This document is a personal data sheet that collects an individual's personal and family information. It requests information such as name, date of birth, address, contact details, citizenship, civil status, family members, educational background, and employment experience. It warns that any misrepresentation made could result in administrative or criminal cases.
This document is a personal data sheet that collects an individual's personal and family information. It requests information such as name, date of birth, address, contact details, citizenship, civil status, family members, educational background, and employment experience. It warns that any misrepresentation made could result in administrative or criminal cases.
This document is a personal data sheet that collects an individual's personal and family information. It requests information such as name, date of birth, address, contact details, citizenship, civil status, family members, educational background, and employment experience. It warns that any misrepresentation made could result in administrative or criminal cases.
This document is a personal data sheet that collects an individual's personal and family information. It requests information such as name, date of birth, address, contact details, citizenship, civil status, family members, educational background, and employment experience. It warns that any misrepresentation made could result in administrative or criminal cases.
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 OLAMIT NAME EXTENSION (JR., SR) FIRST NAME JOHANNA GERMAINE MIDDLE NAME CU 3. DATE OF BIRTH (mm/dd/yyyy) 12/9/1987 16. CITIZENSHIP Filipino Dual Citizenship by birth by naturalization 4. PLACE OF BIRTH DAVAO CITY If holder of dual citizenship, Pls. indicate country: please indicate the details. 5. SEX Male Female
Single Married 17. RESIDENTIAL ADDRESS PUROK 2
6 CIVIL STATUS House/Block/Lot No. Street Widowed Separated MABUA Other/s: Subdivision/Village Barangay SURIGAO CITY SURIGAO DEL NORTE 7. HEIGHT (m) 1.6256 M City/Municipality Province 8. WEIGHT (kg) 105 KGS ZIP CODE 8400
18. PERMANENT ADDRESS PUROK 2
9. BLOOD TYPE 0+ House/Block/Lot No. Street MABUA 10. GSIS ID NO. N/A Subdivision/Village Barangay SURIGAO CITY, SURIGAO DEL NORTE 11. PAG-IBIG ID NO. 121143299932 City/Municipality Province
12. PHILHEALTH NO. 160502386295 ZIP CODE 8400
13. SSS NO. 0927738099 19. TELEPHONE NO. N/A
14. TIN NO. 485-411-467-000 20. MOBILE NO. 0999-8890848
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) [email protected] DATE OF II. FAMILY BACKGROUND BIRTH 22. SPOUSE'S SURNAME OLAMIT 23. NAME of CHILDREN (Write full name and list all) NAME EXTENSION (JR., SR) FIRST NAME CHARLIE CU, KATSUMI HALLI YANMEI 8/262009
MIDDLE NAME MIRA OLAMIT, BLESSED CHARLESJOHN CU 3/19/2017
OCCUPATION TRICYCLE DRIVER OLAMIT, JOHNJAX EVAN CU 8/19/2018
EMPLOYER/BUSINESS NAME
BUSINESS ADDRESS
TELEPHONE NO. 0956-0887538
24. FATHER'S SURNAME CU NAME EXTENSION (JR., SR) FIRST NAME JOHAN MIDDLE NAME EVA 25. MOTHER'S MAIDEN NAME
SURNAME BORJA FIRST NAME ANAFLOR (Continue on MIDDLE NAME ORONGAN separate sheet III. EDUCATIONAL BACKGROUND SCHOLARSHIP/ 26. PERIOD OF ATTENDANCE HIGHEST LEVEL/ NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR ACADEMIC LEVEL UNITS EARNED (Write in full) (Write in full) (if not graduated) GRADUATED HONORS From To RECEIVED
MARCH 2001 WITH
ELEMENTARY HOLY CHILD COLLEGE OF DAVAO BASIC EDUCATION 6/1/1996 3/1/2001 GRADUATED HONORS APR 2015 GSP OF THE SECONDARY CARAGA REGIONAL SCIENCE HIGH SCHOOL BASIC EDUCATION 6/1/2001 4/1/2005 GRADUATED YEAR VOCATIONAL / SEPTEMBER TRADE COURSE JOJI ILAGAN BIAN ACADEMY ENGLISH PROFICIENCY COURSE 8/1/2007 9/1/2007 COMPLETED 2008 BACHELOR OF SECONDARY EDUCATION APRIL 2015 COLLEGE NORTHEASTERN MINDANAO COLLEGES (MAJOR IN ENGLISH) 10/1/2010 4/18/2015 GRADUATED
