Professional Documents
Culture Documents
with "
1. CS ID No.
I. PERSONAL INFORMATION
2. SURNAME
FIRST NAME
C | A| P | I |T | U | L | O |
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T | E | R | E | S | I |T | A |
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I|N |O |N |G |
MIDDLE NAME
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CAPAS, TARLAC
Male
6. SEX
7. CIVIL STATUS
12/31/1962
Single
Widowed
Married
Separated
Annulled
ZIP CODE
2315
09099891526
8. CITIZENSHIP
FILIPINO
9. HEIGHT (m)
1.64M
68 Kg
"AB"
09099891526
006005250037
tsicapricorn31@yahoo.com
09099891526
4341771
23. TIN
208-133-364-000
ZIP CODE
07-000-081-367-0
2315
CAPITULO
FIRST NAMEJOBALARMO
01/21/1995
MIDDLE NA
CUIZON
JAMELLA I. CAPITULO
10 /08 / 1997
OCCUPATION
OFW
11/16/1999
EMPLOYER/BUS. NAME
JENIERO I. CAPITULO
BUSINESS ADDRESS
KSA
09 / 27 / 2006
/
INONG
FIRST NAME
GONZALO
MIDDLE NAME
PANTALEON
TELEPHONE NO.
SORIANO
FIRST NAME
PILAR
MIDDLE NAME
AQUINO
NAME OF SCHOOL
LEVEL
(Write in
DEGREE COURSE
(Write in full)
full)
(if
graduated)
INCLUSIVE DATES OF
ATTENDANCE
HIGHEST GRADE/
LEVEL/
UNITS EARNED
(if not graduated)
From
To
ELEMENTARY
ELEMENTARY
1979
GRADUATE
1969
1975
SECONDARY
VOCATIONAL /
DOMINICAN SCHOOL
HIGH SCHOOL
1979
GRADUATE
1975
1979
UNIVERSITY OF BAGUIO
BSEED
1983
GRADUATE
1979
1983
Master in Professional
1999
Studies
GRADUATE
1997
1999
Doctor of Education
Academic
Requirements
2008
2011
COLLEGE
TRADE
COURSE
GRADUATE STUDIES
SCHOLARSHIP/
ACADEMIC HONORS
RECEIVED
LET
RATING
75.40%
DATE OF
EXAMINATION /
CONFERMENT
08/01/1997
TARLAC CITY
NUMBER
0324008
DATE OF
RELEASE
03-02-98
V. WORK EXPERIENCE (Include private employment. Start from your current work)
INCLUSIVE DATES
(mm/dd/yyyy)
30.
From
POSITION TITLE
To
(Write in full)
GOV'T
SERVICE
MONTHLY
SALARY
SALARY GRADE
& STEP
INCREMENT
(Format "00-0")
STATUS OF
APPOINTMENT
(Yes /
No)
NUMBER OF
HOURS
(mm/dd/yyyy)
(Write in full)
From
To
ROLL
NUMBER OF
HOURS
(mm/dd/yyyy)
CONDUCTED/ SPONSORED BY
(Write in full)
To
08 / 24 /11
08 / 25 /11
16
12 / 28 /09
12 /30 /09
24
DEPED
10 / 06 /04
10 / 09 /04
32
SEAMEO-QEE
35.
MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
(Write in full)
TYPING
COMPUTER LITERATE
YES
NO
If YES, give details:
_____________________________________
_____________________________________
_____________________________________
YES
NO
If YES, give details:
_____________________________________
_____________________________________
_____________________________________
YES
NO
NO
YES
NO
If YES, give details:
________________________________
________________________________
39. Have you ever been separated from the service in any of the following modes: resignation,
YES
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract, AWOL or
phased out, in the public or private sector?
NO
40. Have you ever been a candidate in a national or local election (except Barangay election)?
YES
NO
7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following items:
a.
b.
c.
YES
NO
If YES, please specify: ____________________
YES
NO
If YES, please specify: ____________________
YES
NO
If YES, please specify: ____________________
ADDRESS
TEL. NO.
9195699221
9219639919
9213653708
43. I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
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
05167471
COMMUNITY TAX CERTIFICATE NO.
CAPAS, TARLAC
ISSUED AT
01/12/2012
ISSUED ON (mm/dd/yyyy)
09/12/2012
DATE ACCOMPLISHED
RIGHT THUMBMARK