Beruflich Dokumente
Kultur Dokumente
212
Revised 2017
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 BARBA
N/A
FIRST NAME ODHESSA ROSS
OCCUPATION N/A
SURNAME BARBA
SECONDARY
VOCATIONAL / AMULUNG NATIONAL HIGH SCHOOL High School 2012 2015
NONE
TRADE
BACHELOR POF SCIENCE IN
COURSE
COLLEGE SAINT PAUL UNIVERSITY PHILIPPINES 2015 2019
INFORMATION TECHNOLOGY
GRADUATE STUDIES
SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity
V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
28. INCLUSIVE DATES (mm/dd/ SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)
07/01/19 PRESENT CLERK LOCAL GOVERNMENT UNIT AMULUNG 7700 JOB ORDER
SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To
THE EMERGING WORLD OF DATA SCIENCE 04/26/18 04/27/18 16HRS TECHNICAL SAINT PAUL UNIVERSITY PHILIPPINES
TCON4-PITCH PLEASE:ENVISION,ENGAGE,ENRICH 12/02/18 12/02/18 8HRS TECHNICAL SAINT PAUL UNIVERSITY PHILIPPINES
OVERVIEW OF CIPM CERTIFICATION 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
CURRENT TRENDS IN CYBERSECURITY 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
DATA PRIVACY ISSUES AND COMPLIANCE 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
HOT TOPICS IN CYBERSECURITY 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
CYBER SECURITY CERTIFICATIONS 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
TOP 5 CONCERNS IN DATA PRIVACY 12/08/18 12/08/18 8HRS TECHNICAL COMPTIA,ICDL,EC-COUNCIL
AI MACHINE LEARNING IN BROWSER SING ADVANCED JAVASCRIPT 01/16/19 01/16/19 8HRS TECHNICAL SAINT PAUL UNIVERSITY PHILIPPINES
BUILDING MOBILE APPLICATION USING IONIC ON ANDROID AND IOS 01/17/19 01/17/19 8HRS TECHNICAL SAINT PAUL UNIVERSITY PHILIPPINES
INTERNET OF THINGS USING ARDUINO APPLICATION 06/03/19 06/04/19 16HRS TECHNICAL SAINT PAUL UNIVERSITY PHILIPPINES
SETTING UP NETWORKS
ATTENDING SEMINARS
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? ________________________________
________________________________
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:
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
is not acceptable
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 administrative/ PHOTO
criminal case/s against me.
ID/License/Passport No.:
Signature (Sign inside the box)
Date/Place of Issuance:
Date Accomplished Right Thumbmark
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.