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    Personal Data Sheet: Mannellie Liwayway Teodoro Herrera

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    Laylanie Escarlan
    This document is a personal data sheet that collects an individual's personal and family information. It begins with a warning about accurately completing the form to avoid legal issues. It requests information such as the individual's name, date of birth, address, education history, family details like spouse and children's names, and employment records. The form is used to gather information for administrative purposes.

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    Download as PDF, TXT or read online from Scribd

    Personal Data Sheet: Mannellie Liwayway Teodoro Herrera

    Uploaded by

    Laylanie Escarlan
    26 views2 pages
    This document is a personal data sheet that collects an individual's personal and family information. It begins with a warning about accurately completing the form to avoid legal issues. It requests information such as the individual's name, date of birth, address, education history, family details like spouse and children's names, and employment records. The form is used to gather information for administrative purposes.

    Original Description:

    wal

    Original Title

    MLTHerrera Resume

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    This document is a personal data sheet that collects an individual's personal and family information. It begins with a warning about accurately completing the form to avoid legal issues. It requests information such as the individual's name, date of birth, address, education history, family details like spouse and children's names, and employment records. The form is used to gather information for administrative purposes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views2 pages

    Personal Data Sheet: Mannellie Liwayway Teodoro Herrera

    Uploaded by

    Laylanie Escarlan
    This document is a personal data sheet that collects an individual's personal and family information. It begins with a warning about accurately completing the form to avoid legal issues. It requests information such as the individual's name, date of birth, address, education history, family details like spouse and children's names, and employment records. The form is used to gather information for administrative purposes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CS Form No.

    212

    PERSONAL DATA SHEET


    Revised 2017

    WARNING: Any misinterpretation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person
    concerned.
    READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
    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)

    I. PERSONAL INFORMATION
    2. SURNAME HERRERA
    FIRST NAME MANNELLIE LIWAYWAY NAME EXTENSION (JR., SR)
    MIDDLE NAME TEODORO
    3. DATE OF BIRTH
    (mm/dd/yyyy)
    11/12/1971 16. CITIZENSHIP Filipino Dual Citizenship
    by birth by naturalization
    4. PLACE OF BIRTH QUEZON CITY If holder of dual citizenship, Pls. indicate country:
    please indicate the details.
    5. SEX Male Female

    6 CIVIL STATUS Single Married 17. RESIDENTIAL ADDRESS


    Widowed Separated House/Block/Lot No. Street

    Other/s:
    Subdivision/Village Barangay
    7. HEIGHT (m) 165.10 cm
    City/Municipality Province
    8. WEIGHT (kg) 65 kg ZIP CODE

    9. BLOOD TYPE "B" 18. PERMANENT ADDRESS #038 Tupas St.


    House/Block/Lot No. Street

    10. GSIS ID NO. CM - 627976 Brgy. San Pedro


    Subdivision/Village Barangay
    Morong, Rizal
    11. PAG-IBIG ID NO. 0004 - 233330 - 1
    City/Municipality Province

    12. PHILHEALTH NO. 19 - 088703106 - 5 ZIP CODE 1960


    13. SSS NO. 33 - 1830696 - 5 19. TELEPHONE NO.

    14. TIN NO. 194-488-967 20. MOBILE NO. 09082687558 / 09062709153


    15. AGENCY EMPLOYEE NO. 5040 21. E-MAIL ADDRESS (if any) [email protected]
    II. FAMILY BACKGROUND
    22. SPOUSE'S SURNAME Herrera 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
    NAME EXTENSION (JR., SR)
    FIRST NAME Damasito Dennis Andrei T. Herrera 7/23/2000
    MIDDLE NAME Santiago
    OCCUPATION Civil Engineer
    EMPLOYER/BUSINESS NAME Makati Development Corporation

    BUSINESS ADDRESS Alabang, Muntinlupa

    TELEPHONE NO.

    24. FATHER'S SURNAME TEODORO, JR. (deceased)


    NAME EXTENSION (JR., SR)
    FIRST NAME Manuel

    MIDDLE NAME Guinto

    25. MOTHER'S MAIDEN NAME

    SURNAME Andres

    FIRST NAME Dalisay

    MIDDLE NAME Flores (Continue on separate sheet if necessary)

    III. EDUCATIONAL BACKGROUND


    SCHOLARSHIP/
    26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE HIGHEST LEVEL/
    YEAR ACADEMIC
    LEVEL UNITS EARNED
    (Write in full) (Write in full) (if not graduated)
    GRADUATED HONORS
    From To RECEIVED

    ELEMENTARY A. Regidor Elementary School 1978 1984 1984 n/a

    SECONDARY Arellano High School 1984 1988 1988 n/a

    VOCATIONAL /
    TRADE COURSE
    COLLEGE Polytechnic University of the Philippines Bachelor of Industrial Psychology 1988 1992 1992 n/a

    Immaculada Concepcion Colleges Education Units 1999 2000 21 units n/a

    GRADUATE STUDIES Rizal Technological University Master of Industrial Psychology 2004 2014 2014 n/a
    (Continue on separate sheet if necessary)

    SIGNATURE DATE CS FORM 212 (Revised 2017), Page 1 of 4

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