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 MALINAO
NAME EXTENSION (JR., SR)
FIRST NAME JEAN

MIDDLE NAME GABATO

3. DATE OF BIRTH
(mm/dd/yyyy) 09/15/1996 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH GALAKIT, PAGALUNGAN, MAGUINDANAO If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female

6 CIVIL STATUS
✘ Single Married 17. RESIDENTIAL ADDRESS BLK. 14, LOT O4 UPO
Widowed Separated House/Block/Lot No. Street
LLANDERAL SUBD., MAGSAYSAY
Other/s:
Subdivision/Village Barangay
7. HEIGHT (m) 4'9" KIDAPAWAN CITY NORTH COTABATO
City/Municipality Province
8. WEIGHT (kg) 51 kg ZIP CODE 9400

9. BLOOD TYPE "A"

18. PERMANENT ADDRESS BLK. 14, LOT O4
House/Block/Lot No. Street
10. GSIS ID NO. N/A LLANDERAL SUBD., MAGSAYSAY
Subdivision/Village Barangay
KIDAPAWAN CITY NORTH COTABATO
11. PAG-IBIG ID NO. 121237616224
City/Municipality Province
12. PHILHEALTH NO. 170256277096 ZIP CODE 9400

13. SSS NO. 09-4497664-3 19. TELEPHONE NO. N/A

14. TIN NO. 352-114-581 20. MOBILE NO. 0948-751-8010

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) malinaojean15@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

NAME EXTENSION (JR., SR)
N/A N/A
MIDDLE NAME N/A

OCCUPATION N/A

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME MALINAO

FIRST NAME ERNESTO NAME EXTENSION (JR., SR) SR

MIDDLE NAME DIONES

25. MOTHER'S MAIDEN NAME

SURNAME GABATO

FIRST NAME CARMENCITA

MIDDLE NAME BRIONES (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

KIDAPAWAN CITY PILOT ELEMENTARY

ELEMENTARY PRIMARY EDUCATION 2004 2008 2008 N/A
SCHOOL
KIDAPAWAN CITY NATIONAL HIGH
SECONDARY SECONDARY EDUCATION 2008 2012 2012 N/A
SCHOOL

BACHELOR OF SECONDARY
UNIVERSTIY OF SOUTHERN MINDANAO-
COLLEGE EDUCATION MAJOR IN SOCIAL 2014 2018 2018 CUM LAUDE
KIDAPAWAN CITY CAMPUS
STUDIES

MASTER OF ARTS IN EDUCATION 36 UNITS

GRADUATE STUDIES UNIVERSITY OF SOUTHERN MINDANAO 2020 PRESENT N/A N/A
MAJOR IN SOCIAL SCIENCES EARNED

(Continue on separate sheet if necessary)

SIGNATURE DATE JULY 11, 2022

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

PD907 (HONOR GRADUATE) N/A 6/8/2018 N/A N/A N/A

LICENSURE EXAMINATION FOR TEACHERS 81.4 9/1/2018 NOTRE DAME OF KIDAPAWAN COLLEGE 1746561 9/15/2022

(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)
NOTRE DAME OF KIDAPAWAN COLLEGE-
08/02/2021 06/15/2022 ELEMENTARY TEACHER 12000.00 N/A JOB ORDER N
IBED ELEMENTARY DEPARTMENT
FACULTY/CHRISTIAN FORMATION ST. MARY'S ACADEMY OF KIDAPAWAN,
06/01/2019 04/30/2021 11034.00 N/A JOB ORDER N
COORDINATOR INC.

