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    PDS for Interns C1

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    Jade Cailing

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

    PDS for Interns C1

    Uploaded by

    Jade Cailing
    3 views1 page

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    Copyright:

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    3 views1 page

    PDS for Interns C1

    Uploaded by

    Jade Cailing

    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 2018

    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 TULANG
    N/A
    FIRST NAME JEAN NAME EXTENSION (JR., SR)

    MIDDLE NAME BALOG


    3. DATE OF BIRTH
    (mm/dd/yyyy)
    04/02/2002 16. CITIZENSHIP Filipino Dual Citizenship
    by birth by naturalization

    4. PLACE OF BIRTH BUENAVISTA, LOBOC, BOHOL If holder of dual citizenship, Pls. indicate country:
    5. SEX please indicate the details.
    Male Female

    6 CIVIL STATUS Single Married 17. RESIDENTIAL ADDRESS


    Widowed Separated House/Block/Lot No. Street
    BUENAVISTA
    Other/s:
    Subdivision/Village Barangay
    LOBOC BOHOL
    7. HEIGHT (m) 5'1
    City/Municipality Province
    8. WEIGHT (kg) 50 ZIP CODE 6316

    9. BLOOD TYPE 18. PERMANENT ADDRESS


    House/Block/Lot No. Street
    BUENAVISTA
    10. GSIS ID NO. N/A
    Subdivision/Village Barangay
    LOBOC BOHOL
    11. PAG-IBIG MID NO. N/A
    City/Municipality Province
    12. PHILHEALTH NO. N/A ZIP CODE 6321

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

    14. TIN NO. N/A 20. MOBILE NO. 09939081221-DITO

    15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS


    0 (if any) [email protected]
    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

    FIRST NAME

    MIDDLE NAME

    25. MOTHER'S MAIDEN NAME TEODORA BALOG TULANG


    SURNAME TULANG

    FIRST NAME TEODORA

    MIDDLE NAME BALOG (Continue on separate sheet if necessary)

    III. EDUCATIONAL BACKGROUND


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

    ELEMENTARY BUENAVISTA ELEMENTARY SCHOOL PRIMARY EDUCATION 2008 2014 GRADUATED 2014 VALEDICTORIAN

    SECONDARY CAMAYA-AN NATIONAL HIGH SCHOOL HIGH SCHOOL 2014 2020 GRADUATED 2020 WITH HIGH HONORS

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

    BACHELOR OF SECONDARY EDUCATION


    COLLEGE BOHOL ISLAND STATE UNIVERSITY-MAIN CAMPUS
    MAJOR IN MATHEMATICS 2020 2024

    GRADUATE STUDIES

    (Continue on separate sheet if necessary)

    SIGNATURE DATE JANUARY 29,2024


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

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