PERSONAL DATA SHEET

Print legibly. Tick appropriate boxes and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIA1. CS ID No. 2. SURNAME CATINDOY

FIRST NAME LOREMELO

MIDDLE NAME JUAYANG

3. DATE OF BIRTH

(mm/dd/yyyy) 1978-9-3 16. CITIZENSHIP

4. PLACE OFBIRTH TAGUIG If holder of dual citizenship, 5. SEX

please indicate the details.

6 CIVIL STATUS 17. RESIDENTIAL ADDRESS 5

7. HEIGHT (m) 1.7m Taguig City

8. WEIGHT (kg) 79kg ZIP CODE

9. BLOOD TYPE O 18. PERMANENT ADDRESS

10. GSIS ID NO.

11. PAG-IBIG ID NO. Taguig City

12. PHILHEALTH NO. ZIP CODE

13. SSS NO. 33-554****-*-**. TELEPHONE NO.

14. TIN NO. 202-***-***-**. MOBILE NO. 092********-**. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) loremelo_cat 22. SPOUSE'S SURNAME CATINDOY 23. NAME of CHILDREN (Write full name FIRST NAME AILEEN

NAME EXTENSION (JR., SR) N/A

MIDDLE NAME ROSALES

OCCUPATION NONE

EMPLOYER/BUSINESS NAME

BUSINESSADDRESS

TELEPHONE NO.

Filipino Dua

Male Female

Single Married

Widowed

Other/s:

Separated

24. FATHER'S SURNAME CATINDOY

FIRST NAME LORENZO

NAME EXTENSION (JR., SR)

MIDDLE NAME BORER

25. MOTHER'S MAIDEN NAME JUAYANG

SURNAME CATINDOY

FIRST NAME MELODINA

MIDDLE NAME JUAYANG

26.

LEVEL NAMEOFSCHOOL

(Write in full)

BASIC EDUCATION/DEGREE/COURSE

(Write in full)

PERIOD OF ATTENDANCE

From To

ELEMENTARY EMS ELEM SCH

SECONDARY PASAY CITY SOUTH HS

VOCATIONAL /

TRADE COURSE TOLENTINO TECH. INSTITUTE ELEC. COMP. TECH. COLLEGE TAGUIG CITY UNIVERSITY BS COMP. SCI.

GRADUATESTUDIES BATANGAS STATE UNIVERSITY MSCS 2019-8-18 PRESENT

(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

Pls. indicate country:

Visayas St.

Brgy. South Signal

Metro Manila

Metro Manila

adxe77@r.postjobfree.com

e and list all) DATE OF BIRTH

(mm/dd/yyyy)

al Citizenship

by

birth

by

naturalization

HIGHEST LEVEL/

UNITS EARNED

(if not graduated)

YEAR

GRADUATED

SCHOLARSHIP/

ACADEMIC

HONORS

RECEIVED

1991

1995

1998

2010

MAGNA CUM

LAUDE

Thesis

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

SPECIAL LAWS/ CES/ CSEE

BARANGAYELIGIBILITY/DRIVER'S LICENSE

RATING

(If Applicable)

DATE OF

EXAMINATION/

CONFERMENT

PLACE OF EXAMINATION/CONFE

HONOR GRADUATE CS ELIGIBILITY 2019-6-25 QUEZON CITY 28. INCLUSIVE DATES

(mm/dd/yyyy) POSITION TITLE

(Write in full/Do not abbreviate)

DEPARTMENT / AGENCY / OFFICE / COMPANY

(Write in full/Do not abbreviate)

MONTHLY

SALARY

From To

1/ /2011 PRESENT INSTRUCTOR III TAGUIG CITY UNIVERSITY 5/ /2011 3/ /2016

ASSISTANT MANAGER FOR

TECHNICAL ACCUSTOM

1/ /2007 1/ /2011 HARDWARE BUILDER BECCI

1/ /2001 1/ /2007 PROD. TECHNICIAN TELETECH TELESYSTEM INC.

/ /1998 / /2001 ELEC REPAIR TECH TEMIC RF TECHNOLOGIES ERMENT

LICENSE (if applicable)

NUMBER Date of

Validity

SALARY/ JOB/

PAY GRADE (if

applicable)& STEP

(Format "00-0")/

INCREMENT

STATUS OF

APPOINTMENT

GOV'T

SERVICE

(Y/ N)

29. NAME &ADDRESS OF ORGANIZATION

(Write in full)

INCLUSIVEDATES

(mm/dd/yyyy) NUMBER OF HOURS

From To

30. TITLE OFLEARNINGANDDEVELOPMENTINTERVENTIONS/TRAINING PROGRAMS

(Write in full)

INCLUSIVE DATES OF

ATTENDANCE

(mm/dd/yyyy)

NUMBER OF HOURS

From To

DEV OPS 8.0

JAVA PROGRAMMING 28.0

VISUAL STUDIO 2008 6.0

Python Programming Essentials Training 2021-1-18 2021-1-29 40.0 CYBERSECURITY GUIDE TO DIGITAL FORENSIC 2021-9-26 2021-9-26 2.0 31. SPECIAL SKILLS and HOBBIES 32. NON-ACADEMIC DISTINCTIONS / RECOGNITION

(Write in full)

POSITION/NATURE OF WORK

Type of LD

( Managerial/

Supervisory/

Technical/etc)

CONDUCTED/ SPONSORED BY

(Write in full)

Technical IBM- P>TECH

Technical IBM- P>TECH

Technical COPERNICUS PEPITO

DICT

EROVOUTICA

33. MEMBERSHIP INASSOCIATION/ORGANIZATION

(Write in full)

34. Are you related by consanguinity or affinity to the appointing or recommending chief of bureau or office or to the person who has immediate supervision over you in Bureau or Department where you will be apppointed, a. within the third degree?

b. within the fourth degree (for Local Government Unit - Career Employees)? If YES, give details:

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

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

Date Filed:

Status of Case/s:

36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal? If YES, give details: 37. 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? If YES, give details:

38. a. Have you ever been a candidate in a national or local election held within the last year (except Barangay election)? If YES, give details: 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?

If YES, give details:

39. Have you acquired the status of an immigrant or permanent resident of another country? If YES, give details (country)

40. 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 a. Are you a member of any indigenous group?

If YES, please specify:

b. Are you a person with disability?

If YES, please specify ID No:

c. Are you a solo parent?

If YES, please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee) NAME ADDRESS TEL. NO.

REYNALDO ALVEZ USUSAN, TAGUIG 093********

MICHAEL CARZA Brgy South Signal Village, Taguig City 097******** ROMEO LIM

5th Flr. Dilexio Bldg. Singalong St. Malate

Manila 524-2525

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 ID

Wit

name

C

or

YES N

O

YES N

O

YES NO

YES NO

YES NO

YES NO

YES NO

YES

YES

YES

NO

NO

NO

YES NO

YES NO

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. Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Drivers License, etc.)

Government Issued ID: SSS (33-5549017-3)

ID/License/Passport No Signature (Sign inside thebox) Date/Place of Issuance: Date Accomplished R

SUBSCRIBED AND SWORN to before me this, affiant exhibiting his/her validly issuedgovernm Person Administering Oath

):

picture takenwithin

the last 6 months

3.5 cm. X 4.5 cm

(passport size)

h full and handwritten

e tag and signature over

printed name

omputer generated

photocopied picture

is not acceptable

PHOTO

ight Thumbmark

ment ID as indicated above.

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