURSE UNITS ACADEMIC
LEVEL (Write in EARNED
GRADUATED
HONORS
(Write in full)
full) (if not graduated) RECEIVED
From To

LUIS C. TEMBREVILLA ELEMENTARY SCHOOL 2nd Honorable

ELEMENTARY
- HINOBA-AN ELEMENTARY n/n/1997 n/n/2003 n/a 2003 Mention
First Honors/
SAINT MICHAEL'S ACADEMY -HINOBA-AN
SECONDARY /
VOCATIONAL & UNIVERSITY OF ST. LASALLE SECONDARY n/n/2003 n/n/2007 n/a 2007 Achievement
Awardee

N/A n/a n/a n/a n/a n/a n/a

TRADE
Achievement
COURSE
COLLEGE UNIVERISTY OF ST. LA SALLE AB MASS COMMUNICATIONS n/n/2007 n/n/2011 n/a 2011
Awardee
Top 4 of the
GRADUATE STUDIES UNIVERISTY OF ST. LA SALLE - College of Law DOCTOR OF JURISPRUDENCE n/n/2014 n/n/2018 n/a 2018
Class
(Continue on separate sheet if necessary)

SIGNATURE DATE December 16, 2021

CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

Career Service Professional 81.3 May 22, 2011 Bacolod City n/a n/a

BAR 77.1 n/11/2019 Manila 75203 n/a

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
abbreviate) full/Do not abbreviate) (Format "00-0")/
INCREMENT
From To
(Y/ N)

4/5/2021 Present Managing Partner - Lawyer Abella and Tupas Law n/a Active N

1/2/2019 5/31/2021 Paralegal Abella Law n/a Promoted N

9/6/2021 1/29/2022 Law Professor - Criminal Law 2 STI-WNU P200/hour Active N

Law Professor - Legal Aspects affecting Tourism
3/5/2021 6/30/2021
and Hospitality Management Course
STI WNU P200/hour Contract Ended N

1/15/2020 12/11/2020 Customer Service Representative TaskUs P25,000 Resigned N

1/3/2019 5/31/2019 Customer Service Representative VXI - Clark P20,000 Resigned N

School
5/29/2017 6/14/2017 On the Job Trainee Tan Lo Saril Saril Cua Javelosa Law Office n/a Y
Requirement
School
4/17/2017 5/6/2017 On the Job Trainee Bacolod City Prosecutor's Office n/a N
Requirement
7/25/2011 9/19/2013 Customer Service Representative Convergys Bacolod P18,000 Resigned N

12/1/2010 3/31/2011 Customer Service Representative Focus Direct Inc. P12,000 Resigned N

(Continue on separate sheet if necessary)

SIGNATURE DATE December 16, 2021

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

n/a

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
(mm/dd/yyyy)
Technical/etc)
From To

Mandatory Continuing Legal Education 8/20/2021 9/13/2021 24.0 n/a Supreme Court of the Philippines

On the Job Training - Bacolod City Prosecutor's Office 4/17/2017 5/6/2017 120.0 n/a
University of St. La Salle - College of Law

On the Job Training - Tan Lo Saril Cua and Javelosa Law Office 5/29/2017 6/14/2017 120.0 n/a
University of St. La Salle - College of Law

IBP DOING MORE, BETTER, FASTER AMIDST CHANGE AND CHALLENGES 6/26/2021 6/26/2021 8.0 n/a
Integrated Bar of the Philippines

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. (Write in
(Write in full)
full)

Oration n/a Integrated Bar of the Philippines

Public Relations n/a

Movie Making/Directing/Critic n/a

Photography n/a

Public Speaking n/a

Journalism n/a

Essay Writing n/a

(Continue on separate sheet if necessary)

SIGNATURE DATE December 16, 2021

CS FORM 212 (Revised 2017), Page 3 of 4
 34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the
chief of bureau or office or to the person who has immediate supervision over you in the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? ✘
YES
b. within the fourth degree (for Local Government Unit - Career Employees)? ✘
YES
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense? ✘ NO
YES
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? ✘ NO
YES
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 ✘ NO
by any court or tribunal? YES
If YES, give details:
________________________________
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, ✘ NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased YES give details: Voluntary Resignation
If YES,
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 ✘ NO
Barangay election)? YES
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last ✘ NO
election to promote/actively campaign for a national or local candidate? YES
If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country? ✘ NO
YES
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? ✘ NO
If YES,YES
please specify:
b. Are you a person with disability? ✘ NO
If YES,YES
please specify ID No:
c. Are you a solo parent? ✘ NO
If YES,YES
please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
Dean Rosanne Gonzaga Bacolod City 034 432 1189 4.5 cm. X 3.5 cm
(passport size)

Atty. Mitchelle Abella Bacolod City 9479918416

Computer generated
or photocopied picture
Eli Gumabong Bacolod City 9177208004 is not acceptable

42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
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.

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: UMID

ID/License/Passport No.: CRN-0111-1269500-1

Signature (Sign inside the box)
December 16, 2021
Date/Place of Issuance: Bacolod City, Negros Occidental
Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4