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CS Form No.

212

PERSONAL DATA SHEET


Revised 2017

WARNING: Any misinterpretation 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 REYES

FIRST NAME CHRISTIAN


NAME EXTENSION (JR., SR)
N/A
MIDDLE NAME BUÑALES
3. DATE OF BIRTH
(mm/dd/yyyy)
09/14/1993 16. CITIZENSHIP Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH BRGY. STO. NIÑO SAN PABLO CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female

Single Married 17. RESIDENTIAL ADDRESS 131


6 CIVIL STATUS
Widowed Separated House/Block/Lot No. Street
ALCARAZ SUBDIVISION STO. NIÑO
Other/s:
Subdivision/Village Barangay
SAN PABLO CITY LAGUNA
7. HEIGHT (m) 1.67
City/Municipality Province
8. WEIGHT (kg) 70 ZIP CODE 4000

18. PERMANENT ADDRESS 131


9. BLOOD TYPE O+
House/Block/Lot No. Street
ALCARAZ SUBDIVISION STO. NIÑO
10. GSIS ID NO. N/A
Subdivision/Village Barangay
SAN PABLO CITY LAGUNA
11. PAG-IBIG ID NO. 121160601607
City/Municipality Province

12. PHILHEALTH NO. 01-052151107-4 ZIP CODE 4000

13. SSS NO. 04-3688064-5 19. TELEPHONE NO. N/A

14. TIN NO. 479-677-023 20. MOBILE NO. 09081977389

15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any)


chris_wafu14@yahoo.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME REYES 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME RILBONN GLARE


NAME EXTENSION (JR., SR) YTIAN FERNANDO ALMOCERA REYES 10/11/2021

MIDDLE NAME ALMOCERA


OCCUPATION MARKETING SALES MANEGER
EMPLOYER/BUSINESS NAME ALPTON CONSTRUCTION CORPORATION INC.
PLAZA VERIDAD, BRGY SAN ROQUE, STO TOMAS CITY,
BUSINESS ADDRESS
BATANGAS
TELEPHONE NO. 09277744663
24. FATHER'S SURNAME REYES
NAME EXTENSION (JR., SR)
FIRST NAME LARITO
MIDDLE NAME ESPINA
25. MOTHER'S MAIDEN NAME BUÑALES
SURNAME REYES
FIRST NAME FRUCTUOSA
MIDDLE NAME BUDLAYAN (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND


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

BERNARDINA ARANZA DEVEZA MEMORIAL


ELEMENTARY 2000 2006 2006
SCHOOL, SAN PABLO CITY, LAGUNA
SAN JOSE NATIONAL HIGH SCHOOL, SAN
SECONDARY 2006 2010 2010
PABLO CITY, LAGUNA
VOCATIONAL /
TRADE COURSE
LAGUNA COLLEGE, SAN PABLO CITY, BACHELOR OF SCIENCE IN CIVIL
COLLEGE 2010 2015 2015
LAGUNA ENGINEERING
UNIVERSITY OF THE PHILIPPINES DILIMAN, MASTER OF SCIENCE IN CIVIL
GRADUATE STUDIES 2016 2019 2019 DOST-ERDT
QUEZON CITY ENGINEERING (STRUCTURAL)
(Continue on separate sheet if necessary)

SIGNATURE DATE April 20, 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 Date of
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT Validity

CIVIL ENGINEERING BOARD EXAM 76.35% NOVEMBER 2015 MANILA 0142686 09/14/2024

(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.
INCLUSIVE DATES SALARY/ JOB/ PAY
28. GRADE (if
(mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY STATUS OF GOV'T SERVICE
MONTHLY SALARY applicable)& STEP
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) (Format "00-0")/
APPOINTMENT (Y/ N)
From To INCREMENT

06/15/2022 PRESENT STRUCTURAL ENGINEER ARTELIA PHILIPPINES 47,000.00 N/A PERMANENT N

09/15/2021 PRESENT PART-TIME INSTRUCTOR LAGUNA COLLEGE 10,000.00 N/A CONTRACTUAL N

11/29/2021 06/15/2022 ENGINEER II DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS 36,628.00 SG-16 JOB ORDER Y

