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 BATUA
FIRST NAME AURELIO JR.
NAME EXTENSION (JR., Sr.)

MIDDLE NAME SAYMAN

3. DATE OF BIRTH
(mm/dd/yyyy) 3/30/1993 16. CITIZENSHIP ✘ Filipino Dual Citizenship
✘ by birth by naturalization
SAN ANTONIO, CARAGA, DAVAO
4. PLACE OF BIRTH If holder of dual citizenship, Pls. indicate country:
ORIENTAL
please indicate the details.
5. SEX ✘ Male Female

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS N/A N/A

Widowed Separated House/Block/Lot No. Street

Other/s: N/A LUCOD

Subdivision/Village Barangay
7. HEIGHT (m) 1.7 m BAGANGA DAVAO ORIENTAL
City/Municipality Province
8. WEIGHT (kg) 85 kg ZIP CODE 8204
9. BLOOD TYPE "O" 18. PERMANENT ADDRESS N/A N/A
House/Block/Lot No. Street

10. GSIS ID NO. ON PROCESS N/A SAN ANTONIO

Subdivision/Village Barangay

11. PAG-IBIG ID NO. ON PROCESS CARAGA DAVAO ORIENTAL

City/Municipality Province

12. PHILHEALTH NO. 16-050643557-6 ZIP CODE 8203

13. SSS NO. 0111-5619403-4 19. TELEPHONE NO. NONE
14. TIN NO. 454-613-365-0000 20. MOBILE NO. 09067249268
15. AGENCY EMPLOYEE NO. 7315380 21. E-MAIL ADDRESS (if any) batuasayman@gmail.com/ aurelio.batua@deped.gov.ph

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME GALLO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME MARIA AGNES ARONEGAIL SUE G. BATUA 9/22/2017
MIDDLE NAME SUACILLO
OCCUPATION NONE
EMPLOYER/BUSINESS NAME NONE
BUSINESS ADDRESS NONE
TELEPHONE NO. NONE
24. FATHER'S SURNAME BATUA
FIRST NAME AURELIO SR.
MIDDLE NAME PUNTO
25. MOTHER'S MAIDEN NAME
SURNAME SAYMAN
FIRST NAME NILDA
MIDDLE NAME MANGINLAUD (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
JUNE MARCH FIRST
ELEMENTARY BAUGO ELEMENTARY SCHOOL PRIMARY EDUCATION GRADUATE 2006 HONORABLE
2000 2006 MENTION

SAN LUIS NATIONAL HIGH JUNE MARCH FIRST

SECONDARY HIGH SCHOOL GRADUATE 2010 HONORABLE
VOCATIONAL / SCHOOL 2006 2010 MENTION

ST. MARY'S COLLEGE BAGANGA, FOOD AND BEVERAGE APRIL JUNE Private Education
GRADUATE 2013 Student Financial
INC. SERVICIES 2013 2013 Assistance

TRADE
COURSE ST. MARY'S COLLEGE BAGANGA, BACHELOR OF SCIENCE IN ELEMENTARY EDUCATION JUNE MARCH
COLLEGE GRADUATE 2014 Commission on Higher

INC. (GENERALIST)
2010 2014
Education/ With Distinction

GUIMARAS STATE COLLEGE- MASTER IN EDUCATION MAJOR IN UNIT

GRADUATE STUDIES 2019 2021 27 UNITS NONE
GRADUATE SCHOOL EDUCATIONAL MANAGEMENT EARNER
(Continue on separate sheet if necessary)

SIGNATURE DATE JANUARY 12, 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
LICENSURE EXAMINATION FOR F. BANGOY ELEMENTARY SCHOOL
81.6 3/29/2015 1387070 3/30/2024
TEACHERS (LET) DAVAO CITY

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

1/12023 PRESENT TEACHER - I DEPARTMENT OF EDUCATION 25, 723 "11-2" REGULAR

PERMANENT Y
1/1/2022 12/31/2022 TEACHER - I DEPARTMENT OF EDUCATION 24, 161 "11-2" REGULAR
PERMANENT Y
REGULAR
1/1/2021 12/31/2020 TEACHER - I DEPARTMENT OF EDUCATION 22, 316 "11-1" PERMANENT Y

