Service Office
Resume:
PERSONAL DATA SHEET
Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary. 1. CS ID
No.
(to be filled up by CSC)
I. PERSONAL INFORMATION
2. SURNAME ENARIO
FIRST NAME VICKY
MIDDLE NAME PENONES 3. NAME EXTENSION (e.g. Jr., Sr.) 4. DATE OF BIRTH (mm/dd/yyyy) 12 / 09 / 1983 16. RESIDENTIAL ADDRESS Sitio Cabaasan, Sambagon, PINAMUNGAHAN, CEBU 5. PLACE OF BIRTH
Patin-ay, Provincial Hospital,
Agusan Del Sur
6. SEX MALE FEMALE
7. CIVIL STATUS
Single Widowed
Married Separated
Annuled Others, specify
ZIP CODE 6039
17. TELEPHONE NO.
18. PERMANENT ADDRESS Cabaasan, Sambagon,, PINAMUNGAHAN, CEBU 8. CITIZENDSHIP FILIPINO
9. HEIGHT (m) 4"11"
10. WEIGHT (kg) 52 ZIP CODE 6039
11. BLOOD TYPE O+ 19. TELEPHONE NO.
12. GSIS ID NO. 20. EMAIL ADDRESS (if any) ***********@*****.*** 13. PAGIBIG ID NO. 21. CELLPHONE NO. (if any) 093********-**. PHILHEALTH NO. 22. AGENCY EMPLOYEE NO. 160*********-**. SSS NO. 092*******-**. TIN 1464840
II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME Enario 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy) FIRST NAME Ronaldo JEREMY MICAH P. ENARIO 09 / 21 / 2015 MIDDLE NAME Nieves
OCCUPATION
EMPLOYER/BUS. NAME
BUSINESS ADDRESS
TELEPHONE NO.
(Continue on separate sheet if necessary)
26. FATHER'S SURNAME
FIRST NAME
MIDDLE NAME
27. MOTHER'S MAIDEN NAME
MOTHER'S SURNAME Penones
FIRST NAME Ruth
MIDDLE NAME Coter
III. EDUCATIONAL BACKGROUND
NAME OF SCHOOL
(Write in full)
DEGREE COURSE
(Write in full)
YEAR
GRADUATED
(if graduated)
HIGHEST
GRADE/
LEVEL/ UNITS
EARNED
(if not
graduated)
INCLUSIVE DATES OF
ATTENDANCE SCHOLARSHIP/ ACADEMIC
HONORS RECEIVED
LEVEL
From To
ELEMENTARY
Maglambing Elementary
School
1996
1991-06-
07
1996-03-
24
SECONDARY SSPSC - Tagbina Campus
1996-06-
20
1998-03-
28
Alternative Learning System
Tibungco Davao District
2007
2006-06-
03
2007-04-
21
VOCATIONAL/ TRADE
COURSE
COLLEGE
University of Mindanao -
Tagum Campus
Bachelor of
Secondary Education
2010-06-
17
2013-04-
20
Unique Applicant Number
T15252260
ENARIO, VICKY PENONES - T15252260 CS FORM 212 (Revised 2005), Page 1 of 4 III. EDUCATIONAL BACKGROUND
NAME OF SCHOOL
(Write in full)
DEGREE COURSE
(Write in full)
YEAR
GRADUATED
(if graduated)
HIGHEST
GRADE/
LEVEL/ UNITS
EARNED
(if not
graduated)
INCLUSIVE DATES OF
ATTENDANCE SCHOLARSHIP/ ACADEMIC
HONORS RECEIVED
LEVEL
From To
University of the Visayas -
Mandaue Campus
Bachelor of
Secondary Education
2015
2013-06-
15
2015-03-
20
GRADUATE STUDIES
IV. CIVIL SERVICE ELIGIBILITY
29.
CAREER SERVICE/ RA 1080 (BOARD/ BAR)
UNDER SPECIAL LAWS/ CES/ CSEE
RATING
DATE OF
EXAMINATION /
CONFERMENT
PLACE OF EXAMINATION / CONFERMENT
LICENSE (if applicable)
NUMBER
DATE OF
RELEASE
LET (LICENSURE EXAMINATION FOR
TEACHER)
76.60 03 / 20 / 2016 Cebu 1464840 05/19/2016
V. WORK EXPERIENCE
30. INCLUSIVE DATES
(mm/dd/yyyy)
POSITION TITLE (Write in full)
DEPARTMENT / AGENCY / OFFICE /
COMPANY (Write in full)
MONTHLY
SALARY
SALARY
GRADE &
STEP
INCREMENT
(Format "00-0")
STATUS OF
APPOINTMENT
GOV'T SERVICE
(Yes / No)
From To
201*-**-**-**/31/2017 Senior High School Teacher Maco Institute of Technology, Inc. 8000 0 - 0 Full probi No VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S 31.
