CS FORM 212 (Revised 2005)

PERSONAL DATA SHEET

Print legibly. Mark appropriate boxes with " / " and use separate sheet if necessary. 1. CS ID No. (to be filled up by CSC)

I. PERSONAL INFORMATION
2. SURNAME
BABAGAY

FIRST NAME RYAN PAUL

MIDDLE NAME ROMAWAK 3. NAME EXTENSION (e.g. Jr., Sr.)

16. RESIDENTIAL ADDRESS
4. DATE OF BIRTH (mm/dd/yyyy) 11/25/1989
5. PLACE OF BIRTH MUNTINLUPA CITY 1746 MABINI ST. MALATE, MANILA
6. SEX Male Female
7. CIVIL STATUS
Single Widowed ZIP CODE 1000
Married Separated 17. TELEPHONE NO.
___________Others, specify18. PERMANENT ADDRESS

8. CITIZENSHIP FILIPINO 1746 MABINI ST. MALATE, MANILA

9. HEIGHT (m) 1.69Annulled
10. WEIGHT (kg) 63 ZIP CODE 1000
11. BLOOD TYPE 19. TELEPHONE NO.

12. GSIS ID NO. 0111-2040152-0 20. E-MAIL ADDRESS (if any) ryanpaulbabagay@gmail.com
13. PAG-IBIG ID NO. 1210-1077-4427 21. CELLPHONE NO. (if any) 09150039037
14. PHILHEALTH NO. 010512263270 22. AGENCY EMPLOYEE NO.
15. SSS NO. 34-1935044-5 23. TIN 402-608-298
II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME SKYRAH THALIA BABAGAY 09/04/2015

MIDDLE NA

OCCUPATION

EMPLOYER/BUS. NAME

BUSINESS ADDRESS

TELEPHONE NO.

(Continue on separate sheet if necessary)

26. FATHER'S SURNAME BABAGAY

FIRST NAME REYNALDO
MIDDLE NAME LABAJOY
27. MOTHER'S MAIDEN NAME

SURNAME ROMAWAK (DECEASED)

FIRST NAME CONSORCIA
MIDDLE NAME BANDALAN (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND YEAR

GRADUATED INCLUSIVE DATES OF
28. HIGHEST GRADE/
NAME OF SCHOOL DEGREE COURSE ATTENDANCE SCHOLARSHIP/
LEVEL/
LEVEL (Write in (Write in full) ACADEMIC HONORS
UNITS EARNED
full) From To RECEIVED
(if not graduated)
(if
graduated)
BAGONG TANYAG ELEMENTARY SCHOOL
ELEMENTARY ELEMENTARY 2003 1997 2003
ANNEX A
DR. ARCADIO SANTOS NATIONAL HIGH
SECONDARY HIGH SCHOOL 2007 2003 2007
VOCATIONAL / SCHOOL

N/A
COLLEGE
TRADE COURSE BSIT -
TAGUIG CITY UNIVERSITY 2011 2007 2011
ELECTRONICS

GRADUATE STUDIES
N/A

(Continue on separate sheet if necessary)

Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
29. DATE OF LICENSE (if applicable)
CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER
RATING EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
SPECIAL LAWS/ CES/ CSEE NUMBER DATE OF
CONFERMENT
RELEASE

N/A

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE (Include private employment. Start from your current work) GOV'T
SERVICE
30. INCLUSIVE DATES POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY SALARY GRADE
(mm/dd/yyyy) MONTHLY & STEP STATUS OF
SALARY INCREMENT APPOINTMENT
(Write in full) (Write in full) (Format "00-0")
From To (Yes /
No)
07/01/2016 PRESENT JOB ORDER 7 OFFICE OF THE MAYOR - MANILA 11,992.00 JOB ORDER NO

