PDS Latest
PDS Latest
PDS Latest
212
Revised 2017
I. PERSONAL INFORMATION
SURNAME BALLOBAN
MIDDLE NAME UY
3. DATE OF BIRTH
(mm/dd/yyyy)
10/22/1991 16. CITIZENSHIP ✘ Filipino Dual Citizenship
✘ by birth by naturalization
4. PLACE OF BIRTH VALENZUELA CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female
OCCUPATION SELF-EMPLOYED
SURNAME MERCADER
GRADUATE STUDIES
BCCDI (BICOL CENTER FOR COMMUNITY DEVELOPMENT INC.) 11/5/2011 2/28/2012 COMMUNITY ORGANIZER
PASWI (PHILIPPINE ASSOCIATION OF SOCIAL WORKER INC.) 6/1/2012 MEMBER
6/1/2013
RED CROSS PHILIPPINES 6/1/2012 6/1/2013 MEMBER
AKO PARA SA BATA 2022 "TEACHER, ANONG GAGAWIN SA AKO PARA SA BATA (CHILD PROTECTION
10/21/2022 10/21/2022 2 HOURS
SUMBONG NG PANG-AABUSO" NETWORK)
AKO PARA SA BATA 2022 " ANDYAN SI ALENG PULIS" AT " AKO PARA SA BATA (CHILD PROTECTION
10/14/2022 10/14/2022 2 HOURS
TESTEFYING NG BATA" NETWORK)
CAPABILITY BUILDING TRAINING DISHWASHING LIQUID PRESIDENTIAL COMMISSION FOR THE URBAN
7/19/2022 7/19/2022 8 HOURS
TRAINING POOR
LIVELIHOOD TRAINING: DISHWASHING LIQUID MAKING AS PRESIDENTIAL COMMISSION FOR THE URBAN
6/21/2021 6/21/2021 5 HOURS
A MEANS OF LIVELIHOOD DURING PANDEMIC POOR
DEPRESSION AND SUICIDE 4/12/2019 4/12/2019 8 HOURS ST. JUDE TRAINING CENTER
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or
YES ✘ NO
regulation by any court or tribunal?
If YES, give details:
________________________________
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, YES ✘ NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or If YES, give details:
phased out (abolition) in the public or private sector? ________________________________
a. Have you ever been a candidate in a national or local election held within the last year ________________________________
38. YES ✘ NO
(except Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before YES ✘ NO
the last election to promote/actively campaign for a national or local candidate? If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):
40. Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for Disabled Persons
(RA 7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following
items:
a. Are you a member of any indigenous group? YES ✘ NO
If YES, please specify:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.