Beruflich Dokumente
Kultur Dokumente
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME DELIZO
III
FIRST NAME EUFEMIANO ALBERT
4. PLACE OF BIRTH SAN JOAQUIN, ILOILO CITY If holder of dual citizenship, Pls. indicate cou
please indicate the details.
5. SEX MALE
15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) euandelizo26@yahoo.com
MIDDLE NAME
OCCUPATION
EMPLOYER/BUSINESS NAME
BUSINESS ADDRESS
TELEPHONE NO.
SURNAME DELIZO
YEAR YEAR
ELEMENTARY MATAMBOG ELEMENTARY SCHOOL
2000 2006
SECONDARY /
VOCATIONAL TUBAO NATIONAL HIGH SCHOOL YEAR 2006 YEAR 2010
N/A
TRADE
COURSE YEAR
COLLEGE POLYTECHNIC COLLEGE OF LA UNION BACHELOR OF SCIENCE IN CRIMINOLOGY YEAR 2011
2015
III
FILIPINO
PUROK#7
Street
FRANCIA WEST, TUBAO, LA UNION
Barangay
LA UNION
Province
2509
PUROK#7
Street
FRANCIA WEST, TUBAO, LA UNION
Barangay
LA UNION
Province
N/A
0995-0717-459
euandelizo26@yahoo.com
N/A
FEBUARY 6, 1962
DECEMBER 17,1960
SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED
2006
2010
2015
Jan. 2018 Dec. 2018 Review Assistant Prudence Research and Review Center 9740.00 Casual
Jul. 2017 Dec. 2017 Review Assistant Prudence Research and Review Center 8, 000 Casual
Jan. 2017 Jun. 2017 Security Personnel SYMEX SCRTY AGENCT, INC. 8, 000 Casual
Jan. 2016 Dec. 2016 Review Assistant Prudence Research and Review Center 8, 000 Casual
(Continue on separate sheet if necessary)
Date of
Validity
7/1/2022
GOV'T
SERVICE
(Y/ N)
N
arate sheet if necessary)
N/A
N/A
(Continue on separate sheet if necessary)
WATCHING NEWS
SIGNATURE DATE
/ PEOPLE / VOLUNTARY ORGANIZATION/S
CONDUCTED/ SPONSORED BY
(Write in full)
eparate sheet if necessary)
MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)
PROFESSIONAL CRIMINOLOGIST
ASSOCIATION OF THE PHILIPPINES
35. a. Have you ever been found guilty of any administrative offense?
If YES, give details:
________________________________
NO
________________________________
b. Have you been criminally charged before any court?
If YES, give details:
________________________________
Date Filed: NO
________________________________
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation
by any court or tribunal?
If YES, give details:
________________________________
NO
________________________________
37. 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 or phased If YES, give details:
out (abolition) in the public or private sector? ________________________________
NO
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except
Barangay election)?
If YES, give details: NO
b. Have you resigned from the government service during the three (3)-month period before the last
election to promote/actively campaign for a national or local candidate? If YES, give details: NO
39. Have you acquired the status of an immigrant or permanent resident of another country?
If YES, give details (country):
NO
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?
If YES, please specify: NO
b. Are you a person with disability?
If YES, please specify ID No: NO
c. Are you a solo parent?
If YES, please specify ID No: NO
Computer generated
JUNAS A. DIFUNTORUM ARINGAY, LA UNION 9053233662 or photocopied picture
is not acceptable
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines. I authorize the agency head/authorized representative to verify/validate the contents stated herein.
I agree that any misrepresentation made in this document and its attachments shall cause the filing of PHOTO
administrative/criminal case/s against me.
Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)
PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PRC
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.