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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 ZACARIA
NAME EXTENSION (JR., SR)
FIRST NAME NORONISA
MIDDLE NAME NUSKA
3. DATE OF BIRTH
16. CITIZENSHIP
(mm/dd/yyyy) 11/7/1960
4. PLACE OF BIRTH Ramain, Lanao del Sur If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX
6 CIVIL STATUS
17. RESIDENTIAL ADDRESS Purok 4
House/Block/Lot No. Street
Muslim Compound San Pedro
Subdivision/Village Barangay
7. HEIGHT (m) 1.57m City of San Fernando Pampanga

City/Municipality Province
8. WEIGHT (kg) 56kgs ZIP CODE 2000
9. BLOOD TYPE A 18. PERMANENT ADDRESS Lumbac

House/Block/Lot No. Street
10. GSIS ID NO. CRN 006 0016 9170 0 Lumbatan

Subdivision/Village Barangay
Ditsaan - Ramain Lanao del Sur
11. PAG-IBIG ID NO. 1400 - 0133 - 4378
City/Municipality Province
12. PHILHEALTH NO. 04 - 000025730 -5 ZIP CODE 9713
13. SSS NO. N/A 19. TELEPHONE NO. N/A
14. TIN NO. 132 - 066 - 360 20. MOBILE NO. +63 926 912 9741
15. AGENCY EMPLOYEE NO. NL 354 21. E-MAIL ADDRESS (if any) norque.nuska@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME Zacaria 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
FIRST NAME Samad Sittie Alyanna Nuska Zacaria 3/8/1991
MIDDLE NAME Sambuat Arra Nuska Zacaria 10/6/1993
OCCUPATION Merchant/Vendor Amani Nuska Zacaria 5/4/2000
EMPLOYER/BUSINESS NAME N/A
BUSINESS ADDRESS N/A
TELEPHONE NO. N/A
24. FATHER'S SURNAME Nuska

FIRST NAME Bamie
MIDDLE NAME Datumanong
25. MOTHER'S MAIDEN NAME
SURNAME Mapantas
FIRST NAME Sangcabae
MIDDLE NAME Sambuat (Continue on separate sheet if necessary)
III. EDUCATIONAL BACKGROUND
26. HIGHEST LEVEL/

PERIOD OF ATTENDANCE SCHOLARSHIP/
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR
LEVEL UNITS EARNED ACADEMIC HONORS
(Write in full) (Write in full) (if not graduated) GRADUATED RECEIVED
From To
ELEMENTARY Rafael Palma Elementary School Primary Education 1967 1973 Graduated 1973 With Honors
SECONDARY Manila High School Secondary Education 1973 1977 Graduated 1977 With Honors
VOCATIONAL /
TRADE COURSE N/A N/A N/A N/A N/A N/A N/A
University of Manila BS in Civil Engineering 1980 1984 Graduated 1984 N/A

COLLEGE
Pamantasan ng Lungsod ng Maynila BS in Education Major in Mathematics 1977 1980 3rd Year College -- Academic Scholar
GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)
SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LICENSE (if applicable)
RATING DATE OF EXAMINATION /
LAWS/ CES/ CSEE BARANGAY PLACE OF EXAMINATION / CONFERMENT
(If Applicable) CONFERMENT NUMBER Date of
ELIGIBILITY / DRIVER'S LICENSE
Validity
Career Service Professional 77.41% 7/26/1987 Manila 35548 1/13/1988
Career Service Sub-professional 79.38% 7/17/1983 Manila 545556 1/30/1984
V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
28. INCLUSIVE DATES SALARY/ JOB/ PAY
(mm/dd/yyyy) GOV'T
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY GRADE (if applicable)& STATUS OF
SERVICE
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) SALARY STEP (Format "00-0")/ APPOINTMENT
INCREMENT (Y/ N)
From To
National Commission on Muslim Filipinos -