1/1/2020 12/31/2020 TEACHER - I DEPARTMENT OF EDUCATION 20,179 "11-1" REGULAR

PERMANENT Y

1/1/2019 12/31/2019 TEACHER - I DEPARTMENT OF EDUCATION 20,179 "11-1" REGULAR

PERMANENT Y

1/1/2018 12/31/2018 TEACHER - I DEPARTMENT OF EDUCATION 19,620 "11-1" REGULAR

PERMANENT Y
07/18/2017 12/31/2017 TEACHER - I DEPARTMENT OF EDUCATION 19,620 "11-1" REGULAR
PERMANENT Y
CONTRAC-
6/1/2014 3/31/2017 GRADE SCHOOL AND HIGH SCHOOL TEACHER/ STUDENT ACTIVITY
COORDINATOR ST. MARY'S COLLEGE BAGANGA, INC. 10, 000 N/A
TUAL
N

(Continue on separate sheet if necessary)

SIGNATURE DATE JANUARY 12, 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
ST. MARY'S COLLEGE COMMUNITY INVOLVEMENT PROGRAM
7/1/2013 1/31/2014 N/A VOLUNTEER STUDENT TEACHER
RIVERSIDE, BAGANGA, DAVAO ORIENTAL

(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
Basic Training Course for Troop Leaders 07/27/2022 07/29/2022 44 TECHNICAL DavOr BSP Council
Training Workshop on The Technical Preparations and Development of Video Lessons for Selected Elementary and Secondary Science Teachers 11/15/2021 11/16/2021 16 TECHNICAL DEPED DAVAO ORIENTAL
4th Regional Assembly of Education Leaders (RAEL) Teacher's Edition 09/28/2021 09/30/2021 24 TECHNICAL PHILIPPINE ASSOCIATION OF SCHOOL SUPERINTENDENT
OF REGION XI (PASS XI)

RPMS/COT Orientation 03/15/2021 03/15/2021 8 TECHNICAL DEPED, CLUSTER 7, CARAGA NORTH DISTRICT, DIVISION OF DAVAO
ORIENTAL

Division Level Development of Self-Learning Modules (SLMs) 11/24/2020 11/26/2020 24 TECHNICAL DEPED DAVAO ORIENTAL
Learning Delivery Modalities Course 2 (LDM 2) 11/20/2020 11/23/2020 24 TECHNICAL DEPED, CLUSTER 7, CARAGA NORTH DISTRICT, DIVISION OF DAVAO
ORIENTAL

Cluster-Wide Training on radio Based Instruction: School On The Air 09/14/2020 09/17/2020 24 TECHNICAL DEPED CARAGA NORTH AND SOUTH DISTRICTS

Webinar on "DepEd Learning Management System Hands-on Activity" 07/16/2020 07/16/2020 6 TECHNICAL DEPED REGION XI
Webinar on "TinkerCard3D Development" 06/22/2020 06/23/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Webinar on "Adobe Photoshop Essentials" 06/21/2020 06/23/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Webinar on "Sustainable Development Goals" 06/19/2020 06/19/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Webinar on "The New Normal Modality Teaching" 06/17/2020 06/19/2020 18 TECHNICAL DEPED REGION XI
Webinar on "Free Wi-Fi Internet Access in Public Places Projects" 06/18/2020 06/18/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Webinar on "Our Values Photo-Story Teaching Guide" 06/18/2020 06/18/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Webinar on "SAFERKIDSPH" 06/17/2020 06/17/2020 6 TECHNICAL DEPARTMENT OF EDUCATION
Mandaya Grammar Writing Workshop 05/27/2019 05/31/2019 40 TECHNICAL UNIVERSITY OF THE PHILIPPINES MINDANAO