07/02/2020 12/01/2021 SENIOR STRUCTURAL ENGINEER ALPTON CONSTRUCTION CORPORATION INC. 40,000.00 N/A CONTRACTUAL N

02/17/2020 05/15/2020 STRUCTURAL ENGINEER DSPI ENGINEERING DESIGN STATION 45,000.00 N/A CONTRACTUAL N

10/07/2019 02/13/2020 STRUCTURAL ENGINEER HUAWEI TECHNOLOGY PHILIPPINES INC. 30,000.00 N/A CONTRACTUAL N

01/11/2016 06/08/2017 JUNIOR STRUCTURAL ENGINEER PACIFICTECH SOLUTIONS INC. 15,500.00 N/A PERMANENT N

(Continue on separate sheet if necessary)

SIGNATURE DATE April 20, 2023 CS FORM 212 (Revised 2017), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S

NAME & ADDRESS OF ORGANIZATION INCLUSIVE DATES


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

PHILIPPINE INSTITUTE OF CIVIL ENGINEERS 2015 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
(mm/dd/yyyy) NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
Technical/etc)
From To

"WORKSHOP ON THE PROPOSED TECHNICAL GUIDELINES ON ENGINEERED ASSOCIATION OF STRUCTURAL ENGINEERS OF


02/16/2022 02/16/2022 6.0 TECHNICAL
REINFORCED CONCRETE HOLLOW BLOCK CONSTRUCTION" THE PHILIPPINES (ASEP)

TECHNICAL CONFERENCE ON WELDING DESIGN, INSPECTION, TESTING AND QUALITY ASSOCIATION OF STRUCTURAL ENGINEERS OF
12/17/2021 12/18/2021 16.0 TECHNICAL
CONTROL THE PHILIPPINES (ASEP)

TECHNICAL CONFERENCE ON CODE REQUIREMENTS FOR DESIGN OF STEEL SPECIAL ASSOCIATION OF STRUCTURAL ENGINEERS OF
10/29/2021 10/30/2021 8.0 TECHNICAL
MOMENT FRAMES (SMF) WITH DESIGN EXAMPLES THE PHILIPPINES (ASEP)

INVITATION TO A FREE WEBINAR ABOUT PRECAST 10/21/2021 10/21/2021 4.0 TECHNICAL VIBRANT TECHNOLOGY SOLUTIONS INC. (TEKLA)

CODE REQUIREMENTS FOR REINFORCED CONCRETE SMF BUILDING WITH DESIGN ASSOCIATION OF STRUCTURAL ENGINEERS OF
10/15/2021 10/16/2021 8.0 TECHNICAL
EXAMPLES THE PHILIPPINES (ASEP)

ASEP FORUM WITH THE THEME "ASEP REVISITING THE PAST, REINFORCING THE ASSOCIATION OF STRUCTURAL ENGINEERS OF
09/23/2021 09/23/2021 4.0 TECHNICAL
FUTURE" THE PHILIPPINES (ASEP)

ASSOCIATION OF STRUCTURAL ENGINEERS OF


"ENGINEERING HERITAGE & EXISTING STRUCTURES (ENHERIT 2021)" 08/07/2021 08/14/2021 16.0 TECHNICAL
THE PHILIPPINES (ASEP)

CONSTRUCTION OCCUPATIONAL SAFETY AND HEALTH (COSH) SO2 06/28/2021 07/02/2021 40.0 TECHNICAL ASPREC-MANALO & OVALDESK INC.

PICE 2018 MIDYEAR NATIONAL CONVENTION- AND - MIDYEAR NATL TECHNICAL PHILIPPINE INSTITUTE OF CIVIL ENGINEERS
06/13/2018 06/15/2018 13.5 TECHNICAL
CONFERENCE (PICE)

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION MEMBERSHIP IN ASSOCIATION/ORGANIZATION


31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full) (Write in full)

PHILIPPINE INSTITUTE OF CIVIL ENGINEERS


N/A N/A
(PICE)

(Continue on separate sheet if necessary)

SIGNATURE DATE April 20, 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:

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
LEAN ALJEAN NABIA SAN PABLO CITY, LAGUNA +639175139102 3.5 cm. X 4.5 cm
(passport size)
GARRY RACE SAN PABLO CITY, LAGUNA +639150950635
With full and handwritten
+63-(0)2-981- name tag and signature over
DR. ERIC TINGATINGA U.P. DILIMAN QUEZON CITY printed name
8500 loc 3122
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
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the is not acceptable
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
REYES, CHRISTIAN B.
ID/License/Passport No.: 0142686
Signature (Sign inside the box)

Date/Place of Issuance: 12/04/2015


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

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