CS Form No.

212

PERSONAL DATA SHEET

Revised 2017

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 JULAPONG
NAME EXTENSION (JR., SR)
FIRST NAME WILMAE

MIDDLE NAME ESPINOLA

3. DATE OF BIRTH
(mm/dd/yyyy)
02/09/1997 16. CITIZENSHIP 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

Single Married 17. RESIDENTIAL ADDRESS PUROK 31-B, ZONE 13

6 CIVIL STATUS
Widowed Separated House/Block/Lot No. Street
PENSIONERS VILLAGE MARIA CRISTINA
Other/s:
Subdivision/Village Barangay
ILIGAN CITY LANAO DEL NORTE
7. HEIGHT (m) 1.57m
City/Municipality Province

8. WEIGHT (kg) 53kg ZIP CODE 9200

18. PERMANENT ADDRESS PUROK 31-B, ZONE 13

9. BLOOD TYPE A
House/Block/Lot No. Street
PENSIONERS VILLAGE MARIA CRISTINA
10. GSIS ID NO. N/A
Subdivision/Village Barangay
ILIGAN CITY LANAO DEL NORTE
11. PAG-IBIG ID NO. N/A
City/Municipality Province

12. PHILHEALTH NO. N/A ZIP CODE 9200

13. SSS NO. N/A 19. TELEPHONE NO. 223-3061

14. TIN NO. N/A 20. MOBILE NO. 09068797313

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) wilmaejulapong22@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)
NAME EXTENSION (JR., SR) N/A
FIRST NAME N/A N/A
N/A
MIDDLE NAME N/A N/A
N/A
OCCUPATION N/A N/A
N/A
EMPLOYER/BUSINESS NAME N/A N/A
N/A
BUSINESS ADDRESS N/A N/A
N/A
TELEPHONE NO. N/A N/A

24. FATHER'S SURNAME JULAPONG 08/05/1964

NAME EXTENSION (JR., SR)
FIRST NAME WILLIE

MIDDLE NAME OCAMPO

25. MOTHER'S MAIDEN NAME

SURNAME ESPINOLA 12/23/1969

FIRST NAME VIOLYTA

MIDDLE NAME MABANTO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE HIGHEST LEVEL/

YEAR SCHOLARSHIP/ ACADEMIC
LEVEL UNITS EARNED
(Write in full) (Write in full) (if not graduated)
GRADUATED HONORS RECEIVED
From To

ELEMENTARY DITUCALAN ELEMENTARY SCHOOL PRIMARY EDUCATION 2004 2010 COMPLETED 2010 N/A

SECONDARY TOMAS CABILI NATIONAL HIGH SCHOOL HIGH SCHOOL 2010 2014 COMPLETED 2014 N/A

VOCATIONAL /
N/A N/A N/A N/A N/A N/A N/A
TRADE COURSE
DIPLOMA IN FISHERIES TECHNOLOGY MAJOR IN
COLLEGE MINDANAO STATE UNIVERSITY AT NAAWAN 2016 2018 COMPLETED 2018 N/A
PROCESSING

MINDANAO STATE UNIVERSITY AT NAAWAN BACHELOR OF SCIENCE IN FISHERIES 2018 2022 COMPLETED 2022 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 12-02-2022

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 Date of
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT Validity
LICENSURE EXAMINATION FOR FISHERIES
76.00% OCTOBER 6&7, 2022 CAGAYAN DE ORO CITY
TECHNOLOGIST

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

MINI-FISH PROCESSING PLANT IN MINDANAO STATE

02/05/2018 05/04/2018 ON THE JOB TRAINING UNIVERSITY AT NAAWAN, NAAWAN MISAMIS ORIENTAL N/A N/A PRACTICUM YES
MINDANAO STATE UNIVERSITY AT NAAWAN, NAAWAN
06/28/2021 08/10/2021 ON THE JOB TRAINING (via zoom) MISAMIS ORIENTAL N/A N/A PRACTICUM YES

(Continue on separate sheet if necessary)

SIGNATURE DATE 12/02/2022

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

(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 Type of LD

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

INTENSIVE 1-DAY TRAINING COURSE ON WATER SAFETY AND LIFE SAVING 07/29/2013 07/29/2013 6 HOURS TECHNICAL LYCEUM OF ILIGAN FOUNDATION

THEORETICAL INSTRUCTION TRAINING 09/28/2020 09/30/2020 15 HOURS TECHNICAL ODYSSEY DRIVING SCHOOL

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. ASSOCIATION/ORGANIZATION
(Write in full)
(Write in full)

FISHERIES TECHNOLOGY SERVIAMOS FOUNDATION INC.

COMPUTER LITERATE

COMMUNICATION SKILL

BASIC FINANCE MANAGEMENT

CRITICAL THINKING AND PROBLEM SOLVING

(Continue on separate sheet if necessary)

SIGNATURE DATE 12/02/2022

CS FORM 212 (Revised 2017), Page 3 of 4