Teacher High School
Resume:
CS Form No. ***
PERSONAL DATA SHEET
Revised ****
WARNING: Any misrepresentation 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 fill
I. PERSONAL INFORMATION
STA. INES
2. SURNAME
NAME EXTENSION (JR., S
MARINEL
FIRST NAME N/A
TRANQUILINO
MIDDLE NAME
3. DATE OF BIRTH
5/5/1986 16. CITIZENSHIP
(mm/dd/yyyy)
QUEZON, NUEVA ECIJA Pls. indicate cou
4. PLACE OF BIRTH If holder of dual citizenship,
please indicate the details.
5. SEX
17. RESIDENTIAL ADDRESS ZONE 5
6 CIVIL STATUS
House/Block/Lot No. Stre
STO.NIÑ
Subdivision/Village Baran
SAN JOSE CITY NUEVA
1.59 m
7. HEIGHT (m)
City/Municipality Provi
60 kg
8. WEIGHT (kg) ZIP CODE 3121
18. PERMANENT ADDRESS ZONE 5
Type A
9. BLOOD TYPE
House/Block/Lot No. Stre
STO.NIÑ
10. GSIS ID NO.
Subdivision/Village Baran
SAN JOSE CITY
11. PAG-IBIG ID NO.
City/Municipality Provi
12. PHILHEALTH NO. ZIP CODE 3121
13. SSS NO. 19. TELEPHONE NO. N/A
14. TIN NO. 20. MOBILE NO. 092*-***-*****
***********@*****.***
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any)
II. FAMILY BACKGROUND
Sta. Ines
22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR) N/A
Arlan
FIRST NAME N/A
Panganiban
MIDDLE NAME
OCCUPATION
EMPLOYER/BUSINESS NAME
BUSINESS ADDRESS
N/A
TELEPHONE NO.
Tranquilino
24. FATHER'S SURNAME
NAME EXTENSION (JR., SR)
Panfilo
FIRST NAME N/A
Liquiran
MIDDLE NAME
25. MOTHER'S MAIDEN NAME
Dicion
SURNAME
Petronila
FIRST NAME
Gansuben
MIDDLE NAME (Continue on separate sheet if necess
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
Quezon, Elementary School Primary Education 1993 1999 Graduated
ELEMENTARY
Holy Family Academy High School Diploma 1999 2003 Graduated
SECONDARY
N/A N/A N/A N/A N/A
Bachelor of Secondary
Nueva Ecija University of
2003 2007
Education Major in General Graduated
COLLEGE
TRADE COURSE Science and Technology
Science
College of the Immaculate Master of Arts in Education-
2016 2019 Graduated
GRADUATE STUDIES
Conception Major in General Science
(Continue on separate sheet if necessary)
SIGNATURE DATE CS FORM 212 (Revise
s against the person
not fill up. For CSC use only)
ON (JR., SR)
te country:
Street
STO.NIÑO 1st
Barangay
NUEVA ECIJA
Province
Street
STO.NIÑO 1st
Barangay
NUEVA ECIJA
Province
com
DATE OF BIRTH
(mm/dd/yyyy)
N/A
necessary)
SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED
1999 N/A
2003 N/A
N/A N/A
2007 N/A
2019 Merritus
(Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF
SPECIAL LAWS/ CES/ CSEE RATING
EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
BARANGAY ELIGIBILITY / DRIVER'S (If Applicable)
CONFERMENT
LICENSE
Board for Professional Teachers 09/27/15 Manila
(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 attac
SALARY/ JOB/ PAY
INCLUSIVE DATES
28. GRADE (if
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY
(mm/dd/yyyy) MONTHLY applicable)&
SALARY STEP (Format
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) "00-0")/
From To INCREMENT
Senior High School Teacher Porais High School 12-1
06/03/2019 Present
Senior High School Teacher Porais High School 12-1
06/04/2018 3/30/2019
Senior High School Teacher Porais High School 12-1
06/05/2017 3/31/2018
Senior High School Teacher Porais High School 11-1
06/13/2016 3/31/2017
Bettbien High School
Science 7 & P.E. 10 Teacher N/A
06/1/2015 03/31/2016
Incorporated
Bettbien High School
Science 7 & Health 4 Teacher N/A
06/2/2014 03/31/2015
Incorporated
Bettbien High School
06/3/2013 03/31/2014 Science 7 & Health 3 Teacher N/A
Incorporated
Bettbien High School
Science 7 Teacher N/A
06/4/2012 03/31/2013
Incorporated
Bettbien High School
Values III & IV Teacher N/A
06/6/2011 03/31/2012
Incorporated
Bettbien High School
Values III & IV Teacher N/A
06/7/2010 03/31/2011
Incorporated
Bettbien High School
Science I & Health II Teacher N/A
06/8/2009 03/31/2010
Incorporated
Bettbien High School
T.L.E. III & IV Teacher N/A
06/2/2008 03/31/2009
Incorporated
Bettbien High School
Values III & IV Teacher N/A
06/3/2007 03/31/2008
Incorporated
(Continue on separate sheet if necessary)
SIGNATURE DATE CS FORM 212 (Revised 2
LICENSE (if applicable)
Date of
NUMBER
Validity
05/05/20
18
separate sheet if necessary)
ork) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
SERVICE
STATUS OF
APPOINTMENT
(Y/ N)
Regular Y
Regular Y
Regular Y
Regular Y
Regular N
Regular N
Regular N
Regular N
Regular N
Regular N
Contractua
N
l
Contractua
N
l
Contractua
N
l
separate sheet if necessary)
CS FORM 212 (Revised 2017), Page 2 of 4
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