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 RAMONAL

FIRST NAME MARIA GETHSEMANI NAME EXTENSION (JR., SR) N/A

MIDDLE NAME CAMPIL

3. DATE OF BIRTH
08/18/1967 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH ILIGAN CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female

6 CIVIL STATUS Single ✘ Married

17. RESIDENTIAL ADDRESS PUROK 4 MERILA
House/Block/Lot No. Street
Widowed
Separated N/A UBALDO D. LAYA
Other/s:
Subdivision/Village Barangay
7. HEIGHT (m) 1.63 ILIGAN CITY LANAO DEL NORTE
City/Municipality Province
8. WEIGHT (kg) 62 ZIP CODE 9200

9. BLOOD TYPE "O"

18. PERMANENT ADDRESS PUROK 4 MERILA
House/Block/Lot No. Street

10. GSIS ID NO. 67081801158

N/A UBALDO D. LAYA
Subdivision/Village Barangay
ILIGAN CITY LANAO DEL NORTE
11. PAG-IBIG ID NO. 19500169216
City/Municipality Province

12. PHILHEALTH NO. 1-5000080977-4 ZIP CODE 9200

13. SSS NO. N/A 19. TELEPHONE NO. 223-7781

14. TIN NO. 192-945-054 20. MOBILE NO. 09262853141

15. AGENCY EMPLOYEE NO. 5294656 21. E-MAIL ADDRESS (if any) mariagethsemani.ramonal@deped.gov.ph
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME RAMONAL 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME VINCENT BRIX

NAME EXTENSION (JR., SR) N/A BRIGETTE SHAYNE C. RAMONAL 04/19/1993

MIDDLE NAME PROGILLA TRISHA YVONNE C. RAMONAL 11/30/2003

OCCUPATION SELF EMPLOYED

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME CAMPIL ( DECEASED)

NAME EXTENSION (JR., SR) N/A
FIRST NAME ROMEO

MIDDLE NAME BATERNA

25. MOTHER'S MAIDEN NAME

SURNAME PLIEGO ( DECEASED)

FIRST NAME LOLITA

MIDDLE NAME MERCADO (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

DONA JUAN ACTUB LLUCH MEMORIAL

ELEMENTARY PRIMARY EDUCATION 1973 1979 N/A 1979 N/A
SCHOOL

SECONDARY /
VOCATIONAL ILIGAN CITY HIGH SCHOOL HIGH SCHOOL 1979 1983 N/A 1983 N/A

MINDANAO MASTER TECHNICAL HOTEL AND RESTAURANT MANAGEMENT 2009 2010 N/A 2010 N/A
TRAINING CENTER INCORPORATED
TRADE
BACHELOR OF SCIENCE IN BUSINESS
COURSE
COLLEGE ST. PETER'S COLLEGE ADMINISTRATION - ACCOUNTING 1983 1987 N/A 1987 N/A

BACHELOR OF SCIENCE IN ELEMENTARY

COLLEGE ST. PETER'S COLLEGE EDUCATION 1987 1989 N/A Oct-89 N/A

BUKIDNON STATE UNIVERSITY 1996 2010 42 N/A

GRADUATE STUDIES
MASTER OF ARTS IN GUIDANCE AND COUNSELING
N/A
ST. PETER'S COLLEGE MASTER OF ARTS IN EDUCATION ADMINISTRATION
2012 2015 N/A 2015
(Continue on separate sheet if necessary)

SIGNATURE DATE February 24, 2023

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
PROFESSIONAL BOARD EXAMINATION FOR
72.5 5/30/1993 ILIGAN CITY 0166612 10/18/1997
TEACHERS

(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
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)
DEPARTMENT OF EDUCATION, DIVISION
6/23/2011 PRESENT TEACHER III P 30,747 13-2 PERMANENT YES
OF ILIGAN CITY
DEPARTMENT OF EDUCATION, DIVISION
04/22/2008 06/22/2011 TEACHER II P 16,995 12-2 PERMANENT YES
OF ILIGAN CITY
DEPARTMENT OF EDUCATION, DIVISION
06/03/1996 04/21/2008 TEACHER I P 11,774 10-4 PERMANENT YES
OF ILIGAN CITY
DEPARTMENT OF EDUCATION, DIVISION
06/20/1995 06/02/1996 TEACHER I P 6,013 N/A CONTRACTUAL YES
OF ILIGAN CITY
09/01/1991 06/20/1995 CASHIER AND JEWELRY APPRAISER ILIGAN JEWELRY AND PAWNSHOP P 4,900 N/A PERMANET NO

09/15/1990 08/30/1991 JUNIOR RECEPTIONIST ORO MARKETING, INCORPORATED P 3,500 N/A CASUAL NO

01/31/1990 09/21/1990 PAWNSHOP TELLER ILIGAN JEWELRY AND PAWNSHOP P 3,000 N/A CASUAL NO

11/05/1989 01/29/1990 SECRETARY ABERRILA SASH FACTORY P 2,000 N/A CASUAL NO

(Continue on separate sheet if necessary)

SIGNATURE DATE February 24, 2023

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

PHILIPPINE PUBLIC SCHOOL TEACHERS' ASSOCIATION 06/03/1996 PRESENT N/A MEMBER

ILIGAN CITY PUBLIC SCHOOL TEACHERS' AND EMPLOYEES ASSOCIATION 06/09/1997 PRESENT N/A MEMBER

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
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) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
2022 GENDER AND DEVELOPMENT (GAD) SEMINAR 12/17/2022 12/17/2022 8.0 TECHNICAL
CITY

