PERSONAL DATA SHEET

WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal
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.

I. PERSONAL INFORMATION
2. SURNAME ABACAHIN

FIRST NAME ALMA

MIDDLE NAME GRAN

3. 16. CITIZENSHIP
DATE OF BIRTH X Filipino
(mm/dd/yyyy) 6/9/1969

4. PLACE OF BIRTH BUUG, ZAMBOANGA SIBUGAY If holder of dual citizenship,

5. SEX Male X Female please indicate the details.

17. RESIDENTIAL ADDRESS
6 CIVIL STATUS X Single Married 130 HGL BLDG.
House/Block/Lot No.
Widowed Separated

Others: Subdivision/Village
QUEZON CITY
7. HEIGHT (m) 1.57
City/Municipality
8. WEIGHT (kg) 70 ZIP CODE

18. PERMANENT ADDRESS

9. BLOOD TYPE
House/Block/Lot No.

10. GSIS ID NO. 2001155325

Subdivision/Village
BUUG
11. PAG-IBIG ID NO. 108002743965
City/Municipality

12. PHILHEALTH NO. 190008527427 ZIP CODE 6009

13. SSS NO. 19. TELEPHONE NO. 09458220682

14. TIN NO. 157002156 20. MOBILE NO. 09184622739

15. AGENCY EMPLOYEE NO. A96023 21. E-MAIL ADDRESS (if any)

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR)
FIRST NAME
N/A

MIDDLE NAME

OCCUPATION

EMPLOYER/BUSINESS NAME
 BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME ABACAHIN

NAME EXTENSION (JR., SR)
FIRST NAME ALVARO N/A

MIDDLE NAME DABLO

25. MOTHER'S MAIDEN NAME

SURNAME GRAN

FIRST NAME SOFRONIA

MIDDLE NAME BUCOL (Continue on separate she

III. EDUCATIONAL BACKGROUND

26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE

LEVEL (Write in full)
(Write in full)
From To

ELEMENTARY

SECONDARY /
VOCATIONAL

TRADE
COURSE
COLLEGE

GRADUATE STUDIES

(Continue on separate sheet if necessary)

SIGNATURE DATE
HEET
ing of administrative/criminal case/s against the person

PDS FORM.
(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

N/A

Dual Citizenship
by birth by naturalization

Pls. indicate country:

BLDG. K10TH STREET

k/Lot No. Street
EAST KAMIAS
n/Village Barangay
N CITY NATIONAL CAPOTAL REGION
cipality Province

SAMICO ROAD
k/Lot No. Street

Barangay
UG ZAMBOANGA SIBUGAY
cipality Province

DREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
 (Continue on separate sheet if necessary)

D OF ATTENDANCE HIGHEST LEVEL/ SCHOLARSHIP/

YEAR
UNITS ACADEMIC HONORS
GRADUATED
EARNED RECEIVED
To

CS FORM 212 (Revised 2017), Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LAWS/ CES/ DATE OF
RATING
CSEE BARANGAY ELIGIBILITY / DRIVER'S EXAMINATION /
(If Applicable)
LICENSE CONFERMENT

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet
28.
INCLUSIVE DATES (mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY
(Write in full/Do not (Write in
abbreviate) full/Do not abbreviate)
From To

10/1/2018 PRESENT SUPT/ACTING DIRECTOR DPRM ODPRM, BFP-NHQ

6/1/2018 9/30/2018 SUPT/DEP DIRECTOR DPRM ODPRM, BFP-NHQ

4/24/2018 5/31/2018 SUPT/DEP DIRECTOR DPRM/ CARETAKER ODPRM, BFP-NHQ

1/18/2018 4/23/2018 SUPT/DEP DIRECTOR, DPRM ODPRM, BFP-NHQ

4/21/2017 1/17/2018 SUPT/DEP DIRECTOR FOR PERSONNEL ODP, BFP-NHQ

SUPT/DEP DIRECTOR FOR

4/12/2017 4/20/2017 ODP, BFP-NHQ
PERSONNEL/CARETAKER, DFSP

1/23/2017 4/11/2017 SUPT/DEP DIRECTOR FOR PERSONNEL ODP, BFP-NHQ

1/6/2017 1/22/2017 CINSP/DEP DIRECTOR FOR PERSONNEL ODP, BFP-NHQ

6/28/2013 1/5/2017 CINSP/C,ISS FDII, BFP-NCR

6/4/2012 6/27/2013 CINSP/PSOSEC TRAINEE PPSC

7/14/2008 6/3/2012 CINSP/C, ISS QCFD, BFP-NCR

6/3/2008 7/13/2008 SR INSP/C, ADMIN IATF ADMIN

9/26/2006 6/2/2008 SR INSP/C, ADMIN IATF ADMIN

6/26/2006 9/26/2006 SR INSP/ PSOAC TRAINEE PPSC

7/14/2003 6/25/2006 SR INSP/ C, ADMIN IATF, DILG

3/19/2002 7/13/2003 SR INSP HSSU, NOBFP

7/18/2001 3/18/2002 SR INSP/C, PIS PIS, NOBFP

6/1/2000 7/17/2001 SR INSP/C ,PERSONNEL SEC PERS SEC/HRMD, NOBFP

7/9/1999 5/31/2000 INSP/ EXEC SEC OARD, BFP-R9

3/8/1999 7/8/1999 INSP/ FOBC TRAINEE FNTI, CVL LAGUNA

9/14/1998 3/7/1999 INSP/ EXEC SEC OARD, BFP-R9

11/1/1997 9/13/1998 INSP/C, PIS NOBFP

1/1/1997 10/31/1997 INSP/C, ADMIN SEC, IGO NOBFP

4/18/1996 12/31/1996 INSP/PSG NOBFP

4/16/1994 4/17/1996 CADET PNPA

10/8/1993 4/15/1994 SW2 PHILIPPINE NAVY

10/7/1992 10/7/1993 ASW PHILIPPINE NAVY

2/29/1992 10/6/1992 TRAINEE PHILIPPINE NAVY

(Continue on separate sheet if necessary)

SIGNATURE
 LICENSE (if applicable)
PLACE OF EXAMINATION / CONFERMENT
NUMBER Date of
Validity

sheet if necessary)

indicated in the attached Work Experience sheet.

