CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

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.

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 RAMOS
NAME EXTENSION (JR., SR)
FIRST NAME RAYMUND

MIDDLE NAME PATRICIO

3. DATE OF BIRTH
(mm/dd/yyyy) 7/23/1990 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by
✘ by naturalization
birth
4. PLACE OF BIRTH MIANA SUBD. POLOMOLOK, SOUTH COTABATO If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female

6 CIVIL STATUS
✘ Single Married 17. RESIDENTIAL ADDRESS 1213 MIANA
Widowed Separated House/Block/Lot No. Street
SUBDIVISION POBLACION
Other/s:
Subdivision/Village Barangay
7. HEIGHT (m) 5'5 POLOMOLOK SOUTH COTABATO
City/Municipality Province
8. WEIGHT (kg) 65 ZIP CODE 9504
18. PERMANENT ADDRESS 1213 MIANA
9. BLOOD TYPE A+
House/Block/Lot No. Street

10. GSIS ID NO. N/A SUBDIVISION POBLACION

Subdivision/Village

11. PAG-IBIG ID NO. 1212-0294-2599 POLOMOLOK SOUTH COTABATO

City/Municipality Province

12. PHILHEALTH NO. 17-050421325-3 ZIP CODE 9504

13. SSS NO. 09-4264145-9 19. TELEPHONE NO. N/A

14. TIN NO. 705-946-831-000 20. MOBILE NO. 0910-307-3999

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) [email protected]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME N/A N/A

MIDDLE NAME N/A

OCCUPATION N/A

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME RAMOS

NAME EXTENSION (JR., SR)
FIRST NAME ROGELIO SR

MIDDLE NAME RONQUILLO

25. MOTHER'S MAIDEN NAME

SURNAME PATRICIO

FIRST NAME ERLINDA

MIDDLE NAME ORPILLA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY POLOMOLOK CENTRAL ELEMENTARY SCHOOL N/A 6/1/1996 3/1/2002 N/A 2002 N/A

SECONDARY /
VOCATIONAL POBLACION POLOMOLOK NATIONAL HIGH SCHOOL N/A 6/1/2002 3/1/2006 N/A 2006 N/A

N/A N/A N/A N/A N/A N/A N/A

TRADE
BACHELOR OF SECONDARY EDUCATION
COURSE
COLLEGE NOTRE DAME-SIENA COLLEGE OF POLOMOLOK
MAJOR IN ENGLISH 6/4/2012 10/26/2016 N/A 2016 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE April 24, 2023

CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

LICENSURE EXAMINATION FOR TEACHERS 85.2 10/2/2022 REGENCY POLYTECHNIC COLLEGE INC. 1998451 7/23/2026

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)

6/1/2022 5/30/2023 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 11000.00 N/A CONTRACTUAL NO

6/1/2021 5/30/2022 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 10000.00 N/A CONTRACTUAL NO

6/1/2020 5/30/2021 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 8500.00 N/A CONTRACTUAL NO

6/1/2019 3/31/2020 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 8000.00 N/A CONTRACTUAL NO

6/1/2018 3/31/2019 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 7500.00 N/A CONTRACTUAL NO

6/1/2017 3/31/2018 TEACHER ADVISER POWER PURPLE CHILDREN SCHOOL 7500.00 N/A CONTRACTUAL NO

6/1/2016 3/31/2017 TEACHER PARTNER POWER PURPLE CHILDREN SCHOOL 5500.00 N/A CONTRACTUAL NO

(Continue on separate sheet if necessary)

SIGNATURE DATE April 24, 2023

CS FORM 212 (Revised 2017), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
(mm/dd/yyyy)
Technical/etc)
From To

LEAD WORKPLACE COMMUNICATION 2/1/2023 2/11/2023 80.0 MARK JESSEL P. MALVAR

COMMUNICATE INFORMATION ABOUT WORKPLACE PROCESSES 2/1/2023 2/2/2023 16.0 MARK JESSEL P. MALVAR

LEAD WORKPLACE DISCUSSION 2/3/2023 2/4/2023 16.0 MARK JESSEL P. MALVAR

IDENTIFY AND COMMUNICATE ISSUES ARISING IN THE WORKPLACE 2/6/2023 2/7/2023 16.0 MARK JESSEL P. MALVAR

PROVIDE TEAM LEADERSHIP 2/8/2023 2/9/2023 16.0 MARK JESSEL P. MALVAR

SUPERVISE TEAM PERFORMANCE 2/10/2023 2/11/2023 16.0 MARK JESSEL P. MALVAR

NCII BREAD AND PASTRY PRODUCTION 12/1/2019 3/6/2022 108.0 RHODORA D. ORGANIA

PPCSPI TEACHERS' TEACHING ENHANCEMENT SEMINAR 9/26/2022 8.0 LIGAYA R. ORBESIDO

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. (Write in
(Write in full)
full)

SINGING MODEL TEACHER FOR THE MONTH OF MARCH 2023 PAFTE ASSOCIATE MEMBER 2023-PRESENT

PLAYING GUITAR MODEL CLASSROOM FOR THE MONTH OF MARCH 2023 NDSCP-ALUMNI ASSOCIATION 2017-PRESENT

ENVIRONMENT FRIENDLY CLASS/MODEL TEACHER AND MODEL CLASSROOM FOR THE MONTH OF
POSTER MAKING/DRAWING SEPTEMBER TO NOVEMBER 2019
TEATRO SIENA 2015-2016

PLAYING SOCCER, BASKETBALL and NOTRE DAME-SIENA COLLEGE OF POLOMOLOK CHOIR

NOTRE DAME-SIENA COLLEGE OF POLOMOLOK POSTER MAKING CHAMPION 2012-2016
BADMINTON MEMBER 2011-2016
POBLACION POLOMOLOK NATIONAL HIGH SCHOOL
HOSTING POBLACION POLOMOLOK NATIONAL HIGH SCHOOL FOOTBALL CLUB CHAMPION (DISTRICT MEET) 2005
CHOIR MEMBER 2004-2006
POBLACION POLOMOLOK NATIONAL HIGH SCHOOL
SOUND/MUSIC OPERATOR PAMBANSANG MUZIKLABAN CHAMPION (GENSAN 2008) FOOTBALL CLUB VARSITY 2002-2006

(Continue on separate sheet if necessary)

SIGNATURE DATE April 24, 2023

CS FORM 212 (Revised 2017), Page 3 of 4
0975-986-5023