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 ALONTO
NAME EXTENSION (JR., SR)
FIRST NAME JEAN KENNETH

MIDDLE NAME SOBRINO

3. DATE OF BIRTH
(mm/dd/yyyy) 6/8/1996 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH REGIONAL HOSPITAL, COTABATO 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 N/A N/A
Widowed Separated House/Block/Lot No. Street
BOBONG MOTHER BARANGAY
Other/s:
Subdivision/Village Barangay
COTABATO CITY MAGUINDANAO
7. HEIGHT (m) 1.62
City/Municipality Province
8. WEIGHT (kg) 55 ZIP CODE 9600

18. PERMANENT ADDRESS N/A N/A

9. BLOOD TYPE "O"
House/Block/Lot No. Street
BOBONG MOTHER BARANGAY
10. GSIS ID NO. N/A
Subdivision/Village Barangay

11. PAG-IBIG ID NO. N/A COTABATO CITY MAGUINDANAO

City/Municipality Province

12. PHILHEALTH NO. N/A ZIP CODE 9600

13. SSS NO. 34-8633767-9 19. TELEPHONE NO.

14. TIN NO. N/A 20. MOBILE NO. 09108012426

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) [email protected]
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)
FIRST NAME N/A
MIDDLE NAME

OCCUPATION

EMPLOYER/BUSINESS NAME

BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME ALONTO

NAME EXTENSION (JR., SR)
FIRST NAME ABDILLAH

MIDDLE NAME MABANING

25. MOTHER'S MAIDEN NAME

SURNAME SOBRINO

FIRST NAME MA. DIVINA

MIDDLE NAME PILLADO (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 DON E. SERO ELEMENTARY SCHOOL 2003 2009 2009

SECONDARY /
VOCATIONAL PURIKAY NATIONAL HIGH SCHOOL 2009 2013 2013

N/A

TRADE
COURSE
COLLEGE MINDANAO STATE UNIVERSITY-MAIN CAMPUS Bachelor of Science in Accountancy 2013 2018 2018

GRADUATE STUDIES N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE August 27, 2019
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
MAY 12, 19 & 20,
CERTIFIED PUBLIC ACCOUNTANT 2019
CAGAYAN DE ORO CITY 0194172 6/8/2022

(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)

JUNE 05,2017 JULY 05,2017 On The Job Trainee Department of Agrarian Reform

7/4/2019 PRESENT JUNIOR AUDIT ASSOCIATE LOPE LARANJO BATO AND CO., CPAs 12,000.00

(Continue on separate sheet if necessary)

SIGNATURE DATE August 27, 2019

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

PHILIPPINE INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS 7/12/2019 PRESENT MEMBER

PHILIPPINE ASSOCIATION OF CERTIFIED TAX TECHNICIAN 1/1/2019 PRESENT MEMBER

(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
PHILIPPINE ASSOCIATION OF CERTIFIED
CERTIFIED TAX TECHNICIAN SEMINAR 10/20/2018 10/21/2018 16.0 TAXATION
TAX TECHNICIAN, INC.

ON-THE-JOB TRAINING 06/05/2017 07/05/2017 240.0 DEPARTMENT OF AGRARIAN REFORM

MINDANAO STATE UNIVERSSITY-MARAWI

SEMINAR ON TAXATION, LAND REFORMS AND COOPERATIVES 3/14/2016 3/14/2016 8.0
CITY
MINDANAO STATE UNIVERSSITY-MARAWI
SEMINAR ON FS ANALYSIS AND SMES 11/13/2015 11/13/2015 8.0
CITY

(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)
PHILIPPINE INSTITUTE OF CERTIFIED PUBLIC
FINANCIAL STATEMENT ANALYSIS SKILL N/A
ACCOUNTANT
KNOWLEDGE IN ACCOUNTING, AUDITING, AND PHILIPPINE ASSOCIATION OF CERTIFIED TAX
TAXATION TECHNICIAN
COMMUNICATION SKILL

COMPUTER LITERATE (MICROSOFT OFFICE)

(Continue on separate sheet if necessary)

SIGNATURE DATE August 27, 2019
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 ✘ NO
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘ NO
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed:
________________________________
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:
________________________________
________________________________
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? ________________________________
________________________________
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:
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:
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):

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:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
MINDANAO STATE UNIVERSSITY- the last 6 months
PROF. ALCASAR P. MAONGCO, CPA, REB, MM MARAWI CITY
9063818481 4.5 cm. X 3.5 cm
(passport size)
MINDANAO STATE UNIVERSSITY-
MR. HALIM NOOR, CPA, REB, REA MARAWI CITY
N/A
Computer generated
or photocopied picture
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:

ID/License/Passport No.:
Signature (Sign inside the box)
August 27, 2019
Date/Place of Issuance:
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