OFFICE OF THE CITY ACCOUNTANT -

01/01/2016 06/30/2016 JOB ORDER 7 11,992.00 JOB ORDER NO
MANILA
CONTRACT
08/29/2014 05/31/2015 BRAND PROMOTER BERLEIN ELECTRONICS, INC. 12,000.00 NO
UAL
SENTINEL CREDIT INFORMATION CONTRACT
01/28/2014 07/11/2014 OFFICE CLERK 11,000.00 NO
SERVICE, INC. UAL
PROJECT-
11/02/2013 01/24/2014 BRAND AMBASSADOR BELEXIS CONCEPTS, INC. 12,000.00 NO
BASED

01/12/2011 12/31/2011 TEAM LEADER PSI TECHNOLOGIES, INC. 12,000.00 REGULAR NO

(Continue on separate sheet if necessary)

CS FORM 212 (Revised 2005), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
31. NAME & ADDRESS OF ORGANIZATION NUMBER OF
(Write in full) (mm/dd/yyyy) POSITION / NATURE OF WORK
HOURS
From To

N/A

VII. TRAINING PROGRAMS (Start from the most recent training.)

INCLUSIVE DATES OF ATTENDANCE
32. TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORT COURSES (Write NUMBER OF CONDUCTED/ SPONSORED BY
in full) (mm/dd/yyyy) HOURS (Write in full)
From To

N/A

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN
NON-ACADEMIC DISTINCTIONS / RECOGNITION: ASSOCIATION/ORGANIZATION
33. SPECIAL SKILLS / HOBBIES: 34. 35.
(Write in full)
(Write in full)
PLAYING BASKETBALL N/A N/A

KNOWLEDGEABLE IN MS WORD, EXCEL

(Continue on separate sheet if necessary)

CS FORM 212 (Revised 2005), Page 3 of 4

36. Are you related by consanguinity or affinity to any of the following :

a. Within the third degree (for National Government Employees): YES NO

appointing authority, recommending authority, chief of office/bureau/department or person who If YES, give details:
has immediate supervision over you in the Office, Bureau or Department where you will be _____________________________________
appointed? _____________________________________
_____________________________________

b. Within the fourth degree (for Local Government Employees): YES NO

appointing authority or recommending authority where you will be appointed? If YES, give details:
_____________________________________
_____________________________________
_____________________________________
37 a. Have you ever been formally charged? YES NO
If YES, give details:
________________________________
________________________________
b. Have you ever been guilty of any administrative offense? YES NO
If YES, give details:
________________________________
________________________________
38. 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:
________________________________
________________________________
39. 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, AWOL or
phased out, in the public or private sector? If YES, give details:
________________________________
________________________________

40. Have you ever been a candidate in a national or local election (except Barangay election)? YES NO
If YES, give details:
________________________________
________________________________
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:

a. Are you a member of any indigenous group? YES NO

If YES, please specify: ____________________
b. Are you differently abled? YES NO
If YES, please specify: ____________________
c. Are you a solo parent? YES NO
If YES, please specify: ____________________
42. REFERENCES (Person not related by consanguinity or affinity to applicant / appointee)

NAME ADDRESS TEL. NO.

KIM CARELL SIMBAHAN SAN JUAN CITY 09279112589

ID picture taken within
the last 6 months
DIANA RUIZ MAKATI CITY 09177136867 3.5 cm. X 4.5 cm
(passport size)
VICTORINO TAN CALOOCAN CITY 09331896968
Computer generated
43. I declare under oaththat this Personal Data Sheet has been accomplished by me, and is a true, correct and or xerox copy of picture
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the is not acceptable

Philippines.

I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust
that this information shall remain confidential. PHOTO

27154033
COMMUNITY TAX CERTIFICATE NO.

MANILA
ISSUED AT SIGNATURE (Sign inside the box)

07/11/2016
ISSUED ON (mm/dd/yyyy) DATE ACCOMPLISHED RIGHT THUMBMARK

CS FORM 212 (Revised 2005), Page 4 of 4