NAME & ADDRESS OF ORGANIZATION
(Write in full)
INCLUSIVE DATES
(mm/dd/yyyy) NUMBER OF
HOURS
POSITION / NATURE OF WORK
From To
Values Restoration Program Mabini Compostela Valley Province 06 / 20 / 1998 10 / 30 / 2017 Lecturer VII. TRAINING PROGRAMS (Start from the most recent training.) 32.
TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORT COURSES
(Write in full)
INCLUSIVE DATES OF
ATTENDANCE
(mm/dd/yyyy)
NUMBER OF
HOURS
CONDUCTED/ SPONSORED BY
(Write in full)
From To
Semi-annual Planning and assessment 08 / 17 / 2017 08 / 18 / 2017 16 Provincial Governor's Office Visual Graphic Design 06 / 06 / 2017 08 / 28 / 2017 240 Tesda Pastor's and Leader's Conference 02 / 06 / 2017 02 / 09 / 2017 20 King's Chapel Sultan Kudarat Diploma of Biblical Studies 10 / 15 / 2002 05 / 29 / 2004 International School of Ministry VIII. OTHER INFORMATION
33.
SPECIAL SKILLS / HOBBIES:
34. NON-ACADEMIC DISTINCTIONS / RECOGNITION:
(Write in full)
35. MEMBERSHIP IN ASSOCIATION / ORGANIZATION
(Write in full)
Computer savvy, Web and Logo Design,
Adobe Photoshop, Corel Draw, Sketch up
Certificate of Recognition - Resource Speaker At Mabini Technical Training Center
King's Chapel International Ministry Pastor
My Hobby is in Musical instruments like guitar
and Playing Keyboard
Certification of Appearance - National Achievement Test Proctor At Attorney Orlando S. Ronaldo National High School Maco Compostela Valley Province
Loves to travel and adventures
ENARIO, VICKY PENONES - T15252260 CS FORM 212 (Revised 2005), Page 2 of 4 36. Are you related by consanguinity or affinity to any of the following : a. Within the third degree (for National Government Employees): appointing authority, recommending authority, chief of office/bureau/department or person who has immediate supervision over you in the Office, Bureau or Department where you will be appointed?
YES NO
If YES, give details:
b. Within the fourth degree (for Local Government Employees): appointing authority or recommending authority where you will be appointed? YES NO
If YES, give details:
37. a. Have you ever been formally charged?
YES NO
If YES, give details:
b. Have you ever been guilty of any administrative offense? YES NO
If YES, give details:
38. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal?
YES NO
If YES, give details:
39. Have you ever been separated from the service in any of the following modes: resignation, retirement, dropped from the rolls, dismissal, termination, end of term, finished contract, AWOL or phased out, in the public or private sector?
YES NO
If YES, give details:
40. Have you ever been a candidate in a national or local election (except Barangay election)? YES NO
If YES, give details:
41. 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 differently abled?
YES NO
If YES, please
specify:
c. Are you a solo parent?
YES NO
If YES, please
specify:
42. REFERENCES (Person not related by consanguinity or affinity to applicant / appointee) NAME ADDRESS TEL. NO.
PHOTO
X
Mrs. ANALIZA BAYA - Elementary Teacher Mangoto Pinamungajan Cebu 094******** Hon. Brgy. Captain Pableo Larano SAMBAGON PINAMUNGAJAN CEBU 43. I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines. I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust that this information shall remain confidential.
CCI20162780376
COMMUNITY TAX CERTIFICATE NO.
Sambagon Pinamungajan Cebu
ISSUED AT
2018-01-03
ISSUED ON (mm/dd/yyyy)
SIGNATURE (Sign inside the box)
10 / 01 / 2018
DATE ACCOMPLISHED
RIGHT THUMBMARK
ENARIO, VICKY PENONES - T15252260 CS FORM 212 (Revised 2005), Page 3 of 4 ENARIO, VICKY PENONES - T15252260 CS FORM 212 (Revised 2005), Page 4 of 4
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