PERSONAL DATA SHEET-NBC 461 (8th Cycle)
NOTE: THIS FORM WILL BE FILLED BY THE FACULTY MEMBERS OF A STATE
COLLEGE/UNIVERSITY.
INSTRUCTIONS:
1. FILL OUT THIS FORM ACCURATELY AND LEGIBLY, TYPEWRITTEN OR HANDWRITTEN.
REFER TO ATTACHED NOTES FOR DETAILS.
2. FOR ADDITIONAL SPACE, USE THE SAME SIZE OF BOND PAPER, FOLLOW THE SAME
FORMAT.
Name : JAYSON C. PALMA
Date of Birth: December 18, 1994 Sex: Male
Civil Status: Single Tel. No.:
Home Address: Brgy. Jaguimitan, Passi City, Iloilo Tel. No.:
Mailing Address: ISCOF-San Enrique Campus, San Enrique, Iloilo
College: Iloilo State College of Fisheries-San Enrique Campus
Campus Site: San Enrique, Iloilo
Department: College of Education
Present Status/Sub-Rank: Instructor I
Status of Appointment: Permanent
Annual Salary:
Date of Last Appointment/NOSA: January 6, 2020
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ILOILO STATE COLLEGE OF FISHERIES
INSTITUTION/AGENCY
JAYSON C. PALMA SAN ENRIQUE
Name of Faculty _________________________________College/Campus______________________
INSTRUCTOR I COLLEGE OF EDUCATION
Present Rank ____________________________________Department__________________________
PASUC COMMON CRITERIA FOR EVALUATION OF FACULTY NBC 461
SUMMARY OF POINTS
PREVIOUS ADDITIONAL
MAJOR MAXIMUM TOTAL CCE
POINTS AS POINTS AS QCE POINTS
COMPONENTS POINTS POINTS
OF ________ OF ________
1.0 Educational
85
Qualification
2.0 Experience and
length of
25
service
3.0 Professional
Development
90
Achievement
and Honor.
TOTAL
200
Local Evaluation Committee
_____________________________ _____________________________
Member Member
______________________
Chairman
Institutional Review Committee
_____________________________ _____________________________
Member Member
_____________________________ _____________________________
Co- Chairman Chairman
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Evaluation Rating Evaluation Rating
RS EP RS EP
1.0 Educational Qualification 85 pts
1.1 Highest educational attainment
1.1.1 Doctorate 85 _________ _________ _________ _________
1.1.2 Master’s Degree 65 _________ _________ _________ _________
1.1.3 LLB and MD 65 _________ _________ _________ _________
1.1.4 Diploma course 55
1.1.5 Bachelor’s degree
a. four years 45 _________ _________ _________ _________
b. exceeding 4 years (plus 5 pts/year) 45 _________ _________ _________ _________
1.1.6 Special course
a. 3-year post secondary course 30 _________ _________ _________ _________
b. Special course (non-degree) 25 _________ _________ _________ _________
1.2 Additional equivalent degree earned related
to present position
1.2.1 Master’s Degree 4 _________ _________ _________ _________
1.2.2 Bachelor’s Degree 3 _________ _________ _________ _________
1.3 Additional credits earned (maximum of 10 pts.)
1.3.1 For every 3 units earned 1 _________ _________ _________ _________
2.0 Experience and Length of Service 25 pts.
2.1 Academic Experience
2.1.1 For every year in state institution 1 _________ _________ _________ _________
2.1.2 For every year in other school 0.75 _________ _________ _________ _________
2.2 Administrative Experience
2.2.1 For every year of administrative experience as:
a. President 3.0 _________ _________ _________ _________
b. Vice-President 2.5 _________ _________ _________ _________
c. Dean/Director/School Superintendent 2.0 _________ _________ _________ _________
d. Principal/Supervisor/Head of Unit 1.5 _________ _________ _________ _________
2.3 Industrial/Agriculture Experience
2.3.1 For every year of full-time
a. Manager/Entrepreneur/Consultant 1.5 _________ _________ _________ _________
b. Supervisor/Head of Unit 1.0 _________ _________ _________ _________
c. Rank and File 0.5 _________ _________ _________ _________
2.3.2 For every year of experience in basic education;
a. Cooperating Teacher 0.5 _________ _________ _________ _________
b. Basic Education Teacher 0.5 _________ _________ _________ _________
3.0 Professional Development Achievement and honor; 90 pts
3.1 Discoveries, patented inventions, innovations,
publications and other creative works (maximum of 30 pts.)