SCHOOL-BASED DISASTER RISK REDUCTION AND MANAGMENT TRAINING (SBDRRMT) 01/12/2022 1/14/2022 24.0 TECHNICAL RED CROSS -ILIGAN CITY CHAPTER

DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN

2021 GENDER AND DEVELOPMENT (GAD) SEMINAR 12/13/2022 12/13/2022 8.0 TECHNICAL
CITY
OCCUPATIONAL FIRST AID TRAINING FOR RED CROSS FOCAL TEACHERS IN THE 11 TARGET
SCHOOLS
10/12/2021 10/14/2021 24.0 TECHNICAL RED CROSS -ILIGAN CITY CHAPTER

DISTRICT TRAINING-WORKSHOP ON LAC TOOLKIT AND LAC IMPLEMENTATION PLAN FOR MASTER DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
TEACHERS
01/31/2020 01/31/2021 8.0 TECHNICAL
CITY
DEPARTMENT OF INFORMATION AND COMMUNICATIONS TECHNOLOGY-
DIGITAL LITERACY TRAINING - REGIONAL TRAINING OF TRAINERS 06/29/2020 07/02/2020 32.0 TECHNICAL MINDANAO CLUSTER

DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN

DISTRICT-WIDE ORIENTATION ON SELF-LEARNING ACTIVITIES IN MATHEMATICS 07/05/2020 07/08/2020 8.0 TECHNICAL
CITY
ONLINE DISTRICT TRAINKING ON TECHNOLOGU EMPOWERMENT FOR EDUCATION,EMPLOYMENT, DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
08/12/2020 08/14/2020 24.0 TECHNICAL
ENTERPRENEURSHIP AND ECONOMIC DEVELOPEMENT (TECH4ED) CITY
ONLINE REVIEW ON THE PROCUREMENT PROCESS AND WORKSHOP ON LIQUIDATION DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
09/01/2020 09/01/2020 8.0 TECHNICAL
REPORTS CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
2020 GENDER AND DEVELOPMENT (GAD) SEMINAR 12/15/2020 12/15/2020 8.0 TECHNICAL
CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
DISTRICT ROLL-OUT OF RPMS MANUAL FOR TEACHERS AND SCHOOL HEADS 08/22/2018 08/24/2018 24.0 TECHNICAL
CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
3-DAY ORIENTATION ON FINANANCIAL MANAGEMENT OPERATIONS 11/07/2017 11/09/2017 24.0 TECHNICAL
CITY
DIVISION ROLL-OUT SEMINAR ON SCHOOL MONITORING, EVALUATION AND DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
10/11/2017 10/13/2017 24.0 TECHNICAL
ADJUSTMENT (SMEA) CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
TRAINING ON TEACHING READING AND LITERATURE 04/10/2017 04/12/2017 24.0 TECHNICAL
CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
FOUR-DAY DISTRICT IN-SERVICE TRAINING 10/25/2016 10/28/2016 32.0 TECHNICAL
CITY
ICT SKILLS DEVELOPMENT TRAINING OF TRAINORS FOR SCHOOL ICT COORDINATOR DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
07/20/2016 07/22/2016 24.0 TECHNICAL
DESIGNATE CITY
ORIENTATION-WORKSHOP ON NEW CLASSROOM ASSESSMENT AND K TO 12 GRADES 4 AND 10 DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
CURRICULUM FOR SCHOOL HEADS, SUPERVISORS AND GUIDANCE COORDINATORS/DESIGNATES
06/20/2015 06/24/2015 8.0 TECHNICAL
CITY
DEPARTMENT OF EDUCATION, DIVISION OF ILIGAN
GRADE 5 MASS TRAINING OF TEACHERS (MTOT) 04/10/2016 01/16/2016 56.0 TECHNICAL
CITY

(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)
PHILIPPINE PUBLIC SCHOOL TEACHERS'
COMPUTER ENCODING N/A
ASSOCIATION
ILIGAN CITY PUBLIC SCHOOL TEACHERS'
JEWELRY APPRAISING N/A
AND EMPLOYEES ASSOCIATION
BOOKEEPING

TYPING

(Continue on separate sheet if necessary)

SIGNATURE DATE February 24, 2023

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 ✘ NO
b. within the fourth degree (for Local Government Unit - Career Employees)? YES NO
If YES, give details:
________________________________
N/A

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? ________________________________
FINISHED CONTRACT
________________________________
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:

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

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
VENUS A. QUIRANTE ISABEL VILLAGE PALA-O, ILIGAN CITY N/A 3.5 cm. X 4.5 cm
(passport size)
PHASE 1 BAHAYAN VILLAGE, UPPER
JESSIE M. LUMAHANG HINAPLANON, ILIGAN CITY
224-3425 With full and handwritten
name tag and signature over
printed name
AMELITA M. LAFORTEZA UBALDO D. LAYA, ILIGAN CITY 223-9461
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.

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

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: DEPARTMENT OF EDUCATION

ID/License/Passport No.: 5294656 Signature (Sign inside the box)

February 24, 2023
Date/Place of Issuance: ILIGAN CITY
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