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CS Form No. 212
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Revised 2026PERSONAL DATA SHEET
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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.
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READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
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Tick appropriate boxes (☐) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE.
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I. PERSONAL INFORMATION
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1. SURNAME
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2. FIRST NAMENAME EXTENSION (JR., SR)
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MIDDLE NAME
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3.DATE OF BIRTH
(dd/mm/yyyy) 		16. CITIZENSHIPFALSEFALSE
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FALSEFALSE
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4.PLACE OF BIRTHIf holder of dual citizenship, Pls. indicate country:
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5.SEX AT BIRTHFALSEFALSEplease indicate the details.4
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CIVIL STATUS		FALSEFALSE17. RESIDENTIAL ADDRESS
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FALSEFALSEHouse/Block/Lot No.Street
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FALSE
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FALSE
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Subdivision/VillageBarangay
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7.HEIGHT (m)
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City/MunicipalityProvince
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8.WEIGHT (kg)ZIP CODE
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9.BLOOD TYPE18. PERMANENT ADDRESS
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House/Block/Lot No.Street
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10.UMID ID NO.
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Subdivision/VillageBarangay
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11.PAG-IBIG ID NO.
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City/MunicipalityProvince
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12.PHILHEALTH NO.ZIP CODE
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13.PhilSys Card Number (PCN):19. TELEPHONE NO.
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14. TIN NO.20. MOBILE NO.
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15AGENCY EMPLOYEE NO.21. E-MAIL ADDRESS (if any)
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II. FAMILY BACKGROUND
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22.SPOUSE'S SURNAME23. NAME of CHILDREN (Write full name and list all)DATE OF BIRTH (dd/mm/yyyy)
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 FIRST NAMENAME EXTENSION (JR., SR)
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 MIDDLE NAME
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OCCUPATION
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EMPLOYER/BUSINESS NAME
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BUSINESS ADDRESS
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TELEPHONE NO.
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(Continue on sheet C7 if necessary)
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24.FATHER'S SURNAME
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FIRST NAMENAME EXTENSION (JR., SR)
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MIDDLE NAME
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25.MOTHER'S MAIDEN NAME
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SURNAME
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FIRST NAME
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MIDDLE NAME(Continue on sheet C7 if necessary)
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III. EDUCATIONAL BACKGROUND
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26.LEVELNAME OF SCHOOL (Write in full)BASIC EDUCATION/DEGREE/COURSE (Write in full) PERIOD OF ATTENDANCE
(yyyy)		HIGHEST LEVEL/ UNITS EARNED
(if not graduated)		YEAR GRADUATED SCHOLARSHIP/ ACADEMIC HONORS RECEIVED
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FromTo
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ELEMENTARY
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SECONDARY
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VOCATIONAL / TRADE COURSE
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COLLEGE
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GRADUATE STUDIES
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(Continue on sheet C8 if necessary)
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SIGNATURE(e-signature/digital certificate)DATE
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 CS FORM 212 (Revised 2026), Page 1 of 4
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