Beruflich Dokumente
Kultur Dokumente
212
Revised 2018
PERSONAL DATA SHEET
WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s ag
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 no
I. PERSONAL INFORMATION
2. SURNAME Estanda
NAME EXTENSION (JR., SR)
FIRST NAME Alexis
Other/s:
Mak
Subdivision/Village Bara
7. HEIGHT (m) 1.67 Parang Maguin
City/Municipality Prov
8. WEIGHT (kg) 72kgs ZIP CODE 9604
18. PERMANENT ADDRESS
9. BLOOD TYPE "A"
House/Block/Lot No. Str
15. AGENCY EMPLOYEE NO. 284987 21. E-MAIL ADDRESS (if any) alexis_estanda@yahoo.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all)
OCCUPATION N/A
SURNAME Canaway
SECONDARY /
VOCATIONAL Villarica High School High School 2005 2009 N/A
Dual Citizenship
by naturalization
Street
Making
Barangay
Maguindanao
Province
9604
Street
Poblacion 8
Barangay
North Cotabato
Province
9410
N/A
09064606781/09072203300
alexis_estanda@yahoo.com
SCHOLARSHI
YEAR
P/ ACADEMIC
GRADUATED
HONORS
RECEIVED
2005 N/A
2009 N/A
N/A N/A
2013 N/A
N/A N/A
eparate sheet if necessary)
7/26/2019
CS FORM 212 (Revised 2018), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if ap
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Date of
Validity
04/12/2021
GOV'T
SERVICE
(Y/
N)
Y
Y
arate sheet if necessary)
Profissional
Computer Literate Medalya ng Papuri-7
SIGNATURE DATE
CS FO
NT / PEOPLE / VOLUNTARY ORGANIZATION/S
Criminology Instructor
CONDUCTED/ SPONSORED BY
(Write in full)
MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
(Write in
full)
Profissional Criminology Association of the
Philippines
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed:
________________________________
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation
YES ✘ NO
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 phased If YES, give details:
out (abolition) in the public or private sector? Resignation in i-Link College
of Science and Technology
38. a. Have you ever been a candidate in a national or local election held within the last year (except YES ✘ NO
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES ✘ NO
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.