TEMPLATE - PDS.xlsx - Google Sheets

	A	B	D	G	I	J	K	L	M	N
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3	PERSONAL DATA SHEET
4	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.
5	READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
7	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)
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9	I. PERSONAL INFORMATION
10	2.	SURNAME	DELA CRUZ
11		FIRST NAME	JUAN					NAME EXTENSION (JR., SR)
12		MIDDLE NAME	PALABAN					JR.
13	3.	DATE OF BIRTH (mm/dd/yyyy)	10/2/1981	16. CITIZENSHIP
14			10/2/1981
15	4.	PLACE OF BIRTH	QUEZON CITY	If holder of dual citizenship,				Pls. indicate country:
16	5.	SEX		please indicate the details.
17	6	CIVIL STATUS		17. RESIDENTIAL ADDRESS	123			Visayas Avenue
18	6	CIVIL STATUS			House/Block/Lot No.			Street
19					N/A			Vasra
20					N/A			Vasra
21					Subdivision/Village			Barangay
22	7.	HEIGHT (m)	1.68		Quezon City			National Capital Region
23	7.	HEIGHT (m)	1.68		City/Municipality			Province
24	8.	WEIGHT (kg)	60	ZIP CODE	1101
25	9.	BLOOD TYPE	O	18. PERMANENT ADDRESS	123			Visayas Avenue
26	9.	BLOOD TYPE	O		House/Block/Lot No.			Street
27	10.	GSIS ID NO.	2002-234111		N/A			Vasra
28	10.	GSIS ID NO.	2002-234111		Subdivision/Village			Barangay
29	11.	PAG-IBIG ID NO.	123456		Quezon City			National Capital Region
30	11.	PAG-IBIG ID NO.	123456		City/Municipality			Province
31	12.	PHILHEALTH NO.	123456	ZIP CODE	1101
32	13.	SSS NO.	123456	19. TELEPHONE NO.	1234567
33	14. TIN NO.		123456	20. MOBILE NO.	12345678910
34	15. AGENCY EMPLOYEE NO.		123	21. E-MAIL ADDRESS (if any)	juan@gmail.com
35	II. FAMILY BACKGROUND
36	22.	SPOUSE'S SURNAME	N/A		23. NAME of CHILDREN (Write full name and list all)				DATE OF BIRTH (mm/dd/yyyy)
37		FIRST NAME		NAME EXTENSION (JR., SR)	N/A				N/A
38		MIDDLE NAME
39		OCCUPATION
40		EMPLOYER/BUSINESS NAME
41		BUSINESS ADDRESS
42		TELEPHONE NO.
43	24.	FATHER'S SURNAME	DELA CRUZ
44		FIRST NAME	JUAN	NAME EXTENSION (JR., SR)
45		MIDDLE NAME	MATIPUNO	N/A
46	25.	MOTHER'S MAIDEN NAME
47		SURNAME	PALABAN
48		FIRST NAME	JUANA
49		MIDDLE NAME	KATIPUNAN		(Continue on separate sheet if necessary)
50	III. EDUCATIONAL BACKGROUND
51	26.	LEVEL	NAME OF SCHOOL (Write in full)	BASIC EDUCATION/DEGREE/COURSE (Write in full)		PERIOD OF ATTENDANCE		HIGHEST LEVEL/ UNITS EARNED (if not graduated)	YEAR GRADUATED	SCHOLARSHIP/ ACADEMIC HONORS RECEIVED
52	26.					PERIOD OF ATTENDANCE
53						From	To
54		ELEMENTARY	PUROK NAGKAISA NATIONAL HIGH SCHOOL	ELEMENTARY		5/6/1989	3/4/1995	N/A	1992	N/A
55		SECONDARY	PUROK NAGKAISA NATIONAL HIGH SCHOOL	HIGH SCHOOL		11/6/1995	11/4/1999	N/A	1996	N/A
56		VOCATIONAL / TRADE COURSE	N/A	N/A		N/A	N/A	N/A	N/A	N/A
57		COLLEGE	SAN ISIDRO COLLEGE	BS Criminology		6/26/1999	4/27/2000	23 units	N/A	N/A
58		GRADUATE STUDIES	N/A	N/A		N/A	N/A	N/A	N/A	N/A
59	(Continue on separate sheet if necessary)
60	SIGNATURE					DATE
61	CS FORM 212 (Revised 2017), Page 1 of 4
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