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 c
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.
I. PERSONAL INFORMATION
RAVAL
2. SURNAME
ALVIN
FIRST NAME
REMIGIO
MIDDLE NAME
3. DATE OF BIRTH
Dual Citize
JULY. 03, 1997 16. CITIZENSHIP Filipino
(mm/dd/yyyy)
ZAMBOANGA CITY
4. PLACE OF BIRTH If holder of dual citizenship,
please indicate the details.
Female
Male
5. SEX
Single Married 17. RESIDENTIAL ADDRESS BLK #7
6 CIVIL STATUS
Widowed Separated House/Block/Lot No.
Other/s:
Subdivision/Village
ZAMBOGANGA CITY
5'4
7. HEIGHT (m)
City/Municipality
55
8. WEIGHT (kg) ZIP CODE 7000
18. PERMANENT ADDRESS BLK #7
9. BLOOD TYPE
House/Block/Lot No.
10. GSIS ID NO.
Subdivision/Village
ZAMBOANGA CITY
11. PAG-IBIG ID NO.
City/Municipality
14-250975256-6
12. PHILHEALTH NO. ZIP CODE
0111-9064660-3
13. SSS NO. 19. TELEPHONE NO. 985-0074
14. TIN NO. 20. MOBILE NO. 090*-***-***
raval_alvin@yaho
N/A
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any)
II. FAMILY BACKGROUND
N/A
22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and lis
NAME EXTENSION (JR., SR) N/A
FIRST NAME
MIDDLE NAME
OCCUPATION
EMPLOYER/BUSINESS NAME
BUSINESS ADDRESS
TELEPHONE NO.
RAVAL
24. FATHER'S SURNAME
SR.
ALVIN
FIRST NAME
FERNANDO
MIDDLE NAME
CONIGONIA PARAGUYA REMIGIO
25. MOTHER'S MAIDEN NAME
RAVAL
SURNAME
CONIGONIA
FIRST NAME
REMIGIO
MIDDLE NAME (Continue on separate shee
III. EDUCATIONAL BACKGROUND
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE
26. PERIOD OF ATTENDANCE
LEVEL (Write
(Write in full) in full)
From To
ELEMENTARY FERNDALE INTERNATIONAL SCHOOL GRADE 6
VOCATIONAL /
SECONDARY FERNDALE INTERNATIONAL SCHOOL 4TH YEAR HIIGH SCHOOL
N/A N/A
COLLEGE AMA COMPUTER COLLEGE 4TH YEAR COLLEGE
TRADE COURSE
GRADUATE STUDIES N/A
(Continue on separate sheet if necessary)
SIGNATURE DATE
CS
L DATA SHEET
Experience Sheet shall cause the filing of administrative/criminal case/s against the person
DS) BEFORE ACCOMPLISHING THE PDS FORM.
(Do not fill up. For CSC use only)
JR.
Dual Citizenship
Filipino
by birth by naturalization
Pls. indicate country:
ARMOR VILLAGE
Street
SAN JOSE GUSU
Barangay
Province
7000
ARMOR VILLAGE
Street
SAN JOSE GUSU
Barangay
Province
7000
985-0074
***********@*****.***
DATE OF BIRTH
23. NAME of CHILDREN (Write full name and list all)
(mm/dd/yyyy)
N/A N/A
(Continue on separate sheet if necessary)
SCHOLARSHIP/
HIGHEST LEVEL/
YEAR
ACADEMIC
UNITS
GRADUATED
EARNED HONORS
(if not graduated) RECEIVED
2004 2010
2010 2014
2014 2017
separate sheet if necessary)
December 04, 2019
CS FORM 212 (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
N/A N/A N/A
N/A
(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 at
SALARY/ JOB/ PAY
INCLUSIVE DATES
28.
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(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
HR SUPERVISOR PICHEL AGENCY
JAN. 2018 SEPT 2018 8500.00
(Continue on separate sheet if necessary)
SIGNATURE DATE December 04, 2
CS FORM 212 (Re
LICENSE (if applicable)
Date of
NUMBER
Validity
separate sheet if necessary)
rk) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
SERVICE
STATUS OF
APPOINTMENT
(Y/ N)
NO
separate sheet if necessary)
December 04, 2019
CS FORM 212 (Revised 2017), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANI
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION NUMBER OF
POSITI
(Write in full) HOURS
(mm/dd/yyyy)
From To
SPORTS CLUB AMA COMPUTER COLLEGE 2016 2017
ART CLUB AMA COMPUTER COLLEGE 2015 2016
COMPUTER'S CLUB AMA COMPUTER COLLEGE SEPT/2014 JAN/2017
(Continue on separate sheet if necessary)
VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(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 Ch
INCLUSIVE DATES OF
Type of LD
ATTENDANCE
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS CONDU
( Managerial/
NUMBER OF
(Write in full) Supervisory/
HOURS
(mm/dd/yyyy)
Technical/etc)
From To
TESDA NATIONAL CERTIFICATE II IN FRONT OFFICE SERVICES 2016 2017
ENTREPRENEURIAL THINKING AND INNOVATION THROUGH ADVANCED
JULY 2016 2016
INFORMATION TECHNOLOGY
WORK ENVIRONMENT FASTER MOTIVATON APRIL 2015 2015
ILLUMINATING BUSINESS WORLD: BUILDING ACHIEVERS THROUGH
JULY 2015 2015
BUSINESS ENTERPRISES
CONFLICT RESOLUTION AND NON-VIOLENT COMMUNICATION AUGUST 2015 2015
THREE PILARS OF CENTRAL BANK AND SECURITY FEATURES OF THE
OCT 2014 2014
PHILIPPINES CURRENCY
INTRO TO FACEBOOK ADS NOV 09/19 NOV 09/19
AMAZON SELLER CENTRAL WORKSHOP NOV 16/19 NOV 16/19
(Continue on separate sheet if necessary)
VIII. OTHER INFORMATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)
COMPUTER SKILLS N/A
COMMUNICATION SKILLS N/A
TIME MANAGEMENT N/A
ORGANIZATIONAL PLANS N/A
EMAIL, RESEARCH SKILLS N/A
STRONG ENGLISH SPEAKING AND
N/A
WRITING SKILLS
MULTITASKING N/A
(Continue on separate sheet if necessary)
SIGNATURE DATE
ERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
POSITION / NATURE OF WORK
MEMBER
MEMBER
MEMBER
parate sheet if necessary)
AINING PROGRAMS ATTENDED
D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
CONDUCTED/ SPONSORED BY
(Write in full)
AMA COMPUTER COLLEGE
AMA COMPUTER COLLEGE
AMA COMPUTER COLLEGE
AMA COMPUTER COLLEGE
AMA COMPUTER COLLEGE
AMA COMPUTER COLLEGE
JASON DULAY
JASON DULAY
parate sheet if necessary)
MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
(Write in full)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
parate sheet if necessary)
December 04, 2019
CS FORM 212 (Revised 2017), Page 3 of 4