@php $attach_letter = "A"; @endphp
| CS Form No. 212 | ||||||||||||||||||||||||
| Revised 2025 | 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 against the person 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 not fill up. For CSC use only) | |||||||||||||||||||||
| ) | ||||||||||||||||||||||||
| I. PERSONAL INFORMATION | ||||||||||||||||||||||||
| 2. SURNAME | {{ $data["lastname"] }} | |||||||||||||||||||||||
| FIRST NAME | {{ $data["firstname"] }} | NAME EXTENSION (JR., SR) | ||||||||||||||||||||||
| {{ !is_null($data["name_extension"]) ? $data["name_extension"] : "N/A" }} | ||||||||||||||||||||||||
| MIDDLE NAME | {{ !is_null($data["middlename"]) ? $data["middlename"] : "N/A" }} | |||||||||||||||||||||||
| 3. DATE OF BIRTH | {{ date('m/d/Y',strtotime($data["birthdate"])) }} | 16. CITIZENSHIP | ||||||||||||||||||||||
| (mm/dd/yyyy) | Filipino | Dual Citizenship | ||||||||||||||||||||||
| by birth | by naturalization | |||||||||||||||||||||||
| 4. PLACE OF BIRTH | {{ $data["birthplace"] }} | If holder of dual citizenship, | Pls. indicate country: | |||||||||||||||||||||
| please indicate the details. | {{ $data["country"] }} | |||||||||||||||||||||||
| 5. SEX AT BIRTH | Male | Female | ||||||||||||||||||||||
| {{ $data["resi_house_no"] }} | {{ $data["resi_street"] }} | |||||||||||||||||||||||
| 6. CIVIL STATUS | Single | Married | 17. RESIDENTIAL ADDRESS | |||||||||||||||||||||
| Widowed | Separated | House/Block/Lot No. | Street | |||||||||||||||||||||
| {{ $data["resi_subvill"] }} | {{ $data["resid_brgy"] }} | |||||||||||||||||||||||
| Other/s: | ||||||||||||||||||||||||
| Subdivision/Village | Barangay | |||||||||||||||||||||||
| 7. HEIGHT (m) | {{ $data["height"] }} | {{ $data["resid_city"] }} | {{ $data["resid_prov"] }} | |||||||||||||||||||||
| City/Municipality | Province | |||||||||||||||||||||||
| 8. WEIGHT (kg) | {{ $data["weight"] }} | ZIP CODE | {{ $data["resid_zip"] }} | |||||||||||||||||||||
| 9. BLOOD TYPE | {{ !is_null($data["bloodtype"]) ? $data["bloodtype"] : "N/A" }} | 18. PERMANENT ADDRESS | {!! ($data["perm_house_no"]) ? $data["perm_house_no"] : ' ' !!} | {{ $data["perm_street"] }} | ||||||||||||||||||||
| House/Block/Lot No. | Street | |||||||||||||||||||||||
| 10. UMID ID NO. | {{ $data["umid"] }} | {!! ($data["perm_subvill"]) ? $data["perm_subvill"] : ' ' !!} | {{ $data["perm_brgy"] }} | |||||||||||||||||||||
| Subdivision/Village | Barangay | |||||||||||||||||||||||
| 11. PAG-IBIG ID NO. | {{ $data["pagibig"] }} | {!! ($data["perm_city"]) ? $data["perm_city"] : ' ' !!} | {{ $data["perm_prov"] }} | |||||||||||||||||||||
| City/Municipality | Province | |||||||||||||||||||||||
| 12. PHILHEALTH NO. | {{ $data["philhealth"] }} | ZIP CODE | {{ $data["perm_zip"] }} | |||||||||||||||||||||
| 13. PHilSys NO. (PSN) | {{ $data["psn"] }} | 19. TELEPHONE NO. | {{ (!is_null($data["telephone"])) ? $data["telephone"] : "N/A" }} | |||||||||||||||||||||
| 14. TIN NO. | {{ $data["tin"] }} | 20. MOBILE NO. | {{ (!is_null($data["mobile"])) ? $data["mobile"] : "N/A"}} | |||||||||||||||||||||
| 15. AGENCY EMPLOYEE NO. | {{ $data["idno"] }} | 21. E-MAIL ADDRESS (if any) | {{ $data["email"] }} | |||||||||||||||||||||
| II. FAMILY BACKGROUND | ||||||||||||||||||||||||
| 22. SPOUSE\'S SURNAME | {{ ($data["spouse"]) ? $data["spouse"]->lastname : "N/A" }} | 23. NAME of CHILDREN (Write full name and list all) | DATE OF BIRTH (mm/dd/yyyy) | |||||||||||||||||||||
| FIRST NAME | {{ ($data["spouse"]) ? $data["spouse"]->firstname : "N/A" }} | NAME EXTENSION (JR., SR) | {{ (!is_null($data["children"][0]["fullname"])) ? $data["children"][0]["fullname"] : "N/A" }} | {{ (!is_null($data["children"][0]["birthdate"])) ? $data["children"][0]["birthdate"] : "N/A" }} | ||||||||||||||||||||
| {{ ($data["spouse"]) ? $data["spouse"]->name_extension : "N/A" }} | ||||||||||||||||||||||||
| MIDDLE NAME | {{ ($data["spouse"]) ? $data["spouse"]->middlename : "N/A" }} | {{ $data["children"][1]["fullname"] }} | {{ $data["children"][1]["birthdate"] }} | |||||||||||||||||||||
| OCCUPATION | {{ ($data["spouse"]) ? $data["spouse"]->occupation : "N/A" }} | {{ $data["children"][2]["fullname"] }} | {{ $data["children"][2]["birthdate"] }} | |||||||||||||||||||||
