GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) Warning: ‘Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet hall couse de filing of administrevetoriminal case’s againet tre person concerned. Please fill out each of the fields in the PDS when applicable. Note: ‘* The PDS may be accomplished using the MS Word format or MS Excel format. * In the MS Excel format, all the tick boxes will automatically be marked once clicked. * The PDS must bear the signature of the employee and date of accomplishment at the bottom of every page. * Entries in the PDS may be filled out through handwriting or via typewriter/computer. If handwritten, entries should be in block capital (e.g PRINT) format using a pen * Allinformation should be provided accurately. + Donotleave blank entries. Put N/A if not applicable. For purposes of application to a vacant position, the additional sheet for work experience should be accomplished. L Personal Information Employee's name is to be filled out in the following format: surname, first name, name extension (if any), middle name. A space is allotted for each character or letter in the name. Dates are in numeric format: mm/dd/yy Specifics should be given to “Others” response in the civil status field. Agency employee number refers to employee ID number in the current agency, For holders of foreign/dual citizenship, please select from the dropdown list the foreign country where you were born/naturalized or type/write the same in the space provided therein. KorsMm. Family Background Names of spouse and parents are to be filled out the following format: surname, first name, name extension (if any), middle name. Mother's name is her maiden name, or name when she was single or before marriage. List full names (first name and surname) of ALL your children. Date of birth is in numeric format: mm/ddiyyyy Educational Background . Indicate FULL name of schools. DO NOT ABBREVIATE. For Elementary Level, indicate PRIMARY EDUCATION if graduated For Secondary Level, indicate HIGH SCHOOL if graduated under the old curriculum; or JUNIOR HIGH SCHOOL or SENIOR HIGH SCHOOL if graduated under the K-12 curriculum. Indicate in FULL all courses taken in college (e.g. ASSOCIATE IN ARTS, AB ECONOMICS, BS PSYCHOLOGY, MA IN HISTORY). Indicate all masters or doctorate degrees taken. If graduated for every level, indicate year of graduation. If not graduated in any level, indicate the highest grade, level or units eared. Period of attendance are stated in school years (e.g. 1992-1996) Indicate any scholarship and/or academic honors received in each level. Civil Service Eligibility Indicate all civil service eligibilities earned with corresponding rating, date and place of examination/conferment. Example: Career Service Sub-Professional _ £0132/790 — Veteran Preference Rating Career Service Professional PD 907 — Honor Graduate Career Service Executive RA 7883 — Barangay Health Worker Stenographer Barangay Official PD 997 — Scientific and Technological Specialist If eared eligibility entails a license (RA 1080), indicate the license number and its date of validity. Work Experience . Indicate all positions held both in the public and private employment starting from current work.‘* Inclusive dates are indicated in numeric format: mm/dd/yyyy. * Indicate FULL position titles and COMPLETE NAME of department/agency/office/company. DO NOT ABBREVIATE. ‘* Indicate monthly salary in figures (e.g. P21,877).. * Salary grade and salary step, if applicable, should be stated in the format "00-0" (e.g. 24-2, 24 for salary grade, 2 for salary step) * Indicate status of employment (e.g. permanent, temporary, casual, contractual) * Indicate “yes” under government service if position held is in the public or government employment or “no” if held in the private employment. * Additional sheet for work experience should be accomplished and submitted together with the PDS in case of application to a vacant position. This should be accomplished only for work experience relevant to the position being applied to. VI. Voluntary Work or Involvement in Civic/Non-Government/People/ Voluntary Organizations * Indicate the FULL name and address of the organization where involved as voluntary worker. * Inclusive dates, start (from) and end (to) should be in numeric format: mmidd/yyyy. * Indicate the number of hours of voluntary work rendered. * Indicate the position/nature of voluntary work rendered. Vil. Learning and Development Interventions * Indicate FULL titles of learning and development (L&D) interventions attended during employment. Indicate list from the most recent L&D. * Inclusive dates of attendance, start (from) and end (to) should be in numeric format: mmidd/yyyy. * Indicate the number of hours attended for program. * Indicate the type of L&D intervention (e.g. managerial, supervisory, technical), * Indicate the FULL name of institution/agency that conducted or sponsored the program. DO NOT ABBREVIATE. (e.g. CSC should be Civil Service Commission). Vill, Other Information * Indicate special skills hobbies. * Indicate in FULL non-academic distinctions/recognition (awards received) * Indicate membership in any professional association/organization by writing in FULL said association/organization# 34-40 #41 #42 Indicate response to questions 34 to 40 on the right side of the sheet. Provide details or specifications for any yes response. Indicate the