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Personal Data Sheet CS Form 212

This document is a personal data sheet that collects an individual's personal and employment information in 23 sections. It requests information such as name, date of birth, contact details, education history, work experience, civil service eligibility, and family details like spouse and children. The data collected appears to be for employment and human resource purposes.

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jandro pepito
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133 views2 pages

Personal Data Sheet CS Form 212

This document is a personal data sheet that collects an individual's personal and employment information in 23 sections. It requests information such as name, date of birth, contact details, education history, work experience, civil service eligibility, and family details like spouse and children. The data collected appears to be for employment and human resource purposes.

Uploaded by

jandro pepito
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

CS FORM 212 (Revised 2005)

PERSONAL DATA SHEET


Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary. 1. CS ID No. (to be filled up by
CSC)
I. PERSONAL INFORMATION
2. SURNAME | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

FIRST NAME | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | 3. NAME EXTENSION (e.g. Jr., Sr.)
MIDDLE NAME
[Link] ADDRESS
4. DATE OF BIRTH (mm/dd/yyyy) / /
5. PLACE OF BIRTH

6. SEX Male Fem ale


7. CIVIL STATUS
Single Widowed ZIP CODE

Marrie Separated [Link] NO.


d Others, specify [Link] ADDRESS

Annulle
d
8. CITIZENSHIP

9. HEIGHT (m) ZIP CODE

10. WEIGHT (kg) [Link] NO.

11. BLOOD TYPE

12. GSIS ID NO. 20. E-MAIL ADDRESS (if any)

13. PAG-IBIG ID NO. 21. CELLPHONE NO. (if any)

14. PHILHEALTH NO. 22. AGENCY EMPLOYEE NO.


15. SSS NO. 23. TIN

II. FAMILY BACKGROUND


24. SPOUSE'S SURNAME 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME / /
MIDDLE NAME / /
OCCUPATION / /
EMPLOYER/BUS. NAME / /
BUSINESS ADDRESS / /
TELEPHONE NO. / /
(Continue on separate sheet if necessary) / /
26. FATHER'S SURNAME / /
FIRST NAME / /
MIDDLE NAME / /
27. MOTHER'S MAIDEN NAME / /
SURNAME / /
FIRST NAME / /
MIDDLE NAME (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND


HIGHEST GRADE/ INCLUSIVE DATES OF
28. YEAR SCHOLARSHIP/
NAME OF SCHOOL DEGREE COURSE LEVEL/ ATTENDANCE
LEVEL GRADUATED ACADEMIC
(Write in full) (Write in full) UNITS EARNED
(if graduated) From To HONORS RECEIVED
(if not graduated)

ELEMENTARY

SECONDARY

VOCATIONAL /
TRADE COURSE
COLLEGE

GRADUATE STUDIES

(Continue on separate sheet if necessary)


Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY


LICENSE (if applicable)
29. DATE OF DATE OF
CAREER SERVICE/ RA 1080 (BOARD/ NUMBER
RATING EXAMINATION PLACE OF EXAMINATION / CONFERMENT RELEASE
BAR) UNDER SPECIAL LAWS/ CES/
/
CSEE
CONFERMENT

(Continue on separate sheet if necessary)


V. WORK EXPERIENCE (Include private employment. Start from your current work)
30. INCLUSIVE SALARY
GOV'T
DATES POSITION TITLE DEPARTMENT / AGENCY / OFFICE / MONTHL GRADE & STATUS OF
SERVICE
(Write in full) COMPANY Y STEP APPOINTMENT
(mm/dd/yyyy) INCREMENT (Yes / No)
(Write in full) SALARY
From To (Format "00-0")

/ / / /

/ / / /

/ / / /

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/ / / /

/ / / /

/ / / /
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 2 of 4

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