CS Form No. ***

PERSONAL DATA SHEET

Revised ****

WARNING: Any misinterpretation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s agains

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 fil

I. PERSONAL INFORMATION

TINDOC

2. SURNAME

NAME EXTENSION (JR., SR

MARY JANE

FIRST NAME

AMANEO

MIDDLE NAME

3. DATE OF BIRTH

4/20/1976 16. CITIZENSHIP

(mm/dd/yyyy)

DAVAO CITY Pls. indicate cou

4. PLACE OF BIRTH If holder of dual citizenship,

please indicate the details.

5. SEX

17. RESIDENTIAL ADDRESS BLOCK 8

6 CIVIL STATUS

House/Block/Lot No. St

MARIETTA VILLAGE TIBU

Subdivision/Village Bara

DAVAO CITY DAVAO

1.58

7. HEIGHT (m)

City/Municipality Pro

58

8. WEIGHT (kg) ZIP CODE 8000

18. PERMANENT ADDRESS BLOCK 8

A++

9. BLOOD TYPE

House/Block/Lot No. St

MARIETTA VILLAGE TIBU

10. GSIS ID NO. 006*********

Subdivision/Village Bara

DAVAO CITY

11. PAG-IBIG ID NO. 188*********

City/Municipality Pro

12. PHILHEALTH NO. 190********* ZIP CODE 8000

13. SSS NO. 09-166****-*-**. TELEPHONE NO. N/A

911-020-272

14. TIN NO. 20. MOBILE NO. 094********

ac1n8t@r.postjobfree.com

5000037

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

II. FAMILY BACKGROUND

TINDOC

22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and list all)

EDRICK JOHN A. TINDOC

NAME EXTENSION (JR., SR)

EDWIN

FIRST NAME

EDRIAN JAMES A. TINDOC

DE LEON

MIDDLE NAME

SELF-EMPLOYED

OCCUPATION

N/A

EMPLOYER/BUSINESS NAME

N/A

BUSINESS ADDRESS

N/A

TELEPHONE NO.

AMANEO SR.

24. FATHER'S SURNAME

NAME EXTENSION (JR., SR)

MARGARITO

FIRST NAME

ALEGRE

MIDDLE NAME

GALINDO

25. MOTHER'S MAIDEN NAME

AMANEO

SURNAME

RUFINA

FIRST NAME

'EDUABE

MIDDLE NAME (Continue on separate sheet if neces

III. EDUCATIONAL BACKGROUND

HIGHEST LEVEL/

NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE

26. PERIOD OF ATTENDANCE UNITS

LEVEL (Write EARNED

(Write in full) in full) (if not graduated)

From To

Graduated

1983 1989

ELEMENTARY MARYKNOLL OF PANABO ELEMENTARY

Graduated

1989 1993

SECONDARY DANSOF HIGH SCHOOL

VOCATIONAL /

N/A

GRADUATE

1993 1997

COLLEGE HOLY CROOS OF DAVAO COLLEGE AB-MASS COMMUNICATION

TRADE COURSE D

39 UNITS

2007 2009

GRADUATE STUDIES UNIVERSITY OF SOUTHEASTERN PHILS. MAED-SPED

(Continue on separate sheet if necessary)

SIGNATURE DATE July 2

CS FORM 212 (

DATA SHEET

ence Sheet shall cause the filing of administrative/criminal case/s against the person

FORE ACCOMPLISHING THE PDS FORM.

(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

N/A

Pls. indicate country:

Street

TIBUNGCO

Barangay

DAVAO DEL SUR

Province

8000

Street

TIBUNGCO

Barangay

DAVAO DEL SUR

Province

8000

N/A

094********

ac1n8t@r.postjobfree.com

DATE OF BIRTH

(mm/dd/yyyy)

10/9/2001

6/25/2006

(Continue on separate sheet if necessary)

SCHOLARSHIP/

YEAR

ACADEMIC

GRADUATED

HONORS

RECEIVED

1989

1993

1997 PESFA

2009

rate sheet if necessary)

July 24,2017

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

IV. CIVIL SERVICE ELIGIBILITY

27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER LICENSE (if app

DATE OF

SPECIAL LAWS/ CES/ CSEE RATING

EXAMINATION / PLACE OF EXAMINATION / CONFERMENT

BARANGAY ELIGIBILITY / DRIVER'S (If Applicable) NUMBER

CONFERMENT

LICENSE

LET 77.2 U.M. Davao City 0876891

August 29,2004

(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 W

SALARY/ JOB/ PAY

INCLUSIVE DATES

28. GRADE (if

POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY

(mm/dd/yyyy) MONTHLY STATUS OF

applicable)&

SALARY APPOINTMENT

STEP (Format

(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) "00-0")/

From To INCREMENT

Disbursement officer ND Shipping Agency Regular

6/1/1997 12/15/2005 7,300.00 N/A

DepED/F. Bangoy National High

Teacher 1 Permanent

17,318.00

12/29/2005 8/14/2011

School

DepED/F. Bangoy National High

Teacher 11 Permanent

8/15/2011 10/16/2014 19,940.00

School

Sped Teacher 1 FBCES/DepEd Permanent

23,573.00

10/17/2014 PRESENT

(Continue on separate sheet if necessary)

SIGNATURE DATE July 24,2017

CS FORM 212 (Revised 2017),

LICENSE (if applicable)

Date of

Validity

4/20/201

9

rate sheet if necessary)

escription of duties should be indicated in the attached Work Experience sheet.

