Graphic Designer
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.
ISIDRO ALBERT
PLANEA
3.
16. CITIZENSHIP
4. PLACE OF BIRTH
5. SEX
17. RESIDENTIAL ADDRESS
8.
18. PERMANENT ADDRESS
CAN-AVID
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 1999 2005 GRADUATED 2005 N/A
SECONDARY 2005 2009 GRADUATED 2009 N/A
VOCATIONAL /
TRADE COURSE
2014
June
Nov.
2014
GRADUATED 2014 N/A
COLLEGE 2009 2014 GRADUATED 2014 N/A
GRADUATE STUDIES N/A N/A N/A N/A N/A
DATE
TABLATIN (Continue on separate sheet if necessary) PERIOD OF ATTENDANCE
N/A
N/A
6
NAME EXTENSION (JR, SR)
N/A
11/07/2017
7.
CIVIL STATUS
DATE OF BIRTH
(mm/dd/yyyy)
READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM. Street
N/A 10
Subdivision/Village
EASTERN SAMAR
01/20/2022
09/04/1991
please indicate the details.
If holder of dual citizenship,
Pls. indicate country:
MAYOR ALEJO SALVADOR
63
House/Block/Lot No. Street
Subdivision/Village Barangay
House/Block/Lot No.
N/A
CAN-AVID, EASTERN SAMAR
N/A
N/A
*****************@*****.***
23. NAME of CHILDREN (Write full name and list all) RORY AIKEN FERRERAS CAMPOMANES
FLEURETTE ASTRID FERRERAS CAMPOMANES
1.7
9.
HEIGHT (m)
WEIGHT (kg)
BLOOD TYPE
GSIS ID NO.
PAG-IBIG ID NO.
CAMPOMANES
N/A
N/A
10.
11.
"B+"
N/A
N/A
6806
PERSONAL DATA SHEET
I. PERSONAL INFORMATION
(Do not fill up. For CSC use only)
SCHOLARS
HIP/
ACADEMIC
HONORS
RECEIVED
DATE OF BIRTH
(mm/dd/yyyy)
26. YEAR
GRADUAT
ED
CAMPOMANES
N/A
SURNAME
FIRST NAME
MIDDLE NAME
ZIP CODE
NAME EXTENSION (JR, SR) N/A
14. TIN NO. 470-825-230
CRES
FERRERAS
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. N/A
LEVEL
NAME OF SCHOOL
(Write in full)
CAN-AVID CENTRAL ELEM.
SCHOOL
CAN-AVID NATIONAL HIGH
SCHOOL
TESDA-SNSAT, TAFT EASTERN
SAMAR
EASTERN SAMAR STATE
UNIVERSITY, BORONGAN
N/A
Barangay
CAN-AVID EASTERN SAMAR
City/Municipality Province
City/Municipality Province
6806
MAYOR ALEJO SALVADOR
ZIP CODE
N/A
N/A 10
SIGNATURE
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2017), Page 1 of 4
ALBERT
ARAGO
HIGHEST LEVEL/ UNITS EARNED
(if not graduated)
ELEMENTARY
April 04, 2024
CAMPOMANES
PLANEA
MARIA
NAME EXTENSION (JR, SR)
N/A
BASIC EDUCATION/DEGREE/COURSE
(Write in full)
HIGH SCHOOL
COMPUTER HARDWARE
SERVICING NC II
BACHELOR OF SCIENCE IN
COMPUTER ENGINEERING
CS Form No. 212
Revised 2017
Filipino Dual Citizenship
Male Female
Single Married
Widowed
Other/s:
Separated
by birth by naturalization
27.
NUMBER
Date of
Validity
81.00 N/A N/A
82.15 N/A N/A
81.43 N/A N/A
73.20 N/A N/A
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet. 28.
