Electrician

Location:

Posted:

December 13, 2023

Resume:

Print legibly. Tick appropriate boxes and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. 1. CS ID No. 2.

16. CITIZENSHIP

4. PLACE OF BIRTH

5. SEX

17. RESIDENTIAL ADDRESS

18. PERMANENT ADDRESS

12. PHILHEALTH NO.

13. SSS NO. 19. TELEPHONE NO.

20. MOBILE NO.

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

22. SPOUSE'S SURNAME

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

SURNAME

FIRST NAME

MIDDLE NAME

III. EDUCATIONAL BACKGROUND

From To

ELEMENTARY

SECONDARY

VOCATIONAL /

TRADE COURSE

COLLEGE

GRADUATE STUDIES

CS FORM 212 (Revised 2017),

SIGNATURE

(Continue on separate sheet if necessary)

DATE

HIGHEST LEVEL/

UNITS EARNED

(if not graduated)

NAME EXTENSION (JR., SR)

BASIC EDUCATION/DEGREE/COURSE

(Write in full)

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.

LEVEL

NAME OF SCHOOL

(Write in full)

Barangay

City/Municipality Province

ZIP CODE

PERSONAL DATA SHEET

I. PERSONAL INFORMATION

(Do not fill up. For CSC use only)

SCHOLARSHIP/

ACADEMIC

HONORS

RECEIVED

DATE OF BIRTH (mm/dd/yyyy)

26. YEAR

GRADUATED

SURNAME

FIRST NAME

MIDDLE NAME

ZIP CODE

NAME EXTENSION (JR., SR)

14. TIN NO.

23. NAME of CHILDREN (Write full name and list all) 9.

HEIGHT (m)

WEIGHT (kg)

BLOOD TYPE

GSIS ID NO.

PAG-IBIG ID NO.

NAME EXTENSION (JR., SR)

please indicate the details.

If holder of dual citizenship, Pls. indicate country: House/Block/Lot No. Street

Subdivision/Village Barangay

House/Block/Lot No.

READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM. Street

Subdivision/Village

10.

11.

CIVIL STATUS

DATE OF BIRTH

(mm/dd/yyyy)

(Continue on separate sheet if necessary)

PERIOD OF ATTENDANCE

CS Form No. 212

Revised 2017

Filipino Dual Citizenship

Male Female

Single Married

Widowed

Other/s:

Separated

by birth by naturalization

IBARRA

PETE CRIZURBAN N/A

RABOR

12/20/1979

18014

LINAMON, LANAO DEL NORTE

/ N/A

1.59

O+

233654456 092********

*********@***.***.**

8472

4026

099********

IBARRA

JULIA N/A

DUBRIA

N/A

IBARRA

PEDRO N/A

DOMPOL

RABOR

CARMELITA

MANQUIQUIS

IBARRA, PRINCESS ZHANTEL DUBRIA 11/15/2019

IBARRA, PRECIOUS ZHANTAL DUBRIA 11/15/2019

IBARRA, PETER RAYMOND DUBRIA 04/13/2006

IBARRA, JAMELLA DUBRIA 04/22/2005

B8 L2 UNIT 4 OLYMPIA PARK BRGY LABAS STA ROSA LAGUNA SANTA ROSA, CITY OF, LAGUNA

PUROK 5, SAN JOSE DINAGAT ISLAND SAN JOSE, DINAGAT ISLANDS

LINAMON CENTRAL SCHOOL PRIMARY EDUCATION

1988 1993 N/A 1993 N/A

NATIONAL SCHOOL OF

FISHERIES

SECONDARY EDUCATION 1993 1998 N/A 1998 N/A

MISAMIS INSTITUTE OF

TECHNOLOGY

BSMAR-E 1998 2000 UNDER GRAD N/A N/A

N/A N/A N/A N/A N/A N/A N/A

Page 1 of 4

27.

NUMBER

Date of

Validity

(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet. 28.

