CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

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

MIDDLE NAME J UN I O
3. DATE OF BIRTH
08/31/1978 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by
by naturalization
birth
4. PLACE OF BIRTH BAYAMBANG, PANGASINAN If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS BLOCK 7 LOT 17 PHASE MIRANDA

Widowed House/Block/Lot No. Street

Separate
STALLION HOMES MULAWIN
Other/s: d
Subdivision/Village Barangay
CITY OF SAN JOSE DEL MONTE BULACAN
7. HEIGHT (m) 1.57
City/Municipality Province
8. WEIGHT (kg) 75 ZIP CODE 3023

18. PERMANENT ADDRESS BLOCK 7 LOT 17 PHASE MIRANDA

9. BLOOD TYPE O
House/Block/Lot No. Street
STALLION HOMES MULAWIN
10. GSIS ID NO. 2002595042
Subdivision/Village Barangay
CITY OF SAN JOSE DEL MONTE BULACAN
11. PAG-IBIG ID NO. 1410-0023-3734
City/Municipality Province

12. PHILHEALTH NO. 07-000089128-0 ZIP CODE 3023

13. SSS NO. 33-6172525-4 19. TELEPHONE NO. N/A

14. TIN NO. 238-634-499-000 20. MOBILE NO. 09296282796/09563549509

15. AGENCY EMPLOYEE NO. 4266763 21. E-MAIL ADDRESS (if any) flordeliza.arado@deped.gov.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ARADO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

NAME EXTENSION (JR., SR)

FIRST NAME VICENTE VON RYAN J. ARADO 5/7/2009

MIDDLE NAME GALLERA VENICE ANGEL J. ARADO 04/28/2015

OCCUPATION SALES AGENT ANDREA NICOLE J. ARADO 05/15/2016

EMPLOYER/BUSINESS NAME PHILIPPINE SPRING WATER RESOURCES,INC.

BUSINESS ADDRESS MANDAUE CITY, CEBU

TELEPHONE NO. N/A

24. FATHER'S SURNAME JUNIO

NAME EXTENSION (JR., SR)

FIRST NAME AMADO

MIDDLE NAME SINLAO

25. MOTHER'S MAIDEN NAME

SURNAME GARCIA

FIRST NAME RUFINA

MIDDLE NAME SOLOMON (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

ELEMENTARY TANOLONG ELEMENTARY SCHOOL PRIMARY EDUCATION 1985 1991 GRADUATED 1991 3RD HONORS

SECONDARY /
VOCATIONAL TANOLONG NATIONAL HIGH SCHOOL HIGH SCHOOL 1991 1995 GRADUATED 1995 4TH HONORS

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

TRADE
COURSE
COLLEGE STO. ROSARIO SAPANG PALAY COLLEGE BACHELOR OF ELEMENTARY EDUCATION 1995 2000 GRADUATED 2000 N/A

MASTER OF ARTS TEACHING IN EARLY

GRADUATE STUDIES UNIVERSITY OF CALOOCAN CITY
GRADES
2018 2020 33 N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE December 22, 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

LICENSURE EXAMINATION FOR TEACHERS 75.00% 8/26/2001 JOSE ABAD SANTOS ELEMENTARY SCHOOL 0739909 11/21/2001

(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 OF CITY OF SAN JOSE DEL
1/1/2022 PRESENT TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P26,600 11-5 PERMANENT YES
DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL
1/1/2021 12/31/2021 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P25,038 11-5 PERMANENT YES
DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL
1/1/2020 12/31/2020 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P23,477 11-5 PERMANENT YES
DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL
4/24/2019 12/31/2019 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 21, 619 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

1/1/2019 3/20/2019 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 21,327 11-3 PERMANENT YES
DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL
1/26/2018 12/31/2018 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 20,963 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

1/1/2017 12/21/2017 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 20,088 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

1/1/2016 12/31/2016 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 19,496 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

11/3/2014 12/31/2015 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 18,922 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/1/2013 11/2/2014 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P18,735 11-3 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/1/2012 5/31/2013 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 18,735 11-2 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/1/2011 5/31/2012 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 17,318 11-2 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/24/2010 5/31/2011 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 15,900 11-2 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/8/2010 6/23/2010 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 15,900 11-1 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

7/1/2009 1/7/2010 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 13,333 11-1 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

7/1/2008 6/30/2009 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 12,026 11-1 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

7/1/2007 6/30/2008 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 10,933 11-1 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

1/8/2007 6/30/2007 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 9,939 11-1 PERMANENT YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/9/2006 11/30/2006 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 9,939 11-1 SUBSTITUTE YES

DEPARTMENT OF EDUCATION DIVISION OF CITY OF SAN JOSE DEL

6/3/2002 6/2/2006 TEACHER 1 MONTE FRANCISCO HOMES ELEMENTARY SCHOOL P 9,939 11-1 CONTRUCTUAL YES

(Continue on separate sheet if necessary)

SIGNATURE DATE December 22, 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

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

(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
30. Type of LD
TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS (mm/dd/yyyy) NUMBER OF ( Managerial/ CONDUCTED/ SPONSORED BY
(Write in full) HOURS Supervisory/ (Write in full)
Technical/etc)
From To