GOV'T

SERVICE

(Y/ N)

No

Yes

Yes

Yes

rate sheet if necessary)

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZA

INCLUSIVE DATES

29. NAME & ADDRESS OF ORGANIZATION NUMBER OF

POSITION / NA

(Write in full) HOURS

(mm/dd/yyyy)

From To

FBCES PAMASKONG HANDOG NG MGA GURO ### ### 8 GIFT GIVING

SASA BARANGAY COUNCIL 12/3/2014 12/3/2014 8 MANGROVE TREE PLAN

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED

INCLUSIVE DATES OF

Type of LD

ATTENDANCE

30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS CONDUCTED/ S

( Managerial/

NUMBER OF

(Write in full) Supervisory/

HOURS

(mm/dd/yyyy)

Technical/etc)

From To

CHILDREN WITH DISABILITIES PARENTING SKILLS 7/21/2015 7/21/2015 8 TECHNICAL NATIONAL A

DISASTER RSIK REDUCTION AND MGT ACTION TEAM 7/4/2015 7/4/2015 8 TECHNICAL

SCOUTING ORIENTATION COURSE BASIC TRAINING FOR TROOP

11/28/2014 11/30/2014 24 TECHNICAL BOYS

LEADERS

BASIC ACTION RESEARCH TRAINING AND WORKSHOP 9/30/2014 9/30/2014 8 TECHNICAL

MEDIA EDUC.WORKSHOP FOR EDUCATORS 3/28/2014 3/30/2014 24 TECHNICAL NATIONAL C

K-12 REGIONAL TRAINING FOR ENGLISH 5/27/2013 5/31/2013 40 TECHNICAL

BUILDING CLASSROOMS W/O WALLS 4/16/2013 4/16/2013 16 TECHNICAL

PARTICIPANT

DIVISIONTRAININGBY DESIGN

UNDERSTANDING ON SPED INCLUSION EDUCATION 5/30/2012 6/1/2012 24

APPROACH TRAINING FOR

PARTICIPANT

SECONDARY TEACHERS 6/9/2012 6/11/2012 24

SPECIAL EDUC. CONFERENCE-WORKSHOP 10/26/2011 10/28/2011 24 TECHNICAL

ENHANCING ACCESS FOR SECONDARY 40 PARTICIPANT

5/11/2011 5/15/2011

EDUCATION WITH HEARING IMPAIRMENT

FIRST NATIONAL SECONDARY

LEVEL SPECIAL EDUCATION

PARTICIPANT

CONFERENCE WORKSHOP 10/26/2011 10/28/2011 24

SPORTS CLINIQUING 1/18/2009 1/18/2009 8 TECHNICAL MINDANAO

AUTHENTIC ASSESSMENT:MODERN

5/27/2009 5/27/2009 8 TECHNICAL SOUT

PERSPECTIVE

SPEAKING ENGLISH:THE WORD CLASS WAY 5/21/2009 5/21/2009 8 TECHNICAL WORLD CL

PARTICIPANT

NATIONAL CONFERENCE ON LEARNING DISABILITIES 5/14/2009 5/16/2009 24

DIVISION BASIC THEATRE & SPEECH

9/27/2008 9/27/2008 8 TECHNICAL

ARTS CLINIC

UNFOLDING THE CONFUSIONS IN

PHIL.ASSO

FOUR MOST HANDICAPPING 7/21/2007 7/21/2007 8 TECHNICAL

CONDITIONS

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION ASSOCIATIO

31. SPECIAL SKILLS and HOBBIES 32. 33.

(Write in full)

F.BANGOY

DANCING TEACHERS GOT TALENT

DANCING CHAMPION SASA DANCE CONTEST FBCES TE

(Continue on separate sheet if necessary)

SIGNATURE DATE J

VERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S

POSITION / NATURE OF WORK

GIFT GIVING

MANGROVE TREE PLANTING

eparate sheet if necessary)

/TRAINING PROGRAMS ATTENDED

CONDUCTED/ SPONSORED BY

(Write in full)

NATIONAL ANI-POVERTY COMMISSION

DepEd

BOYSCOUT OF THE PHILS

DepEd

NATIONAL COUNCIL FOR TELEVISION

DepEd

ICTSI

DepEd

DepEd

DepEd

DepEd

DepEd

MINDANAO PORTAGE ASSO.OF PHILS.

SOUTHERN UNIVERSITY

WORLD CLASS LANGUAGE CENTER

DepEd

DepEd

PHIL.ASSO. OF JAPANESE GOVNT.

SCHOLARS

eparate sheet if necessary)

MEMBERSHIP IN

ASSOCIATION/ORGANIZATION

(Write in full)

F.BANGOY NHS TEACHER DANCE

GROUP

FBCES TEACHER DANCE GROUP

eparate sheet if necessary)

July 24,2017

CS FORM 212 (Revised 2017), Page 3 of 4

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