DATE

CS FORM 212 (Revised 2017),

CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER

SPECIAL LAWS/ CES/ CSEE

BARANGAY ELIGIBILITY / DRIVER'S LICENSE

DATE OF

EXAMINATION /

CONFERMENT

PLACE OF EXAMINATION / CONFERMENT

LICENSE (if applicable)

RATING

(If Applicable)

IV. CIVIL SERVICE ELIGIBILITY

GOV'T

SERVICE

(Y/ N)

SALARY/ JOB/ PAY

GRADE (if

applicable)& STEP

(Format "00-0")/

From INCREMENT

POSITION TITLE

(Write in full/Do not abbreviate)

DEPARTMENT / AGENCY / OFFICE / COMPANY

(Write in full/Do not abbreviate)

MONTHLY

SALARY

INCLUSIVE DATES

(mm/dd/yyyy)

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE

STATUS OF

APPOINTMENT

SIGNATURE

(Continue on separate sheet if necessary)

N/A N/A N/A N/A N/A N/A

04/17/2023 PRESENT ELECTRICIAN 11 PUP 17,553 6-0 TEMPORARY Y 04/16/2018 04/16/2023 EMERGENCY ELECTRICIAN 1 P.U.P 14,999 4-0 CASUAL Y 06/11/2016 04/10/2018 ELECTRICIAN ITP CONSTRUCTION COMPANY 700 4-2 CONTRACTUAL N 08/13/2013 07/21/2015 ELECTRICIAN AIED BAIJAN AL OSAIMI 25,000 8-0 CONTRACTUAL N 11/11/2011 01/01/2013 ELECTRICIAN METRIX QATAR WLL 25,000 8-3 CONTRACTUAL N 11/23/2010 02/22/2011 ELECTRICIAN EL SEIF- CCC JOINT VENTURE 24,000 8-3 CONTRACTUAL N 09/19/2006 10/30/2009 ELECTRICIAN AL FOUZAN TRAIDING AND GEN. CONDTRUCTION COMP.

24,000 8-3 CONTRACTUAL N

05/29/2004 11/20/2005 ELECTRICIAN MAINTENANCE JOHN HOLLAND CONTRACTOR INC. 10,000 2-1 CONTRACTUAL N Page 2 of 4

From To

31. SPECIAL SKILLS and HOBBIES 32. 33.

CS FORM 212 (Revised 2017),

DATE

(Continue on separate sheet if necessary)

NON-ACADEMIC DISTINCTIONS / RECOGNITION

(Write in full)

MEMBERSHIP IN ASSOCIATION/ORGANIZATION

(Write in full)

NUMBER OF HOURS

SIGNATURE

VIII. OTHER INFORMATION

TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS

(Write in full)

(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) Type of LD

( Managerial/

Supervisory/

Technical/etc)

29. NAME & ADDRESS OF ORGANIZATION

(Write in full)

(Continue on separate sheet if necessary)

POSITION / NATURE OF WORK

INCLUSIVE DATES

(mm/dd/yyyy)

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S CONDUCTED/ SPONSORED BY

(Write in full)

INCLUSIVE DATES OF

ATTENDANCE

(mm/dd/yyyy)

(Continue on separate sheet if necessary)

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

30.

N/A N/A N/A N/A N/A

WORKING TOWARDS PERSONAL EFFECTIVENESS 08/22/2023 08/25/2023 32 Technical PERSONNEL OFFICERS ASSOCIATION OF THE PHILIPPINES, INC

MID-YEAR ASSESSMENT/PLANNING 07/10/2023 07/11/2023 8 Technical FACILITY MANAGEMENT OFFICE

(FAMO)

WEBINAR ON LEGAL MATTERS 05/23/2023 05/23/2023 8 Technical HUMAN RESOURCE MANAGEMENT DEPARTMENT

EIM NC11 12/10/2022 12/10/2022 7 Technical TRAINING AND ASSESMENT EMERGENCY PREPAREDNESS: HOW READY ARE YOU 10/15/2022 10/15/2022 2 Technical SYNERQUEST MANAGEMENT CONSULTANCY SERVICES INC.

BASIC FIRST AID FOR ANY EMERGENCY 08/13/2022 08/13/2022 2 Technical SYNERQUEST MANAGEMENT CONSULTANCY SERVICES INC.

BASIC OF ELECTRICAL SAFETY 05/14/2022 05/14/2022 2 Technical SYNERQUEST MANAGEMENT CONSULTANCY SERVICES INC.

