Scribd Logo
Upload

Welcome to Scribd!

  • 33 views

    pds1 PDF

    Uploaded by

    Angelica N. Hilario
    This document is a personal data sheet used to collect an individual's personal and employment information. It requests details such as name, date of birth, contact information, family background, education history, and work experience. It warns that any misrepresentation made could result in administrative or criminal cases. It instructs the applicant to read an attached guide before filling out the form and to provide complete and legible information in the appropriate sections.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    pds1 PDF

    Uploaded by

    Angelica N. Hilario
    33 views1 page
    This document is a personal data sheet used to collect an individual's personal and employment information. It requests details such as name, date of birth, contact information, family background, education history, and work experience. It warns that any misrepresentation made could result in administrative or criminal cases. It instructs the applicant to read an attached guide before filling out the form and to provide complete and legible information in the appropriate sections.

    Original Title

    pds1.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a personal data sheet used to collect an individual's personal and employment information. It requests details such as name, date of birth, contact information, family background, education history, and work experience. It warns that any misrepresentation made could result in administrative or criminal cases. It instructs the applicant to read an attached guide before filling out the form and to provide complete and legible information in the appropriate sections.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    pds1 PDF

    Uploaded by

    Angelica N. Hilario
    This document is a personal data sheet used to collect an individual's personal and employment information. It requests details such as name, date of birth, contact information, family background, education history, and work experience. It warns that any misrepresentation made could result in administrative or criminal cases. It instructs the applicant to read an attached guide before filling out the form and to provide complete and legible information in the appropriate sections.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    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
    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

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

    6 CIVIL STATUS Single Married 17. RESIDENTIAL ADDRESS


    Widowed Separated House/Block/Lot No. Street

    Other/s:
    Subdivision/Village Barangay
    7. HEIGHT (m)
    City/Municipality Province
    8. WEIGHT (kg) ZIP CODE

    9. BLOOD TYPE 18. PERMANENT ADDRESS


    House/Block/Lot No. Street
    10. GSIS ID NO.
    Subdivision/Village Barangay

    11. PAG-IBIG ID NO.


    City/Municipality Province

    12. PHILHEALTH NO. ZIP CODE

    13. SSS NO. 19. TELEPHONE NO.

    14. TIN NO. 20. MOBILE NO.

    15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any)

    II. FAMILY BACKGROUND


    22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

    OCCUPATION

    EMPLOYER/BUSINESS NAME

    BUSINESS ADDRESS

    TELEPHONE NO.

    24. FATHER'S SURNAME


    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

    25. MOTHER'S MAIDEN NAME

    SURNAME

    FIRST NAME

    MIDDLE NAME (Continue on separate sheet if necessary)

    III. EDUCATIONAL BACKGROUND


    SCHOLARSHIP/
    26. PERIOD OF ATTENDANCE HIGHEST LEVEL/
    NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR ACADEMIC
    LEVEL UNITS EARNED
    (Write in full) (Write in full) (if not graduated)
    GRADUATED HONORS
    From To RECEIVED

    ELEMENTARY

    SECONDARY

    VOCATIONAL /
    TRADE COURSE

    COLLEGE

    GRADUATE STUDIES

    (Continue on separate sheet if necessary)

    SIGNATURE DATE
    CS FORM 212 (Revised 2017), Page 1 of 4

    You might also like