1/1/2022 12/31/2022 Development Management Officer II (37,845.00) 15 - 8 Permanent Y
North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon

North Luzon
Office on Muslim Affairs - Regions I, II, III and

Cordillera Administrative Region














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


VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
NAME & ADDRESS OF ORGANIZATION INCLUSIVE DATES(Write

29.
in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To
N/A N/A N/A N/A N/A

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
(mm/dd/yyyy) NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
Technical/etc)
From To
Learning and Development Needs Assessment for CAD 12/16/2022 12/16/2022 3 hours Technical
Central Office
Hybrid Orientation Seminar on 2022 18-Day Campaign to End Violence against Women United for National Commission on Muslim Filipinos -
12/12/2022 12/12/2022 4 hours Values
VAW-Free Philippine Central Office
18-day Campaign to End VAW and Orientation on RA 9262 and RA11313 7/12/2022 7/12/2022 3 hours Values
Central Office
Virtual Orientation on R.A. 11596 or “Prohibition of Child Marriage Law 04/21/2022 04/21/2022 3 hours Values
Central Office
#JUANAlearn: Webinar on the Magna Carta of Women and Safe Spaces Act 03/25/2022 03/25/2022 7 hours Values
Central Office
Webinar on "Women Make Change Through Participation in the Development" 03/24/2022 03/24/2022 4 hours Values
Central Office
National Women's Month 2022. Theme: "Babae Matatag Ka" 10/3/2022 10/3/2022 3 hours Values
Central Office
Occupational Safety and Health Committee Webinar Series 4/3/2022 03/25/2022 12 hours Technical/Values
Central Office
Bureau of Muslim Settlement - Relief and Disaster
Lecture and Execution Drill for Fire 3/3/2022 3/3/2022 3 hours Technical
Coordination Division
Department of Information and Communications
Digital Literacy Training 2/3/2022 4/3/2022 12 hours Technical
Technology - Luzon Cluster 2
18-Day Campaign to End VAW 6/12/2021 6/12/2021 3 hours Values
Central Office
Youth Leadership and Role of Youth in Peace Building 6/12/2021 6/12/2021 3 hours Technical
Central Office
Management Review and Operation Planning 1/12/2021 3/12/2021 9 hours Technical
Central Office
Modern Filipino Family amidst Modern Times and Technology 09/22/2021 09/22/2021 4 hours Technical/Values
Central Office
Personal Development Awareness Program 09/14/2021 09/15/2021 14 hours Technical/Values
Central Office
Halal Awareness Seminar (Webinar) 08/23/2021 08/23/2021 8 hours Technical
Central Office
Strategic Performance Management System 08/18/2021 08/19/2021 14 hours Technical
Central Office
Personnel Orientation and Leadership Training 9/11/2017 10/11/2017 16 hours Technical
Administrative Services
Confederation of Independent Unions for Public Sector
Capability Building for Public Sector Workers and Organizations 10/30/2017 10/30/2017 8 hours Technical
(CIU) - FAGFORBUNDET
Islamic Micro-Finance: A Mechanism for Alleviating Poverty 01/17/2017 01/17/2017 8 hours Technical
North Luzon
Continued at the next page
VIII. OTHER INFORMATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION MEMBERSHIP IN ASSOCIATION/ORGANIZATION

31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full) (Write in full)
Muslim Community of the City of San Fernando

Reading Books N/A
Incorporated
Cooking
Playing Chess and Scrabble
Solving Puzzles
SIGNATURE DATE
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
(mm/dd/yyyy) NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
Technical/etc)
From To
University of Assumption
Basic Organizational Management Effectiveness System (OMES) 1/10/2016 1/10/2016 8 hours Technical
Graduate School - Pampanga
Halal Awareness Education / Islamic Micro-Finance Seminar 6/2/2016 6/2/2016 8 hours Technical
North Luzon
Anti-Money Laundering Act (AMLA) Seminar 03/17/2015 03/17/2015 8 hours Technical Land Bank of the Philippines - Pampanga
Training of Counselors on Pre-Marriage Counseling Commission on Population (POPCOM) /