PASSIVE FIRE PROTECTION FOT BETTER BUILDING SAFETY 04/25/2022 04/25/2022 8 Technical BOSTIK ACADEMY FIRE SAFETY 04/02/2022 04/02/2022 2 Technical SYNERQUEST WEBINAR. SELF LOVE 02/14/2022 02/14/2022 8 Technical P . U. P RAGAY WEBINAR ON DOLE DEPARTMENT ORDER 198: 01/08/2022 01/08/2022 2 Technical PUP

( NSED) NATIONAL SIMULTANEOUS EARTHQUAKE DRIL 11/11/2021 11/11/2021 8 Technical P. U. P ADVANCED RISK MANAGEMENT TRAINING COURSE 08/28/2021 08/28/2021 8 Executive/Managerial POLYTECHNIC UNIVERSITY PHILIPPINES

LOSS CONTROL MANAGEMENT ( LCM ) 08/23/2021 08/27/2021 40 Executive/Managerial POLYTECHNIC UNIVERSITY PHILIPPINES

FACILITY MANAGEMENT OFFICE (FAMO)-PHYSICAL DEVELOPMENT OFFICE (PPDO),2019 PLANNING AND TEAM BUILDING ACTIVITY 11/06/2019 11/08/2019 24 Technical PUP CONSTRUCTION OCCUPATIONAL SAFETY & HEALTH (COSH) 10/14/2019 10/18/2019 40 Technical PUP BASIC OCCUPATIONAL SAFETY & HEALTH (BOSH) 09/16/2019 09/20/2019 40 Technical PUP FACILITY MANAGEMENT OFFICE (FAMO)-PHYSICAL PLANNING DEVELOPMENT OFFICE (PPDO), 2018 PLANNING AND TEAM BUILDING ACTIVITY 10/29/2018 10/31/2018 24 Technical POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

METAL ARC WELDING NC2 01/25/2016 02/05/2016 80 Technical MAGSAYSAY COMPANY SECURITY AWARENESS TRAINING 01/08/2016 01/08/2016 8 Technical MAGSAYSAY COMPANY BASIC TRAINING 10/28/2015 11/06/2015 80 Technical MAGSAYSAY COMPANY BUILDING WIRING AND

MAINTENANCE

N/A N/A

Page 3 of 4

If YES, please specify:

If YES, please specify ID No:

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

Date Filed:

Status of Case/s:

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.) PLEASE INDICATE ID Number and Date of Issuance

Signature (Sign inside the box)

39.

41.

If YES, give details (country):

b. Have you been criminally charged before any court? If YES, give details:

If YES, give details:

Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal?

CS FORM 212 (Revised 2017),

Person Administering Oath

SUBSCRIBED AND SWORN to before me this, affiant exhibiting his/her validly issued government ID as indicated above. Date Accomplished Right Thumbmark

Date/Place of Issuance:

Government Issued ID:

ID/License/Passport No.:

a. Have you ever been a candidate in a national or local election held within the last year (except Barangay election)?

37.

b. Have you resigned from the government service during the three (3)-month period before the last election to promote/actively campaign for a national or local candidate? 38.

If YES, give details:

36.

PHOTO

NAME TEL. NO.

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 administrative/criminal case/s against me.

34.

If YES, give details:

chief of bureau or office or to the person who has immediate supervision over you in the Office, a. within the third degree?

b. within the fourth degree (for Local Government Unit - Career Employees)? Are you related by consanguinity or affinity to the appointing or recommending authority, or to the Bureau or Department where you will be apppointed, Are you a person with disability?

Are you a solo parent?

40.

Have you acquired the status of an immigrant or permanent resident of another country? 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: Are you a member of any indigenous group?

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 or phased out (abolition) in the public or private sector?

35. a. Have you ever been found guilty of any administrative offense? If YES, give details:

ID picture taken within

the last 6 months

3.5 cm. X 4.5 cm

(passport size)

With full and handwritten

name tag and signature over

printed name

Computer generated

or photocopied picture

is not acceptable

YES NO

YES

YES NO

LACDANG, ENG. CLINT MICHAEL QUEZON CITY 090******** DELOS ANGELES, ENG. ARLHETH P. QUEZON CITY 092********

N/A

PUP ID

18014

11/17/2023

Page 4 of 4

From To

CS FORM 212 (Revised 2017),

(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) CONDUCTED/ SPONSORED BY

(Write in full)

Type of LD

( Managerial/

Supervisory/

Technical/etc)

INCLUSIVE DATES OF

ATTENDANCE

(mm/dd/yyyy)

TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS

(Write in full)

(Continue on separate sheet if necessary)

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

30.

SIGNATURE DATE

BUILDING ELECTRICIAN 09/30/2003 01/01/2004 180 Technical TRAINING WELDING 07/01/2003 09/30/2003 180 Technical TRAINING Page 5 of 4

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