To
Feb. 2024 10,000 N/A Contractual Y
Aug. 2023 4,400 N/A Job Order Y
Dec. 2019 4,400 N/A Job Order Y
Dec. 2017 5,000 N/A Job Order Y
March 2016 12,000 N/A Contractual N
Aug. 2015 18,000 N/A Contractual Y
DATE
Sept. 2023 Office Staff Local Government Unit - Can-avid June 2015
Department of Social Welfare and
Development
STATUS OF
APPOINTMENT
SIGNATURE
Quality Assurance United Container Corporation
(Continue on separate sheet if necessary)
Area Supervisor
Jan. 2016
CS FORM 212 (Revised 2017), Page 2 of 4
Jan 2022
(Continue on separate sheet if necessary)
V. WORK EXPERIENCE
Office Staff
NAPOLCOM ENTRANCE ELIGIBILITY 04/23/2017
DEPARTMENT / AGENCY / OFFICE / COMPANY
(Write in full/Do not abbreviate)
CALBAYOG CITY
MONTHLY
SALARY
July 2017
July 2019 Office Staff
Eastern Samar State University, Can-
avid Campus
Office Staff / IT
Local Government Unit (Maslog,
Eastern Samar)
April 04, 2024
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)
06/24/2018
BORONGAN CITY
TACLOBAN CITY
FIRE OFFICER ELIGIBILITY (FOE) TACLOBAN CITY
SALARY/ JOB/ PAY
GRADE (if
applicable)& STEP
(Format "00-0")/
From INCREMENT
POSITION TITLE
(Write in full/Do not abbreviate)
8/20/2023
4/8/2019
CAREER SERVICE ELIGIBILITY
PROFESSIONAL
CAREER SERVICE ELIGIBILITY SUB-
PROFESSIONAL
Local Government Unit - Can-avid
INCLUSIVE DATES
(mm/dd/yyyy)
From To
Dec. 2015 Feb. 2016 N/A
From To
May 18,
2015
May 21,
2015
N/A Supervisory
31. SPECIAL SKILLS and HOBBIES 32.
DATE April 04, 2024 CS FORM 212 (Revised 2017), Page 3 of 4 MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write in full)
30.
(Continue on separate sheet if necessary)
NUMBER OF HOURS
National Household Targeting System for Poverty Reduction (NHTS-PR) SIGNATURE
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)
Islamic Relief Worldwide
(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 NUMBER OF HOURS
Field Enumerator / Distributor of Relief Goods
VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED CONDUCTED/ SPONSORED BY
(Write in full)
INCLUSIVE DATES OF
ATTENDANCE
(mm/dd/yyyy)
Department of Social Welfare and
Development
N/A
VIII. OTHER INFORMATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
(Write in full)
Skilled in Adobe Photoshop N/A N/A
(Continue on separate sheet if necessary)
Computer Troubleshooting/Repair N/A
a.
If YES, please specify:
b.
If YES, please specify ID No:
c.
If YES, please specify ID No:
REFERENCES (Person not related by consanguinity or affinity to applicant /appointee) ADDRESS
BRGY. 07, CAN-AVID, EASTERN SAMAR
BRGY. 01, CAN-AVID, EASTERN SAMAR
CAN-AVID, EASTERN SAMAR
DRIVER'S LICENSE
Status of Case/s:
35. a. Have you ever been found guilty of any administrative offense? If YES, give details:
38.
If YES, give details:
If YES, give details:
36.
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?
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)? PHOTO
NAME TEL. NO.
42.
VICTORRE GALOPE
MARK JOSEPH BALDONIDO 956-***-****
ROBERTO O. GEROY
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. Government Issued ID:
ID/License/Passport No.:
39.
41.
If YES, give details (country):
b. Have you been criminally charged before any court? If YES, give details:
If YES, give details:
If YES, give details:
Date Filed:
Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal?
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? Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.) PLEASE INDICATE ID Number and Date of Issuance
H04-20-000009 Signature (Sign inside the box)
CS FORM 212 (Revised 2017), Page 4 of 4
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: BORONGAN CITY
04/02/2024
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES
YES
YES
NO
NO
NO
YES NO
YES NO
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