You are on page 1of 4

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 CORTES
NAME EXTENSION (JR., SR)
FIRST NAME REYNALDO ANGELITO

MIDDLE NAME REYES


3. DATE OF BIRTH
(mm/dd/yyyy) 06/24/1990 16. CITIZENSHIP ✘ Filipino Dual Citizenship
✘ by birth by naturalization
4. PLACE OF BIRTH QUEZON CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS 56 BURGOS


Widowed Separated House/Block/Lot No. Street
N/A CONCEPCION
Other/s:
Subdivision/Village Barangay
MALABON METRO MANILA
7. HEIGHT (m) 1.7272
City/Municipality Province
8. WEIGHT (kg) 110 ZIP CODE 1470

18. PERMANENT ADDRESS 412 MARSEILLA


9. BLOOD TYPE AB+
House/Block/Lot No. Street
MUZON 1
10. GSIS ID NO. N/A
Subdivision/Village Barangay
ROSARIO CAVITE
11. PAG-IBIG ID NO. 121133470352
City/Municipality Province

12. PHILHEALTH NO. 020512409793 ZIP CODE 4106

13. SSS NO. 34-4897486-3 19. TELEPHONE NO. N/A

14. TIN NO. 420-692-690-000 20. MOBILE NO. 0936-914-4851 / 0949-998-9853

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) reylaw0624@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME CORTES 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME AIRAH VANNE N/A
N/A
MIDDLE NAME BURGOS N/A
N/A
OCCUPATION HOUSE WIFE N/A
N/A
EMPLOYER/BUSINESS NAME N/A N/A
N/A
BUSINESS ADDRESS N/A N/A
N/A
TELEPHONE NO. 0905-519-2364 N/A
N/A
24. FATHER'S SURNAME CORTES N/A
NAME EXTENSION (JR., SR) N/A
FIRST NAME ROLANDO N/A
N/A
MIDDLE NAME DAHUYAG N/A

25. MOTHER'S MAIDEN NAME N/A N/A


N/A
SURNAME REYES N/A
N/A
FIRST NAME RHEA ELISA N/A

MIDDLE NAME REYES (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
(Write in full) HONORS
full) (if not graduated) RECEIVED
From To

ELEMENTARY COLEGIO DE SAN JUAN DE LETRAN - MANILA N/A 6/1/2000 3/1/2003 N/A 2003 ATHLETE

SECONDARY /
VOCATIONAL ST. JAMES ACADEMY MALABON N/A 6/1/2003 3/1/2006 N/A 2006 ATHLETE

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


TRADE
BS INFORMATION COMMUNICATION
COURSE
COLLEGE SAM BEDA UNIVERSITY
TECHNOLOGY
6/1/2007 10/1/2012 N/A 2012 ATHLETE

GRADUATE STUDIES UNIVERSITY OF MANILA JURIS DOCTOR 6/1/2013 10/1/2018 N/A 2018 N/A
(Continue on separate sheet if necessary)

SIGNATURE DATE
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

BAR PASSER 77.1 FEB 2, 2022 UNIVERSITY OF MAKATI 79424 LIFETIME

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

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

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

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

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

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

(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)

3/1/2022 present Senior Associate SGV & CO. 45000.00 N


N/A N/A
12/1/2020 7/1/2021 Legal Data Analyst Integeron 22000.00 N
N/A N/A
7/1/2021 8/1/2021 Research Associate Integreon 22000.00 N
N/A N/A
Reasearch Implementation and Development
1/1/2019 7/1/2019 University Researcher Associate 22000.00 N
Office (UPM N/A N/A
1/1/2018 7/1/2019 Clerk UP-PGH 11000.00 Y
N/A N/A
3/1/2018 7/1/2018 Paralegal Jacinto Law Firm 15000.00 N
N/A N/A
3/1/2017 12/1/2017 Clerk Regional Trial Court Branch 72 12000.00 Y
N/A N/A
11/1/2015 11/1/2016 NLRC pro-bono legal aid National Labor Relations Commission 12000.00 Y
N/A N/A
3/1/2014 12/1/2014 Apprenticeship Department of Justice 10000.00 Y
N/A N/A
12/1/2013 12/1/2014 Tech Support Representative Convergys Trainee for ATT U-Verse 22000.00 N
N/A N/A

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


(Continue on separate sheet if necessary)

SIGNATURE DATE
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

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

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

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

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

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

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
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
Re-orientation on Civil Service Rules 01/20/2023 01/20/2023 4.0 Foundation Provincial Legal Office
Introduction to Inclusive Leadership for All 05/31/2022 05/31/2022 1.0 Managerial Ernst & Young Global Limited (EYG)

Data Governance for the Tax Service Line 05/10/2022 05/10/2022 4.0 Managerial Ernst & Young Global Limited (EYG)

Transforming EY Tax - Working Capital Management 05/04/2022 05/04/2022 2.0 Managerial Ernst & Young Global Limited (EYG)

Independence Policy - EYG 03/30/2022 03/30/2022 4.0 Managerial Ernst & Young Global Limited (EYG)

Introduction to Tax Quality 03/28/2022 03/28/2022 4.0 Managerial Ernst & Young Global Limited (EYG)

Cryptocurrency Not Creepycoin 3/1/2019 3/1/2019 6.0 Technical Xin Marketing

Programmers, Developers Meetup 8 3/1/2019 3/1/2019 4.0 Technical N/A

Joint Forum on the Revised Corporation Code: Changes & Challenges 3/1/2019 3/1/2019 2.0 Technical Shareholders Association of the Philippines

Bitcoin the future, Seminar 1/1/2016 1/1/2016 8.0 Technical Wowie Orbe

Anti-Money Laundering (AML) Training 1/1/2017 1/1/2017 4.0 Technical AML

Tech Tutor 1 1/1/2009 1/1/2009 8.0 Technical Mr. Jerry Liao

Tech Tutor 2 1/1/2010 1/1/2010 8.0 Technical Mr. Jerry Liao

Tech Tutor 3 1/1/2011 1/1/2011 8.0 Technical Mr. Jerry Liao

Intel First 1/1/2011 1/1/2011 8.0 Technical SM North Edsa (Annex)

IT Proasoa: Tech Career and Leadership Conference 1/1/2011 1/1/2011 4.0 Technical Gina Rosal - AFP Theatre

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

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

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

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

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

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

(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)

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A


(Continue on separate sheet if necessary)

SIGNATURE DATE
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)?
If YES, give details: N/A

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: N/A
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
Atty. Adrian M. Dela Cruz Kingsville Marikina, Rizal 0927 674 7736 4.5 cm. X 3.5 cm
(passport size)

Atty. Joel B. Ferrer 23 Jones Filinvest, Antipolo Rizal 0917 358 2068
Computer generated
or photocopied picture
Joseph M. Pangilinan Cubao, Quezon City 0917 437 9688 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: Driver's License

ID/License/Passport No.: N25-15-026226


Signature (Sign inside the box)

Date/Place of Issuance: 2018/07/03/Malabon


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

You might also like