GOV'T SERVICE
SALARY/ JOB/
TMENT / AGENCY / OFFICE / COMPANY PAY GRADE (if
MONTHLY STATUS OF
(Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
full/Do not abbreviate) INCREMENT
(Y/ N)

M, BFP-NHQ 61,375 25-5 PERMANENT YES

M, BFP-NHQ 61,375 25-5 PERMANENT YES

M, BFP-NHQ 61,375 25-5 PERMANENT YES

M, BFP-NHQ 61,375 25-5 PERMANENT YES

BFP-NHQ 61,375 25-5 PERMANENT YES

BFP-NHQ 40,289 25-5 PERMANENT YES

BFP-NHQ 40,298 25-5 PERMANENT YES

BFP-NHQ 37,313 24-5 PERMANENT YES

FP-NCR 37,313 24-4 PERMANENT YES

37,313 24-4 PERMANENT YES

BFP-NCR 37,313 24-4 PERMANENT YES

DMIN 19,831 23-3 PERMANENT YES

DMIN 17,334 23-3 PERMANENT YES

16,581 23-2 PERMANENT YES

DILG 16,581 23-2 PERMANENT YES

NOBFP 14,322 23-2 PERMANENT YES

OBFP 13,640 23-2 PERMANENT YES

SEC/HRMD, NOBFP 13,640 23-2 PERMANENT YES

BFP-R9 12,400 22-1 PERMANENT YES

CVL LAGUNA 12,000 22-1 PERMANENT YES

BFP-R9 12,000 22-1 PERMANENT YES

P 12,000 22-1 PERMANENT YES

P 9,620 22-1 PERMANENT YES

P 7,240 22-0 PERMANENT YES

5,880 TEMPORARY YES

PINE NAVY 2,100 PERMANENT YES

PINE NAVY 1,100 PERMANENT YES

PINE NAVY 1,000 PERMANENT YES

sheet if necessary)

DATE
CS FORM 212 (Revised 2017), Page 2 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LAWS/ CES/ DATE OF
RATING
CSEE BARANGAY ELIGIBILITY / DRIVER'S EXAMINATION /
(If Applicable)
LICENSE CONFERMENT

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet
28.
INCLUSIVE DATES (mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY
(Write in full/Do not (Write in
abbreviate) full/Do not abbreviate)
From To
 (Continue on separate sheet if necessary)

SIGNATURE
 LICENSE (if applicable)
PLACE OF EXAMINATION / CONFERMENT
NUMBER Date of
Validity

sheet if necessary)

indicated in the attached Work Experience sheet.

GOV'T SERVICE
SALARY/ JOB/
TMENT / AGENCY / OFFICE / COMPANY PAY GRADE (if
MONTHLY STATUS OF
(Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
full/Do not abbreviate) INCREMENT
(Y/ N)
sheet if necessary)

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)
From To

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(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

30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS
(Write in full) (mm/dd/yyyy)

From To
 (Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32.
(Write in full)

(Continue on separate sheet if necessary)

SIGNATURE
UNTARY ORGANIZATION/S

NUMBER OF HOURS POSITION / NATURE OF WORK

necessary)
NDED
ion Chief/Executive/Managerial positions)

Type of LD
NUMBER OF HOURS
( Managerial/ CONDUCTED/ SPONSORED BY
Supervisory/ (Write in full)
Technical/etc)
necessary)

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
33. (Write in
ull)
full)

necessary)

DATE
CS FORM 212 (Revised 2017), Page 3 of 4
34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the
chief of bureau or office or to the person who has immediate supervision over you in the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? YES X

YES X
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details:
________________________________
________________________________
35. a. Have you ever been found guilty of any administrative offense? YES X
If YES, give details:
_____________________________
_____________________________
b. Have you been criminally charged before any court? YES X

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 X
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 X
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 X
Barangay election)? If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES X
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 X
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 X
If YES, please specify:
b. Are you a person with disability? YES X
If YES, please specify ID No:
c. Are you a solo parent? YES X
If YES, please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

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
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:

ID/License/Passport No.:
Signature (Sign inside the box)

Date/Place of Issuance:
Date Accomplished

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indic

Person Administering Oath

CS FORM 21
 NO

NO

YES, give details:

____________________________
____________________________
NO
If YES, give details:
________________________________
________________________________
NO

YES, give details:

NO
YES, give details:
____________________________
____________________________
NO
YES, give details:
____________________________
____________________________
NO
If YES, give details:
NO
If YES, give details:

NO
YES, give details (country):

NO
YES, please specify:
NO
YES, please specify ID No:
NO
YES, please specify ID No:

ID picture taken within

the last 6 months
3.5 cm. X 4.5 cm
(passport size)
With full and handwritten
name tag and signature over
printed name
Computer generated
or photocopied picture
is not acceptable

PHOTO
 Right Thumbmark

/her validly issued government ID as indicated above.

CS FORM 212 (Revised 2017), Page 4 of 4