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 ESTEBES
NAME EXTENSION (JR., SR)
FIRST NAME JANNETH
MIDDLE NAME SANCHEZ
3. DATE OF BIRTH
(mm/dd/yyyy) 8/5/1996 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by
✘ by naturalization
birth
4. PLACE OF BIRTH MAMBUSAO, CAPIZ If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS 4253 4TH

Widowed Separated House/Block/Lot No. Street
SANTO NIÑO
Other/s:
Subdivision/Village Barangay
PARAÑAQUE METRO MANILA
7. HEIGHT (m) 4'10''
City/Municipality Province
8. WEIGHT (kg) 55 kg. ZIP CODE 1704

18. PERMANENT ADDRESS 4253 4TH

9. BLOOD TYPE O+
House/Block/Lot No. Street
10. GSIS ID NO.
SANTO NIÑO
Subdivision/Village Barangay
PARAÑAQUE METRO MANILA
11. PAG-IBIG ID NO. 121334409938
City/Municipality Province

12. PHILHEALTH NO. 11-250541904-1 ZIP CODE 1704

13. SSS NO. 07-4199323-0 19. TELEPHONE NO.

14. TIN NO. 642-293-401-00000 20. MOBILE NO. 09464076197 / 09355988082

15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) jannethestebes@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ESTEBES 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME JAYSON KYNREIGH ZIAN S. ESTEBES AUGUST 20, 2017

MIDDLE NAME ORDAS

OCCUPATION BLASTER/PAINTER

EMPLOYER/BUSINESS NAME DUBAI COATING LTD.

BUSINESS ADDRESS DUBAI U.A.E

TELEPHONE NO. 971543757391

24. FATHER'S SURNAME SANCHEZ

NAME EXTENSION (JR., SR)
FIRST NAME JIMMY
MIDDLE NAME LEONARDO
25. MOTHER'S MAIDEN SURNAME LACAO
FIRST NAME ROSINI
MIDDLE NAME LUNA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

HIGHEST LEVEL/ SCHOLARSHIP/
26. PERIOD OF ATTENDANCE YEAR
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE UNITS ACADEMIC
LEVEL EARNED
GRADUATED
HONORS
(Write in full) (Write in full)
(if not graduated) RECEIVED
From To
5TH
ELEMENTARY MAMBUSAO ELEMENTARY SCHOOL 9/6/2003 3/27/2009 2009 HONORABLE
MENTION
1ST
VOCATIONAL /
SECONDARY MAMBUSAO NATIONAL HIGH SCHOOL 8/6/2009 3/22/2013 2013 HONORABLE
MENTION
LOURIC'S REVIEW, TUTORIAL AND TRAINING CENTER,
STENOGRAPHY 1 01/22/2024 9/2/2024 20 2024
INC
TRADE BACHELOR OF SECONDARY EDUCATION
COLLEGE CAPIZ STATE UNIVERSITY BURIAS CAMPUS 3/6/2013 3/27/2017 2017 Dean's Lister
COURSE (ENGLISH)
CAPIZ STATE UNIVERSITY GRADUATE SCHOOL, BURIAS
GRADUATE STUDIES MASTER OF ARTS IN ENGLISH 7/29/2019 3/30/3022 32
CAMPUS
(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 SPECIAL DATE OF LICENSE (if applicable)
RATING
LAWS/ CES/ CSEE BARANGAY EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

LICENSED PROFESSIONAL TEACHER 80.2 09/24/2017 ILOILO 1595840 5/8/2023

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

Homebased- Online ESL (English as a SELF-

07/27/2018 6/4/2023 51Talk (Home-based) 10, 000.00 450/DAY N
Second Language) Teacher EMPLOYED
10, 000.00 SELF-
05/25/2022 PRESENT Janneth's Online Tutorial Services Home-based /package 450/DAY N
EMPLOYED
Little Angels Montessori School (Mambusao, Capiz
05/18/2022 05/18/2023 Teacher and Makato Aklan) Inc.
3000.00 150/DAY CONTRACTUAL Y

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

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 Type of LD

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

Practice Teaching Internship 07/15/2016 10/15/2016 400 Hours Vicente Andaya Sr. National High School

Computer Literacy Training 11/1/2018 02/27/2018 56 Hours Capiz State University Sigma Campus

TESOL and TEYL (Teaching English to Speakers of Other Languages and

1/1/2019 2/2/2019 140 Hours Teach International English Language School
Teaching English to Young Learners)

Foundations in TESOL (Teaching English to Speakers of Other Languages) 8/8/2019 8/9/2019 60 Hours Teach International English Language School

TEFL (Teaching English as a Foreign Language) Exam 03/15/2021 04/18/2021 120 Hours TEFL Professional Development Institute

Teacher's Training 08/18/2022 08/19/2022 16 Hours Little Angels Montessori School (Mambusao Campus)

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

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

SUPREME STUDENT GOVERNMENT(SSG),

Computer Proficiency SERVICE AWARDEE (S.Y. 2014 - 2017)
TREASURER (S.Y.2012- 2013)

THE HIGHLAND ECHO (SCHOOL PAPER (SCHOOL

Active Listener 2013 UNIVERSITY OF THE PHILIPPINES COLLEGE ADMISSION TEST (UPCAT) PASSER
PAPER), PHOTOGRAPHER (S.Y. 2012 - 2013)

THE HIGHLAND ECHO (SCHOOL PAPER (SCHOOL

Flexible and Adaptable Dean's Lister 2016-2017
PAPER), NEWS EDITOR (S.Y. 2010 - 2011)

SUPREME STUDENT COUNCIL (SSC), COLLEGE

Good Communication Skills Best in Demonstration (2017)
OF EDUCATION SECRETARY (S.Y. 2013 - 2016)

RUMBUHAN TEEN CENTER, SGT. AT ARMS (S.Y.

Microsoft Office
2015 - 2017)

FUTURE LEADERS OF THE PHILIPPINES (FLP) SUB

Organization and Time Management
CHAPTER 3 SECRETARY (S.Y.2016 - 2017)

TEACHER EDUCATION STUDENT ORGANIZATION

Editing and Proofreading
(TESO), SECRETARY(S.Y. 2013 - 2016)

(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:

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: 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
REGIONAL TRIAL COURT BR.264, SAN the last 6 months
JOSEPHINE B. OCAMPO JUAN CITY
9178804606 3.5 cm. X 4.5 cm
(passport size)
REGIONAL TRIAL COURT BR.17 ROXAS
JENNIE ROSE S. SOLOCASA CITY, CAPIZ
9076251135 With full and handwritten
name tag and signature over
LOURIC'S REVIEW, TUTORIAL AND printed name
REGINE C. MARZAN TRAINING CENTER INC.
9516510183
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: PRC ID

ID/License/Passport No.: 1595840 Signature (Sign inside the box)

Date/Place of Issuance: ILOILO 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