(Continue on separate sheet if necessary)

SIGNATURE DATE JULY 11, 2022

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
LECTORS AND COMMENTATORS' GUILD OLMAG PARISH KIDAPAWAN
03/04/2017 04/16 2021 PARISH LECTOR
CATHEDRAL

DISTRICT YOUTH MINISTRY 5/13/2017 01/01/2019 YOUTH TREASURER

KAPILYA PASTORAL COUNCIL 01/05/2015 05/09/2017 YOUTH PRESIDENT

OUR LADY MEDIATRIX OF ALL GRACE CATHEDRAL 05/01/2013 05/31/2015 PARISH CATECHIST

(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

ENHANCING TEACHERS' INSTRUCTIONAL COMPETENCE THROUGH ACTION NOTRE DAME OF KIDAPAWAN COLLEGE (VIA
02/11/2022 02/11/2022 3 HOURS TECHNICAL ZOOM)
RESEARCH
NOTRE DAME OF KIDAPAWAN COLLEGE (VIA
INTEGRATING VALUES IN LESSON 02/04/2022 02/04/2022 3 HOURS TECHNICAL
ZOOM)
UNIVERSITY OF SOUTHERN MINDANAO (VIA
UNDERSTANDING GENDER IN DEVELOPMENT: LIMITATIONS TO LIBERATION 06/12/2021 06/12/2021 3 HOURS TECHNICAL
ZOOM)
UNIVERSITY OF SOUTHERN MINDANAO (VIA
AN OVERVIEW ON THE END LOCAL COMMUNIST ARMED CONFLICT (ELCAC)AND
05/29/2021 05/29/2021 3 HOURS TECHNICAL ZOOM)
ENHANCED COMPREHENSIVE LOCAL INTEGRATION PROGRAM (ECLIP)

ACHIEVING INNER PEACE AND STRESS MANAGEMENT IN THE TIME OF THE UNIVERSITY OF SOUTHERN MINDANAO (VIA
05/29/2021 05/29/2021 3 HOURS TECHNICAL ZOOM)
PANDEMIC
KNOWLEDGE-SHARING ON SOCIAL JUSTICE AND RIGHT-BASED APPROACH TO UNIVERSITY OF SOUTHERN MINDANAO (VIA
05/21/2021 05/21/2021 3 HOURS TECHNICAL ZOOM)
DEVELOPMENT
MOBILIZING OUR YOUTH AND FORMING ENGAGED CITIZENS: 2022 ELECTIONS CATHOLIC EDUCATIONAL ASSOCIATION OF
01/29/2021 01/29/2021 3 HOURS MANAGERIAL THE PHILIPPINES (CEAP) VIA ZOOM
AND BEYOND
CATHOLIC EDUCATIONAL ASSOCIATION OF
CYBERSAFETY AND MEDIA LITERACY 01/21/2021 01/21/2021 3 HOURS TECHNICAL
THE PHILIPPINES (CEAP) VIA ZOOM
SESSION B OF THE 2020 CEAP NATIONAL
MODULAR DISTANCE LEARNING 12/12/2020 12/12/2020 3 HOURS TECHNICAL BASIC EDUCATION COMMISSION VIRTUAL
ASSEMBLY

MERGING LEARNING COMPETENCIES AND PRACTICES TO FACILITATE THE VIBAL’S WEBINAR-VIBAL GROUP
05/29/2020 05/29/2020 3 HOURS TECHNICAL
SHIFT TO THE NEW NORMAL
ADDRESSING CHALLENGES IN DELIVERING REMOTE LEARNING FOR OFFLINE VIBAL’S WEBINAR-VIBAL GROUP
05/28/2020 05/28/2020 3 HOURS TECHNICAL
LEARNERS
MEETING INTERNATIONAL RESEARCH STANDARDS: THE DEMANDS OF THE VIBAL’S WEBINAR-VIBAL GROUP
05/28/2020 05/28/2020 3 HOURS TECHNICAL
FOURTH INDUSTRIAL REVOLUTION
VIBAL’S WEBINAR-VIBAL GROUP
CONTEXTUALIZED LEARNING DELIVERY MODALITIES 05/27/2020 05/27/2020 3 HOURS TECHNICAL

