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 MACARAEG
NAME EXTENSION (JR., SR) N/A
FIRST NAME TYRUS JOSHUA

MIDDLE NAME MACARAEG

3. DATE OF BIRTH
(mm/dd/yyyy) 10/19/1989 16. CITIZENSHIP FILIPINO, BY BIRTH

4. PLACE OF BIRTH DAGUPAN CITY, PANGASINAN If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX MALE

17. RESIDENTIAL ADDRESS UNIT 5F GATEWAY GARDEN RIDGE EDSA BONI

6 CIVIL STATUS SINGLE
House/Block/Lot No. Street
N/A BARANGKA ILAYA
Subdivision/Village Barangay
MANDALUYONG CITY N/A
7. HEIGHT (m) 1.70M
City/Municipality Province
8. WEIGHT (kg) 65 KG ZIP CODE 1550

18. PERMANENT ADDRESS BLOCK 6 LOT 3 MAGALLANES ST.

9. BLOOD TYPE A
House/Block/Lot No. Street
URDANETA VILLAS TOWNHOMES NANCAYASAN SUR
10. GSIS ID NO.
Subdivision/Village Barangay
URDANETA CITY PANGASINAN
11. PAG-IBIG ID NO. 121128335457
City/Municipality Province

12. PHILHEALTH NO. 02-051117096-7 ZIP CODE 1550

13. SSS NO. 19. TELEPHONE NO. N/A

14. TIN NO. 451-556-382 20. MOBILE NO. 09053481737

15. AGENCY EMPLOYEE NO. CA-01520109 21. E-MAIL ADDRESS (if any) tyrusjoshua@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
N/A
24. FATHER'S SURNAME MACARAEG N/A
NAME EXTENSION (JR., SR) N/A N/A
FIRST NAME RUSTICO N/A
N/A
MIDDLE NAME PEÑA N/A
N/A
25. MOTHER'S MAIDEN NAME N/A
N/A
SURNAME MACARAEG N/A
N/A
FIRST NAME LUCILA N/A

MIDDLE NAME FLORENTINO (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 HARVENT SCHOOL, DAGUPAN CITY PANGASINAN N/A 1995 2000 N/A 2000 N/A

FQD SPECIAL SCIENCE HIGHSCHOOL LYCEUM NORTHWESTERN

SECONDARY UNIVERSITY, DAGUPAN CITY PANGASINAN N/A 2000 2004 N/A 2004 N/A

VOCATIONAL / TRADE COURSE N/A N/A N/A N/A N/A N/A N/A

BACHELOR OF ARTS MAJOR IN LEGAL

COLLEGE UNIVERSITY OF SANTO TOMAS, MANILA
MANAGEMENT
2004 2008 N/A 2008 CUM LAUDE

GRADUATE STUDIES SAN BEDA COLLEGE, MENDIOLA BACHELOR OF LAWS 2008 2013 N/A 2013 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 BARANGAY ELIGIBILITY / EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
DRIVER'S LICENSE CONFERMENT
Validity

RA 1080 N/A 5/8/2014 MANILA 63514 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)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
28. INCLUSIVE DATES SALARY/ JOB/ PAY
GRADE (if GOV'T
(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)
INCREMENT
From To

3/17/2014 7/15/2015 ASSOCIATE DIME AND EVIOTA LAW FIRM 37000.00 N/A N/A N/A
COURT OF APPEALS – OFFICE OF
9/11/2015 5/31/2017 EXECUTIVE ASSISTANT V-CT 56610.00 SG 24 CT Y
JUSTICE MARIO V. LOPEZ
COURT OF APPEALS – OFFICE OF
6/1/2017 4/22/2021 COURT ATTORNEY IV-CT 82439.00 SG 25 N/A N/A
JUSTICE DANTON Q. BUESER
COURT OF APPEALS – OFFICE OF
4/23/2021 PRESENT COURT ATTORNEY IV-CT N/A N/A N/A N/A
JUSTICE EMILY R. ALIÑO-GELUZ
N/A N/A N/A N/A N/A N/A N/A N/A

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(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
29. NAME & ADDRESS OF ORGANIZATION INCLUSIVE DATES (mm/dd/yyyy)
(Write in full) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

SAN BEDA LEGAL AID BUREAU 4/1/2014 PRESENT N/A SUPERVISING LAWYER

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
(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

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

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

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(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)

LEADERSHIP AWARD (GOLD MEDALIST) IN COMMUNITY ENGAGEMENT – OFFICE OF THE RECTOR-PRESIDENT, SAN BEDA LEGAL AID BUREAU,
N/A SAN BEDA COLLEGE, MANILA SUPERVISING LAWYER
CERTIFICATE OF APPRECIATION AND RECOGNITION OF COMMITMENT AND SERVICE – OFFICE OF THE RECTOR
N/A PRESIDENT, SAN BEDA COLLEGE, MANILA INTEGRATED BAR OF THE PHILIPPINES

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? NO
b. within the fourth degree (for Local Government Unit - Career Employees)? NO
If YES, give details:
________________________________
N/A
________________________________
35. a. Have you ever been found guilty of any administrative offense? NO
If YES, give details:
________________________________
N/A
________________________________
b. Have you been criminally charged before any court? 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 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, 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 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 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? 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? NO
If YES, please specify: N/A
b. Are you a person with disability? NO
If YES, please specify ID No: N/A
c. Are you a solo parent? 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. PETER-JOEY USITA SAN BEDA LEGAL AID BUREAU 9175303879 3.5 cm. X 4.5 cm
(passport size)

N/A N/A N/A With full and handwritten

name tag and signature over
printed name
N/A N/A N/A
Computer generated
42. or photocopied picture
I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and 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: Philippine Passport

ID/License/Passport No.: P3337891B

Signature (Sign inside the box)
MARCH 23, 2021
Date/Place of Issuance: 23 SEPTEMBER 2029; DFA NCR East
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