Security Officer Have Experience

CS Form No. ***

Revised ****

PERSONAL DATA SHEET

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.

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 up. For CSC use only)

I. PERSONAL INFORMATION

2. SURNAME SABADUQUIA

NAME EXTENSION (JR., SR)

FIRST NAME MARVIN

MIDDLE NAME SULAREZ

3. DATE OF BIRTH

(mm/dd/yyyy) 03/18/1997 16. CITIZENSHIP FILIPINO

4. PLACE OF BIRTH ANTIPOLO CITY If holder of dual citizenship, Pls. indicate country:

please indicate the details.

5. SEX MALE

17. RESIDENTIAL ADDRESS ZONE 7

6 CIVIL STATUS SINGLE

House/Block/Lot No. Street

POBLACION

Subdivision/Village Barangay

TAGOLOAN MISAMIS ORIENTAL

7. HEIGHT (m) 177M

City/Municipality Province

8. WEIGHT (kg) 84 KG ZIP CODE 9001

18. PERMANENT ADDRESS ZONE-7

9. BLOOD TYPE N/A

House/Block/Lot No. Street

POBLACION

10. GSIS ID NO. N/A

Subdivision/Village Barangay

11. PAG-IBIG ID NO. 121********* TAGOLOAN MISAMIS ORIENTAL

City/Municipality Province

12. PHILHEALTH NO. 15-050474500-9 ZIP CODE 9001

13. SSS NO. 082*******-**. TELEPHONE NO. N/A

14. TIN NO. 757-***-***-**. MOBILE NO. 099********

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) *************@*****.***

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

NAME EXTENSION (JR., SR)

FIRST NAME N/A N/A N/A

MIDDLE NAME N/A

OCCUPATION N/A

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME SABADUQUIA

NAME EXTENSION (JR., SR)

FIRST NAME ROGER

MIDDLE NAME YATAN

25. MOTHER'S MAIDEN NAME N/A

SURNAME SULAREZ

FIRST NAME EDITHA

MIDDLE NAME N/A (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

NAME OF SCHOOL HIGHEST LEVEL/ SCHOLARSHIP/

26. PERIOD OF ATTENDANCE YEAR

LEVEL (Write in BASIC EDUCATION/DEGREE/COURSE UNITS

GRADUATED

ACADEMIC

HONORS

full) (Write in full) EARNED

(if not graduated) RECEIVED

From To

ELEMENTARY DON RESTITUTO BAOL CENTRAL SCHOOL PRIMARY GRADUATED 2010 N/A

DR GERARDO SABAL MEMORIAL NATIONAL HIGH

SECONDARY

VOCATIONAL / SCHOOL

SECONDARY GRADUATED 2014 N/A

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

TRADE

COURSE

COLLEGE TAGOLOAN COMMUNITY COLLEGE BACHELOR OF SIENCE IN CRIMINOLOGY GRADUATED 2022 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE

CS FORM 212 (Revised 2017), Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY

27. LICENSE (if applicable)

CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL DATE OF

RATING

LAWS/ CES/ CSEE BARANGAY EXAMINATION / PLACE OF EXAMINATION / CONFERMENT

(If Applicable) NUMBER Date of

ELIGIBILITY / DRIVER'S LICENSE CONFERMENT

Validity

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

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

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

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

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

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

N/A N/A 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 attached Work Experience sheet.

GOV'T

28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE

(mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if

MONTHLY STATUS OF

(Write in full/Do not (Write in SALARY

applicable)& STEP

APPOINTMENT

abbreviate) full/Do not abbreviate) (Format "00-0")/

INCREMENT

From To

(Y/ N)

09/02/2024 Present SAFETY AND SECURITY OFFICER ARC REFRESHMENTS CORPORATION 13000.00 N/A N

03/05/2024 08/31/2024 HR STAFF/ADMIN DRIVER ASIAPRO MANPOWER SERVICES/DEL 12000.00 N/A N

MONTE

10/052021 01/31/2022 SECURITY OFFICER GAMA FOODS CORPORATION 15000.00 N/A N

10/042019 09/29/2021 SECURITY GUARD / HEAD GUARD GAMA FOODS CORPORATION 11315.00 N/A N

01/05/2019 09/18/2019 SUPERVISOR / QUALITY CONTROL ST JUDE DRESSING PLANT (SAN MIGUEL 11315.00 N/A N

FOODS INCORPORATED)

04/17/2018 11/26/2018 SERVICE CREW JOLLIBEE PUERTO 11315.00 N/A N

03/10/2017 06/07/2017 STRIKER PROVINCIAL PUBLIC SAFETY COMPANY / 2000.00 N/A Y

PNP

(Continue on separate sheet if necessary)

SIGNATURE DATE

CS FORM 212 (Revised 2017), Page 2 of 4

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

INCLUSIVE DATES

29. NAME & ADDRESS OF ORGANIZATION

(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK

From To

ONE CRIMINOLOGY PHILIPPINES 03/18/2022 UP TO DATE MEMBER

UNITED KABALIKAT CIVICOM 09/21/2015 UP TO DATE MEMBER

(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 Chief/Executive/Managerial positions)

INCLUSIVE DATES OF

ATTENDANCE Type of LD

30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY

NUMBER OF HOURS

(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)

Technical/etc)

From To

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

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION

31. SPECIAL SKILLS and HOBBIES 32. 33. (Write in

(Write in full) full)

DRIVING N/A ONE CRIMINOLOGY PHILIPPINES

DIVING UNITED KABALIKAT CIVICOM

SINGING

DANCING

(Continue on separate sheet if necessary)

SIGNATURE DATE

CS FORM 212 (Revised 2017), Page 3 of 4

34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the

chief of bureau or office or to the person who has immediate supervision over you in the Office,

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 If YES, give details:

out (abolition) in the public or private sector?

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 answer the following items:

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. ID picture taken within

the last 6 months

3.5 cm. X 4.5 cm

DEAN EDGARDO G. GABLINES CAGAYAN DE ORO CITY 953******* (passport size)

With full and handwritten

SIR REY JAMES AMBA ALAE, MANOLO BUKIDNON 967-***-**** name tag and signature

over

printed name

POBLACION, TAGOLOAN, MISAMIS

PLT. RICHIE B. RAIZ ORIENTAL 093******** Computer generated

or photocopied picture

42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and is not acceptable

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. PHOTO

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of Issuance

Government Issued ID:

ID/License/Passport No.:

Signature (Sign inside the box)

Date/Place of Issuance:

Date Accomplished Right Thumbmark

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

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4

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