08/25/2015 08/29/2015 40 hours Technical
Supplemental Guide for Muslim Filipinos National Commission on Muslim Filipinos
Regional Budget Preparation Cluster Meeting (Cluster 1) 03/21/2012 03/22/2012 16 hours Technical
Central Office
Arabic Language and Islamic Values Education with Department of Education / Technical Education and
2/2/2010 3/3/2010 360 hours Technical
Technical and Vocational Education and Training (ALIVE w/ TVET) Skills Development Authority
Duties and Responsibilities of Officers of Muslim Federation of
05/28/2009 05/28/2009 8 hours Technical Office on Muslim Affairs - Central Office
the City of San Fernando, Pampanga
Program and Performance Review Analysis 03/24/2008 03/26/2008 24 hours Technical Office on Muslim Affairs - Central Office
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?
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details: ________________________________
________________________________
35. a. Have you ever been found guilty of any administrative offense?
________________________________
b. Have you been criminally charged before any court?

________________________________
Date Filed:
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court
or tribunal?
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, retirement, dropped
from the rolls, dismissal, termination, end of term, finished contract or phased out (abolition) in the public or If YES, give details: ________________________________
private sector? ________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except Barangay
election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last 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?
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?
.
If YES, please specify:
b Are you a person with disability?
.
If YES, please specify ID No:
c. Are you a solo parent?
If YES, please specify ID No:
41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)
NAME ADDRESS TEL. NO.
Former Director Sinab M. Dimaampao NCMF - North Luzon 0906 411 2547
Director Abdullah S. Macarimpas NCMF - Central Office 0916 378 7542
Kaisser "Kim" Mangoranda San Fernando, Pampanga 0933 659 5758

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

PLEASE INDICATE ID Number and Date of Issuance
Government Issued ID: Unified Multi-Purpose ID
ID/License/Passport No.: 006 - 0016 - 9170 - 0

Signature (Sign inside the box)
Date/Place of Issuance: Baguio City

Date Accomplished Right Thumbmark
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.
ATTY. ABBAS S. MACADATAR

Provincial Director, NCMF Pampanga Provincial Office
Person Administering Oath

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PERSONAL DATA SHEET

7. HEIGHT (m) 1.57m City of San Fernando Pampanga

9. BLOOD TYPE A 18. PERMANENT ADDRESS Lumbac

10. GSIS ID NO. CRN 006 0016 9170 0 Lumbatan

12. PHILHEALTH NO. 04 - 000025730 -5 ZIP CODE 9713

13. SSS NO. N/A 19. TELEPHONE NO. N/A

MIDDLE NAME Sambuat Arra Nuska Zacaria 10/6/1993

OCCUPATION Merchant/Vendor Amani Nuska Zacaria 5/4/2000

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME Nuska

MIDDLE NAME Datumanong

25. MOTHER'S MAIDEN NAME

FIRST NAME Sangcabae

MIDDLE NAME Sambuat (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

26. HIGHEST LEVEL/

University of Manila BS in Civil Engineering 1980 1984 Graduated 1984 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

Career Service Professional 77.41% 7/26/1987 Manila 35548 1/13/1988

Career Service Sub-professional 79.38% 7/17/1983 Manila 545556 1/30/1984

(Continue on separate sheet if necessary)

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

National Commission on Muslim Filipinos -

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

Continued at the next page

(Continue on separate sheet if necessary)

Office on Muslim Affairs - Regions I, II, III and

Office on Muslim Affairs - Regions I, II, III and

NAME & ADDRESS OF ORGANIZATION INCLUSIVE DATES(Write

N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

INCLUSIVE DATES OF ATTENDANCE Type of LD

Continued at the next page

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION MEMBERSHIP IN ASSOCIATION/ORGANIZATION

Muslim Community of the City of San Fernando