GENDER AND DEVELOPMENT (GAD) MAINSTREAMING TOWARDS TEACHERS' EMPOWERMENT AND 10/26/2022 10/26/2022 8 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL
SCHOOL FREE FROM VIOLENCE

VIRTUAL IN SERVICE TRAINING ON SHAPING EDUCATION AND RESILIENCY ON MASS 02/14/2018 02/18/2022 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL
IMPLEMENTATION ON LIMITED FACE TO FACE

10/15/2021 10/31/2021 120 TECNHNICAL DEPARTMENT OF EDUCATION REGIONAL OFFICE

2021 REGIONAL DIGITAL SCOUT JAMBOREE

05/26/2021 05/26/2021 8 TECNHNICAL

VIRTUAL ASSEMBLY OF SSG/SPG TEACHERS ADVISERSAND YOUTH FORMATION DEPARTMENT OF EDUCATION NATIONAL OFFICE

05/25/2021 05/25/2021 8 TECNHNICAL

PINAS FORWARD ACADEMY-FILIPINO BRAND OF LEADERSHIP DEPARTMENT OF EDUCATION NATIONAL OFFICE

04/20/2021 04/22/2021 24 TECNHNICAL

EARTH DAY 2021 VIRTUAL 3-DAY INTERACTIVE CELEBRATION DEPARTMENT OF EDUCATION NATIONAL OFFICE

03/15/2021 03/15/2021 8 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

2021 VIRTUAL IN-SERVICE TRAINING FOR TEACHERS

02/23/2021 02/23/2021 8 TECNHNICAL

SIPAG- STRAND INTERFACE OF PROGRAMS AND GUIDELINES DEPARTMENT OF EDUCATION NATIONAL OFFICE

10/21/2019 10/25/2019 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS

ORIENTATION & OATHTAKING OF 2019 ELECTED FEDERATION (SPG),(SSG) OFFICERS AND DEPARTMENT OF EDUCATION DIVISION OF SAN JOSE DEL
10/18/2019 10/18/2019 8 TECNHNICAL
TEACHER - ADVISER MONTE

DEPARTMENT OF EDUCATION DIVISION OF SAN JOSE DEL

2/19/2019 2/21/2019 24 TECNHNICAL
THREE-DAY LEADERSHIP TRAINING FOR (SSG) and (SPG) OFFICERS and ADVISERS MONTE

10/22/2018 10/26/2018 38 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS

10/23/2017 10/27/2017 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS

10/24/2016 10/28/2016 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS

10/26/2015 10/30/2015 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS

10/20/2014 24/24/2014 40 TECNHNICAL FRANCISCO HOMES ELEMENTARY SCHOOL

IN-SERVICE TRAINING SEMINAR FOR TEACHERS
DEPARTMENT OF EDUCATION DIVISION OF SAN JOSE DEL
2/6/2014 2/8/2014 24 TECNHNICAL MONTE
REVISITING ARALING PANLIPUNAN HEKASI(CURRICULUM)
DEPARTMENT OF EDUCATION DIVISION OF SAN JOSE DEL
5/11/2011 5/13/2011 32 TECNHNICAL MONTE
SUMMER SEMINAR-WORKSHOP IN MUSIC AND PE

VIII.
OT
HE
(Continue on separate sheet if necessary)
R
INF
OR
NON-ACADEMIC DISTINCTIONS / RECOGNITION MEMBERSHIP IN ASSOCIATION/ORGANIZATION
MA31. SPECIAL SKILLS and HOBBIES 32.
(Write in full)
33.
(Write in full)
TIO
N SINGING, PLAYING VOLLEYBALL GOVERNMENT SERVICE INSURANCE SYSTEM

PUBLIC SCHOOL TEACHERS AND EMPLOYEE

ASSOCIATION

PAG-IBIG MUTUAL AID SYSTEM

MANILA TEACHERS SAVINGS LOAN AND

ASSOCIATION

BOY SCOUT OF THE PHILIPPINES

GIRL SCOUT OF THE PHILIPPINES

(Continue on separate sheet if necessary)

SIGNATURE DATE December 22, 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 ✘ 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:

________________________________
________________________________
YES ✘ NO
b. Have you been criminally charged before any court?
If YES, give details:
________________________________
Date Filed:
________________________________
Status of Case/s:
YES ✘ NO
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or
regulation by any court or tribunal?
If YES, give details:
________________________________
YES NO
________________________________
✘

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 If YES, give details:
out (abolition) in the public or private sector? ________________________________
YES ✘ NO
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except
Barangay election)? YES NO
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:
YES ✘ NO
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 YES ✘ NO
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?
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
POBLIACION I, SAN JOSE DEL MONTE the last 6 months
NERLIZA C. MIRANDA CITY
9178410044 3.5 cm. X 4.5 cm
(passport size)
FRANCISCO HOMES NARRA, SAN JOSE
JANET F. VILLASANA DEL MONTE, BULACAN
9983811433 With full and handwritten
name tag and signature over
BARANGAY SAN ROQUE, CITY OF SAN printed name
FE W. ALBACITE JOSE DEL M0NTE, BULACAN
9163916017
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: PROFESSIONAL REGULATORY COMMISSION

ID/License/Passport No.: 0739909

Signature (Sign inside the box)
DECEMBER 22, 2022
Date/Place of Issuance: NCR
Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

MA. JIMA T. CADIZ

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4