ORGANIZING SCIENCE RESEARCH PROGRAM IN BASIC EDUCATION IN THE VIBAL’S WEBINAR-VIBAL GROUP
05/27/2020 05/27/2020 3 HOURS TECHNICAL
NEW NORMAL
VIBAL’S WEBINAR-VIBAL GROUP
HORIZONTAL INTEGRATION OF SUBJECT AREA COMPETENCIES 05/26/2020 05/26/2020 3 HOURS TECHNICAL
RESEARCH FOR EDUCATORS AND ACADEMIC
TEACHING SOCIAL STUDIES ONLINE: VISIBLE THINKING STRATEGIES WITH
05/23/2020 05/23/2020 3 HOURS TECHNICAL PROFESSIONALS-REX ACADEMY
SEESAW

RESEARCH FOR EDUCATORS AND ACADEMIC

2020 WHOLE CHILD EDUCATION CONFERENCE: "SUPPORTING AND ENGAGING
02/18/2020 02/18/2020 16 HOURS MANAGERIAL PROFESSIONALS-REX ACADEMY
THE FILIPINO EDUCATORS FOR THE WHOLE CHILD”

KIDAPAWAN TECHNICAL SCHOOL AND

FOOD PROCESSING NCII 10/16/2019 11/09/2019 568 HOURS TECHNICAL SECURITY TRAINING CENTER, KIDAPAWAN
CITY
RVM CONGREGATION-SOUTHERN MINDANAO
RVM-QUALITY ROAD MAP TRAINING 09/13/2019 09/14/2019 16 HOURS MANAGERIAL
CHAPTER
RED CROSS EMERGENCY FIRST AID TRAINING WITH BASIC LIFE SUPPORT ST. MARY’S ACADEMY OF KIDAPAWAN, INC.
08/24/2019 08/24/2019 8 HOURS TECHNICAL
CARDIOPULMONARY RESUSCITATION
INTERFACING BRAIN BASED LEARNING WITH TRANSFORMATIVE TEACHING PHOENIX PUBLISHING HOUSE, INC.
02/23/2019 02/23/2019 8 HOURS TECHNICAL
FOR NEXTGEN LEARNERS IN ARALING PANLIPUNAN
(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)
SINGING/DANCING CHAMPION; BALAGTASAN, BUWAN NG WIKA 2014 MODERN HISTORIAN SOCIETY

COMPUTER LITERATE SECOND RUNNER UP; PAGSUSULAT NG SANAYSAY, BUWAN NG WIKA 2015 FUTURE MENTORS' SOCIETY

FIRST RUNNER UP; PAGSUSULAT NG SANAYSAY, BUWAN NG WIKA 2016 OUR LADY MEDIATRIX OF ALL GRACE PARISH
CHOIR ORGANIZATION
CHAMPION; PASUNDAYAG INTER-ORGANIZATION DEBATE COMPETITION 2017 OUR LADY MEDIATRIX OF ALL GRACE PARISH
LECTORS AND COMMENTATORS' GUILD
BEST SPEAKER; PASUNDAYAG INTER-ORGANIZATION DEBATE COMPETITION 2017 PARISH YOUTH MINISTRY

CHAMPION IN ACOUSTIC BAND COMPETITION DURING SUMMER YOUTH CAMP 2017

COMMUNITY SERVICE AWARD 2018

(Continue on separate sheet if necessary)

SIGNATURE DATE JULY 11, 2022

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? 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:

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

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
MRS. ZENAIDA M. CABILES BOLONG SUBD., KIDAPAWAN CITY 9989687961 4.5 cm. X 3.5 cm
(passport size)

MR. FERDINAND C. CABILES BOLONG SUBD., KIDAPAWAN CITY 9989687961

Computer generated
ST. MARY'S ACADEMY OF KIDAPAWAN, or photocopied picture
S. MARIA NINA C. BALBAS, RVM INC.
9976548815 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: PRC ID

ID/License/Passport No.: 1746561

Signature (Sign inside the box)
JULY 11, 2022
Date/Place of Issuance: 02/02/2019/DAVAO CITY, PHILIPIINES
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