DepEd Computerization Program (DCP) Orientation and Microsoft 360 Training 10/02/2019 10/02/2019 8 TECHNICAL DEPED DAVAO ORIENTAL
DepEd Computerization Program (DCP) Basic Computer Maintenance 10/25/2019 10/25/2019 8 TECHNICAL DEPED DAVAO ORIENTAL
Division Writeshop on the Finalization of SIM's, SIP's & other related Division Entries for
11/20/2019 11/22/2019 24 TECHNICAL DEPED DAVAO ORIENTAL
the 2019 Regional SciTech Expo and RSTF

5-Day Division Training on Pedagogical Retooling In Mathematics Laguages 05/20/2018 05/24/2018 40 TECHNICAL DEPED DAVAO ORIENTAL
and Science 2018
2018 DIVISION SCHOOLS PRESS CONFERENCE 4/18/2018 4/22/2018 40 TECHNICAL DEPED DAVAO ORIENTAL

District Training of Trainers on DLL under the K to 12 Basic Education Program based 10/24/2017 10/24/2017 8 TECHNICAL Caraga North District
on DO 42, s. 2016
Basic Training Course for Troop and Kawan Leaders 08/18/2017 08/20/2017 30 TECHNICAL DavOr BSP Council
4th Basic Education Congress 11/18/2016 11/20/2016 24 TECHNICAL RVM Education Ministry Commision
Summer 2016 K To 12 In-Service Training and Sports Coaching Workshop for Grade 7
- 10 MAPEH of Private Teachers
4/25/2016 4/29/2016 40 TECHNICAL Davao Association of Catholic Schools, Inc.

Department of Education/Davao Association of

2016 In-Service Training (INSET) For Junior High School Teachers in Private Schools 4/21/2016 4/23/2016 24 TECHNICAL Catholic Schools, Inc.

Mati Educators Congress 7/2/2015 7/3/2015 16 TECHNICAL Davao Association of Catholic Schools, Inc.
2015 In - Service Training on K To 12 Curriculum, Instruction, and Assessment
Standards for Grade IV Teachers
5/27/2015 5/28/2015 16 TECHNICAL Davao Association of Catholic Schools, Inc.
Department of Education/Davao Association of
Regional Mass Training for Grade 3 and Grade 9 Private School Teachers 5/29/2014 5/31/2014 24 TECHNICAL CatholicSchools, Inc.

(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 full)
(Write in full)
DIVISION AND REGIONAL SCHOOLS PRESS
MULTIMEDIA LITERATE LEADERSHIP AWARDEE
CONFERENCE
MICROSOFT OFFICE WORD/POWER POINT ASSOCIATION OF SCIENCE EDUCATORS IN
PRESENTATION/EXCEL LITERATE THE PHILIPPINES (ASEP) NATIONAL
PHOTO, VIDEO, AUDIO EDITING AND OTHER
BOY SCOUT OF THE PHILIPPINES (BSP)
GRAPHIC WORKS
(Continue on separate sheet if necessary)

SIGNATURE DATE JANUARY 12, 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 ✘

b. within the fourth degree (for Local Government Unit - Career Employees)? YES
If YES, give details:
________________________________
N/A
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
N/A
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed: N/A
________________________________
Status of Case/s: N/A
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:
________________________________
N/A
________________________________
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? N/A
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except ________________________________
YES ✘ NO
Barangay election)? N/A
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: N/A
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):
N/A
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: MANDAYA
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No: N/A
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No: N/A
41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
JUDEL P. CORRALES SAN LUIS, CARAGA, DAVAO ORIENTAL 9061345268 3.5 cm. X 4.5 cm
(passport size)

MARICEL P. CAYETANO ALVAR, CARAGA, DAVAO ORIENTAL 9558857416 With full and handwritten
name tag and signature over
printed name
JULIUS M. BANTAYAN CARAGA, DAVAO ORIENTAL 9639422539
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 REGULATION COMMISSION

ID/License/Passport No.: 1387070 Signature (Sign inside the box)

JANUARY 12,2023
Date/Place of Issuance: 08/12/2015/PRC DAVAO 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