PERSONAL DATA SHEET – NBC 461 (7th Cycle, July 1, 2013 to June 30, 2016)

Note : This form will be filled out by the faculty members of a State College/University

INSTRUCTIONS:
1. Fill out this form accurately and legibly, typewritten or handwritten.
2. For additional space use the same size of bond paper. Follow the same format

Name: DARWIN CAMPOS VARGAS

Birthdate: JULY 14, 1975 Sex: MALE
Birthplace: MANILA Civil Status: MARRIED
Home Address: 2516 Legarda St., Sampaloc, Manila Contact No.: 09276643393

Mailing Address: Same as above Contact No.:

College: College of Science Department: Mathematics

Present Rank/Sub-Rank: Instructor 1
Status of Appointment: Permanent
Annual Salary: Php 259,512.00
Date of Last June 14 2014
Appointment/NOSA:

1.0 EDUCATIONAL QUALIFICATION

1.1 Highest relevant academic degree or educational attainment.

Degree Earned
Year Graduated Specialization
(Write in Full)
Master of Information Technology October 23, 2013 Information Technology
Bachelor of Science In Mathematics April 17, 1997 Mathematics/Computer Science

1.2 Additional equivalent degree earned related to the present position

Degree Course
Degree
(Write in Full)
Master’s Degree
Bachelors’s Degree

1.3 Additional credits earned towards an appropriate higher degree.

Degree Course
Degree No. of Units Earned
(Write in Full)
Baccalaureate
Masteral
Doctoral

2.0 EXPERIENCE AND LENGTH OF SERVICE

 2.1 Academic Experience

Inclusive Date Position Held Agency / Address

2.2 Administrative Experience

Inclusive Date Position Held Agency / Address

2.3 Professional / Technical Experience

2.3.1 Relevant full-time professional and technical experience

Inclusive Date Position Held Agency / Address

2.3.2 Experience in the public and private institution

Inclusive Date Inclusive Dates Agency / Address

Cooperating Teacher
Basic Education Teacher

3.0 PROFESSIONAL DEVELOPENT, ACHIEVEMENT AND HONORS

3.1.1. Discoveries, patented inventions, innovations, publications and other creative works.

Inclusive Date/Discoveries/Creative
Patent Number Year Presented
Works/Research

3.1.2 Published Book: Original, edited or compiled, copyrighted/published within the last ten (10) years

Nature of Books, Scholarly

Research/Monograph/Educational
Forms, Instructional and/or Publisher and
Technical Articles in a Complete Title Role Date of
Technical/Scientific/Professional Publication
Journal/Instructional
Manual/Audio-Visual Material

3.2 Expert Services, Training and active participation in professional/technical activities.

 A. Training and Seminars Attended

Level
Training Title Sponsoring Agency (Int’l, Nat’l,Reg’l, Inclusive Dates
Local)

B. Expert Services Rendered

B.1 Consultancy

Sponsoring
Nature /Area of Consultancy Country Inclusive Dates
Agency

B.2 As trainer, coordinator, lecturer, resource person or guest speaker in conferences,

workshops and/or courses for professionals

Title of Nature of Sponsoring

Inclusive Dates
Conferences/Seminars/Workshop, etc. Participants Agency

B.3 As adviser in doctoral dissertation, masteral and undergraduate thesis

 Title of the Paper Nature Date

B.4 For the services (includes reviewer/examiner in PRC or CSC, accreditation work, trade skill
certification, service as coach. Trainer, adviser of student organization)

Nature/Area Company/Agency Inclusive Dates

3.3 Membership in Professional organizations/honor societies and honors received

A. Membership in relevant professional organizations

Name of Organization Date of Membership

B. Academic Honors Received

Honors Received Degree Obtained Institution and Address

C. Scholarship / Fellowship

Nature:
Title of Scholarship Competitive or Non-Competitive Sponsoring Agency
(Int’l, Reg’l,Local)

3.4 Awards of distinction received in recognition of achievement in relevant areas of

specialization/profession and/or assignment of the faculty concerned.

Level
Title of Award of Distinction Grantee- (Int’l,
Field of Services
(Instructional Materials) Organization Nat’l,Reg’l,
Local)

3.5 Community outreach: Service oriented projects participated in the community

Sponsoring Inclusive
Name of Project Participation/Services
Agency Dates

3.6 Professional Examinations

Title of Examination Rating Date of Examination

 I declare under oath that this Personal Date Sheet for NBC 461 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.

_____________________________
Signature over Printed Name

________________
Date Accomplished