FULL name of references with the format FIRST NAME, Ml, SURNAME, their addresses and respective telephone numbers. As agreement to and for completion of the PDS, the employee's signature and right thumb mark should be affixed in the boxes provided. Indicate also the government ID number and date of issuance in the boxes provided. Lastly, attach a RECENT PASSPORT SIZE (4.5 cm. x 3.5 cm.) picture with COMPLETE AND HANDWRITTEN NAME TAG and SIGNATURE OVER PRINTED NAME. Picture must be taken within the last six (6) months. Computer generated or photocopied picture is not acceptable onPERSONAL DATA SHEET es. ave ot crm (it nar ata) TELEPHONENO. FATHERS LUE PRS NAME Mou NAM OTHERS MADEN AME sure PST NINE MOLE NAME EDUCATIONAL BACKGROUND. STRAT ae Teesac a aa Pato ee eee ae Rea ed eer DEPARTMENT AGENCY OFFICE COMPANY (iain Do ret eet)TGA MA AMC SACL eee ede eta OG Gk Gh aL) ‘NAME & ADORESS OF ORGNEATION LSE ONES (ime ‘emt seer FOSTEN NATURE WORK [= tm eLUSNE ONES CF teetio 5 TMEOF Le 0 DEVELPMENT NTERVETINS AUN FROGRANS ATONE — | eeonone| (uo conoveren srousonen By cn (ems senor vee Caen uc SPECIAL SEL anes ON ACHCEMC DSTCTINS/RECOGUTION cn)“re you related by consanguinity or any te appoming or recommending auoy, orto the ctie of bureau ar ofce oto the person who has immediate supervision over you in he Office, Bureau or Deparment whore you willbe apoponted, within the third degree? ». within the fourth degree (for Local Govemment Unit - Career Employees)? ITYES, give deta: Oves Ono Os Ono 'a Have you ever been found gully of any administrative offense? Have you been cfiminaly charged before any court? YES, give deta: YES, give detals: Date File: Status of Casels: OD ves Ono O ves Ono 7a Have you ever been convicted ofany cme or volaon of any law, decree, ordnance or regulation by any court or tribunal? O ws IFYES, give details: 'F-Have you ever been separated from the sence n any ofthe folowing modes: resignation, rebrement, dropped from the rls, dismissal, termination, end of tem, fished contractor phased ‘ut (abolition) inthe pubic or private sector? O ves TTYES, give details: Ono “e_ & Have you ever been a candidate in anatonal or local election held within th lst year except O vs On Barangay election)? IFYES, give deta: b. Have you resigned from the goverment senice during the three (@)-mont period before the last] C] YES Ono election to promoteactively campaign fora national or local candidate? IFYES, ive deta: “a. Have you acquired the status of an immigrant or pamanent resident of another county? Lives Ow IFYES, give detais (county) “@ Pursuant to (@) indigenous People's Act (RA 6371); () Magna Cara for Disabled Persons (RA 727}; and (c) Soko Parents Welfare Act of 2000 (RA 8972), please answer the folowing items: 2. Are you a member of any indigenous group? }e. Are you a person with disability? J Are you solo parent? 41. REFERENCES (Petson no related by consanguinity oa o appar opie) WANE AODRESS Ovs lt VES, please speci ves It VES, please specity O ves It YES, please sect i TELNO. Complete stalement pursuant to the provisions of pertinent laws, rules and regulations of the [estar under cath hat Ihave personaly accomplished tis Peconal Daa Sheet which & a tue, corect and | Philippines. | authorize the agency headlauthorized representative to veriyvalidate the contents stated herein. Republic of the Ono Ono ID No: Ono ID No: 0 pcre akon win ‘relat Groene (pastpontae) Wan fu ard hancrten rnametag and snatre oer ted name Computer generated orprotacapea eure ISrotaccopabe as See Dae corned a CSFORUEE Resa PasteAttachment fo CS Form No. 212 Lol) eas) (6 ea Instructions: 1. Include only the work experiences relevant to the position being applied to. 2. The duration should include start and finish dates, if known, month in abbreviated form, if known, and year in full. For the current position, use the word Present, e.g., 1998- Present. Work experience should be listed from most recent first. ‘Sample: if applying to Supervising Administrative Officer Duration: February 11, 2011 - present Position: Human Resource Management Officer Ill Name of Office/Unit: Finance and Administrative Service Immediate Supervisor: Maria Estrada Name of Agency/Organization and Location: Department of Human Resources, Metro Manila * List of Accomplishments and Contributions (if any) © Developed recruitment plan © Designed training program for retirees under EO 366 * Summary of Actual Duties © Responsible for the management of the recruitment and selection process and the coordination of training activities of the Department; provides assistance in the management of the Division's programs and activities and performs other related functions. Duration: January 2, 2002 - February 10, 2011 Position: Administrative Officer III Name of Office/Unit: Finance and Administrative Division Immediate Supervisor: Celia Romano Name of Agency/Organization and Location: Department of Finance * List of Accomplishments and Contributions (if any) * Summary of Actual Duties © Responsible in performing administrative and technical tasks e.g., pre-screening of applicants, , preparation of monthly report on accession and separation, report of appointments issued, preparation of minutes of meetings of various HR committees and monitoring of trainings conducted; responds to queries and performs other related functions. (Signature over Printed Name of Employee/Applicant) Date: