Beruflich Dokumente
Kultur Dokumente
I. PERSONAL INFORMATION
2. SURNAME FIRST NAME MIDDLE NAME
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01/15/1981
Panitan,Capiz Male Single Married Annull ed FILIPINO 1.59 55 "O" N/A 1080-0285-1736 03-000228055-4 07-3189435-2
ZIP CODE 19. TELEPHONE NO.
5805 None
8. CITIZENSHIP 9. HEIGHT (m) 10. WEIGHT (kg) 11. BLOOD TYPE 12. GSIS ID NO. 13. PAG-IBIG ID NO. 14. PHILHEALTH NO. 15. SSS NO.
21. CELLPHONE NO. (if any)09214237497 22. AGENCY EMPLOYEE NO. 23. TIN
302-027-293-000
N/A
N/A
/ N/A / / / / / / / / / / / / / / / / / / / / / / / / /
(Continue on separate sheet if necessary) HIGHEST GRADE/ LEVEL/ UNITS EARNED (if not graduated)
IVISAN ELEMENTARY SCHOOL IVISAN NATIONAL HIGH SCHOOL FILAMER CHRISTIAN COLLEGE BACHELOR OF ELEMENTARY EDUCATION
1997 2003
GRADUATE STUDIES
POST GRADUATE
ILOILO,CITY
0900081
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30. INCLUSIVE DATES (mm/dd/yyyy) From To POSITION TITLE (Write in full) DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY (Write in SALARY full)
SALARY GRADE & STATUS OF STEP APPOINTMEN INCREMENT T (Format "000")
GOV'T SERVICE
BUREAU OF FIRE PROTECTION LEAVE MNGT SECTION/PRMD PROTECTION BUREAU OF FIRE LEAVE MNGT SECTION/PRMD BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV BUREAU OF FIRE PROTECTION RECORDS SECTION/ADMIN.DIV FIRE NATIONAL TRAINING INSTITUTE
06/01/20 11
Present
FO2 / LEAVE PROCESSOR FO2 / LEAVE PROCESSOR FO2 / LEAVE PROCESSOR FO2 / LEAVE PROCESSOR FO1 / LEAVE PROCESSOR FO1 / LEAVE PROCESSOR FO1 / LEAVE PROCESSOR FO1 / LEAVE PROCESSOR FO1 / OJT FO1 / TRAINEE FO1 / OJT
PERM PERM PERM PERM PERM PERM PERM TEMP TEMP TEMP TEMP
No) YES
(Yes /
10/19/20 05/31/201 10 1 06/24/20 10/18/201 10 0 03/08/20 06/23/201 10 0 07/01/20 03/07/201 09 0 07/01/20 06/30/200 08 9 12/19/20 06/30/200 07 8 12/06/20 12/18/200 07 7 11/16/20 12/05/200 07 7 07/09/20 11/15/200 07 7 02/21/20 07/08/200 07 7
YES YES YES YES YES YES YES YES YES YES
N/A
/ / / /
/ / / /
/ / / /
/ / / /
N/A
From
CUSTOMER RELATIONS OFFICERS (CRO) SEMINAR SEMINAR ON ARSON INVESTIGATION AND EVIDENCE COLLECTION FOR FEMALE FIREFIGHTERS SEMINAR-WORKSHOP ON ADMINISTRATIVE MATTERS HOLY ROSARY MONTH AND HOLY EUCHARIST SEMINAR-WORKSHOP ON RECORDS MANAGEMENT AND LEAVE ADMINISTRATION SEMINAR-WORKSHOP ON RECORDS MANAGEMENT AND LEAVE ADMINISTRATION FIRE BASIC RECRUIT COURSE (FBRC) CLASS 2007-45 GAS ENGINE TUNE UP SOLDIERS OF CHRIST MOVEMENT,INC VALUE FORMATION PROGRAM BFP RECRUIT ORIENTATION PROGRAM
BUREAU OF FIRE 04/19/2010 04/21/2010 24 HRS PROTECTION OFFICE OF THE RECORDS SECTION BUREAU OF FIRE 10/21/2009 10/22/2009 16 HRS PROTECTION CHAPLAIN SERVICE UNIT BUREAU OF FIRE 05/07/2009 05/08/2009 16 HRS PROTECTION OFFICE OF THE RECORDS SECTION BUREAU OF FIRE 04/14/2008 04/15/2008 16 HRS PROTECTION OFFICE OF THE RECORDS SECTION 07/09/2007 11/15/2007 640 HRS FIRE NATIONAL TRAINING INSTITUTE
TECHNICAL EDUCATION 10/11/2007 10/12/2007 16 HRS AND SKILLS DEVELOPMENT AUTHORITY 08/03/2007 08/05/2007 50 HRS RABBI APOSTOLATE TEAM 03/06/2007 03/28/2007 184 HRS BUREAU OF FIRE PROTECTION
COMPUTER LITERATE
MEDALYA NG PAPURI B.O # AWD-2009-342 MEDALYA NG KASANAYAN B.O # AWD-2008-442 MEDALYA NG PAPURI B.O # AWD-2008-300 MEDALYA NG KASANAYAN B.O # AWD-2008-293 MEDALYA NG PAPURI B.O # AWD-2008-091
AFPMBAI
AFPSLAI
36. Are
you related by consanguinity or affinity to any of the following : YES NO If YES, give details: ____________________________________ _ ____________________________________ _ ____________________________________ YES NO _ If YES, give details: ____________________________________ _ ____________________________________ _ YES NO ____________________________________ If _ YES, give details: ________________________________ ________________________________ YES NO If YES, give details: ________________________________ ________________________________ YES NO If YES, give details: ________________________________ ________________________________ YES NO
a. Within
the third degree (for National Government Employees): appointing authority, recommending authority, chief of office/bureau/department or person who has immediate supervision over you in the Office, Bureau or Department where you will be appointed? the fourth degree (for Local Government Employees): appointing authority or recommending authority where you will be appointed?
b. Within
37 a.
38. Have
you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal?
39. Have
you ever been separated from the service in any of the following modes: resignation, retirement, dropped from the rolls, dismissal, termination, end of term, finished contract, AWOL or phased out, in the public or private sector?
40. Have
you ever been a candidate in a national or local election (except Barangay election)?
41. 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: Are you a member of any indigenous group? Are you differently abled? Are you a solo parent? YES NO If YES, please specify: ____________________ YES NO If YES, please specify: ____________________ YES NO If YES, please specify: ____________________
a. b. c.
42. REFERENCES (Person not related by consanguinity or affinity to applicant / appointee) NAME ADDRESS TEL. NO.
BFP-NHQ BFP-NHQ
995-7970
ID picture taken within the last 6 months 3.5 cm. X 4.5 cm (passport size) Computer generated or xerox copy of picture is not acceptable
43. I
declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines. I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust that this information shall remain confidential. 24755174
COMMUNITY TAX CERTIFICATE NO.
PHOTO
Manila
ISSUED AT SIGNATURE (Sign inside the box)
03/29/2011
ISSUED ON (mm/dd/yyyy)