3.1.1 For every innovation . .. 2-7 _________ _________ _________ _________
3.1.2 For every published book, original,
a. As author/s 3-7 _________ _________ _________ _________
b. As reviewer 1-4 _________ _________ _________ _________
c. As translator 1-4 _________ _________ _________ _________
d. As editor 1-3 _________ _________ _________ _________
e. As compiler 1-2 _________ _________ _________ _________
3.1.3 For every articles in a journal.
a. International 5 _________ _________ _________ _________
b.National 3 _________ _________ _________ _________
c. Local 2 _________ _________ _________ _________
3.1.4 For every instructional manual(max. of 10pts) 1_________ _________ _________ _________
3.2 For expert services/technical activities (maximum of 30 pts.)
3.2.1 Training and seminars (maximum of 10 pts)
3.2.1.1 For every training course (P=No. of days/30)
a. International 5 _________ _________ _________ _________
b. National/Regional 3 _________ _________ _________ _________
c. Local 2 _________ _________ _________ _________
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3.2.1.2 For participation in seminars
a. International (0.6/day not to exceed 3 pts.) _________ _________ _________ _________
b. National (0.4/day not to exceed 2 pts)) _________ _________ _________ _________
c. Local (0.2/day not to exceed 1 pt.) _________ _________ _________ _________
3.2.2 Expert services rendered (maximum of 20pts)
3.2.2.1 For serving as a short-term consultant/expert
a. International 5 _________ _________ _________ _________
b. National/Regional 3 _________ _________ _________ _________
c. Local 2 _________ _________ _________ _________
3.2.2.2 For services rendered for coordinator, lecturer,
a. International 5 _________ _________ _________ _________
b. National/Regional 3 _________ _________ _________ _________
c. Local 2 _________ _________ _________ _________
3.2.2.3 For expert service or adviser in dissertation/thesis
a. Doctoral dissertation 1.00 _________ _________ _________ _________
b. Master’s thesis 0.50 _________ _________ _________ _________
c. Undergraduate thesis 0.25 _________ _________ _________ _________
3.2.2.4 For certified services in PRC/CSC 1 _________ _________ _________ _________
3.2.2.5 For expert services in accreditation 1 _________ _________ _________ _________
3.2.2.6 For expert service in trade skill 1 _________ _________ _________ _________
3.2.2.7 For every year as coach/trainor 1 _________ _________ _________ _________
3.3 Membership in professional organizations/honor
Societies and honor received (maximum 10pts.)
3.3.1 For current membership in relevant professional organization(s)
a. Learned Society
Full member 2 _________ _________ _________ _________
Associate member 1 _________ _________ _________ _________
b. Honor Society 1 _________ _________ _________ _________
c. Scientific Society 1 _________ _________ _________ _________
d. Professional
Officer 1 _________ _________ _________ _________
Member 0.5 _________ _________ _________ _________
3.3.2 For academic honors earned:
3.3.2.1 Undergraduate Degree
a. Summa Cum Laude 5 _________ _________ _________ _________
b. Magna Cum Laude 3 _________ _________ _________ _________
c. Cum Laude 1 _________ _________ _________ _________
3.3.2.2 Graduate Degree
a. Highest Honors/with Distinction
or equivalent 3 _________ _________ _________ _________
3.3.3 Scholarship/Fellowship
a. International, Competitive
Doctorate 5 _________ _________ _________ _________
Master’s 4 _________ _________ _________ _________
Non-Degree 3 _________ _________ _________ _________
b.International, non-competitive
Doctorate 3 _________ _________ _________ _________
Master’s 2 _________ _________ _________ _________
Non-Degree 1 _________ _________ _________ _________
c. National/Regional, Competitive
Doctorate 3 _________ _________ _________ _________
Master’s 2 _________ _________ _________ _________
Non-Degree 1 _________ _________ _________ _________
d.National/Regional, non-competitive
Doctorate 2 _________ _________ _________ _________
Master’s 1 _________ _________ _________ _________
e. Local, competitive or non-competitive1 _________ _________ _________ _________
3.4 Awards of distinction received
a. International 5 _________ _________ _________ _________
b. National/Regional 3 _________ _________ _________ _________
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c. Local 2 _________ _________ _________ _________
3.5 Community outreach (maximum of 5pts)
3.5.1 For every year in community service 1 _________ _________ _________ _________
3.6 Professional examination
3.6.1 For every relevant licensure and other
professional examination passed (maximum of 10 pts.)
a. Engineering, Accounting, Medicine,
Law, Teacher’s Board etc. 5 _________ _________ _________ _________
b. Career Executive Service Officer Examination/
Career Service Executive Officer 3 _________ _________ _________ _________
c. Seaman Certificate; Master Electrical/
Master Plumber Certificate, etc.
Certificate; Professional
Radio Operator Certificate 2 ________ _________ _________ __________
d.IT proficiency certification m
e. national certificate (NC)/Trade
Skill Certificate 2 ________ _________ _________ __________
___
I hereby certify to the correctness and accuracy of the statements.
JAYSON C. PALMA
______________________________
Faculty Member
SUBSCRIBED and SWORN to before me this _________ day of ________, 20_____, affiant exhibiting
to me his/her Residence Certificate No. ___________ issued at _________________________ on
________________.
_________________________________
Person Administering Oath
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