| EMPLOYER/BUSINESS NAME | {{ ($data["spouse"]) ? $data["spouse"]->employer : "N/A" }} | {{ $data["children"][3]["fullname"] }} | {{ $data["children"][3]["birthdate"] }} | |||||||||||||||||||||
| BUSINESS ADDRESS | {{ ($data["spouse"]) ? $data["spouse"]->business_address : "N/A" }} | {{ $data["children"][4]["fullname"] }} | {{ $data["children"][4]["birthdate"] }} | |||||||||||||||||||||
| TELEPHONE NO. | {{ ($data["spouse"]) ? $data["spouse"]->telephone : "N/A" }} | {{ $data["children"][5]["fullname"] }} | {{ $data["children"][5]["birthdate"] }} | |||||||||||||||||||||
| 24. FATHER\'S SURNAME | {{ ($data["father"]) ? $data["father"]->lastname : "N/A" }} | {{ $data["children"][6]["fullname"] }} | {{ $data["children"][6]["birthdate"] }} | |||||||||||||||||||||
| FIRST NAME | {{ ($data["father"]) ? $data["father"]->firstname : "N/A" }} | NAME EXTENSION (JR., SR) | {{ $data["children"][7]["fullname"] }} | {{ $data["children"][7]["birthdate"] }} | ||||||||||||||||||||
| {{ ($data["father"]) ? $data["father"]->name_extension : "N/A" }} | ||||||||||||||||||||||||
| MIDDLE NAME | {{ ($data["father"]) ? $data["father"]->middlename : "N/A" }} | {{ $data["children"][8]["fullname"] }} | {{ $data["children"][8]["birthdate"] }} | |||||||||||||||||||||
| 25. MOTHER\'S MAIDEN NAME | {{ ($data["mother"]) ? $data["mother"]->mothers_maiden_name : "N/A" }} | {{ $data["children"][9]["fullname"] }} | {{ $data["children"][9]["birthdate"] }} | |||||||||||||||||||||
| SURNAME | {{ ($data["mother"]) ? $data["mother"]->lastname : "N/A"}} | {{ $data["children"][10]["fullname"] }} | {{ $data["children"][10]["birthdate"] }} | |||||||||||||||||||||
| FIRST NAME | {{ ($data["mother"]) ? $data["mother"]->firstname : "N/A"}} | {{ $data["children"][11]["fullname"] }} | {{ $data["children"][11]["birthdate"] }} | |||||||||||||||||||||
| MIDDLE NAME | {{ ($data["mother"]) ? $data["mother"]->middlename : "N/A" }} | (Continue on separate sheet if necessary) | ||||||||||||||||||||||
| III. EDUCATIONAL BACKGROUND | ||||||||||||||||||||||||
| 26. | NAME OF SCHOOL (Write in full) |
BASIC
EDUCATION/DEGREE/COURSE (Write in full) |
PERIOD OF ATTENDANCE | HIGHEST LEVEL/UNITS EARNED (if not graduated) |
YEAR GRADUATED |
SCHOLARSHIP/ ACADEMIC HONORS RECEIVED | ||||||||||||||||||
| LEVEL | ||||||||||||||||||||||||
| From | To | |||||||||||||||||||||||
| ELEMENTARY | N/A | |||||||||||||||||||||||
| ELEMENTARY | {{ $eb->school->name }} | {{ $eb->degree->name }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED" || true)
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING" || true) {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED" || true) {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @else N/A @endif @else N/A @endif |
|||||||||||||||||
| SECONDARY | N/A | |||||||||||||||||||||||
| SECONDARY | {{ $eb->school->name }} | {{ $eb->degree->name }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED" || true)
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING" || true) {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED") {{ $eb->honor->name }} @else N/A @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED" || true) {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @else N/A @endif @else N/A @endif |
|||||||||||||||||
| VOCATIONAL/ TRADE COURSE | N/A | |||||||||||||||||||||||
| VOCATIONAL/ TRADE COURSE | {{ $eb->school->name }} | {{ $eb->degree->name }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED" || true)
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING" || true) {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED" || true) {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @else N/A @endif @else N/A @endif |
|||||||||||||||||
| COLLEGE | N/A | |||||||||||||||||||||||
| COLLEGE | {{ $eb->school->name }} | {{ $eb->degree->name }} {{ ($eb->major) ? '(Major in ' . $eb->major->major . ')' : "" }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "N/A" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "N/A" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED" || true)
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING" || true) {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED" || true) {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @else N/A @endif @else N/A @endif |
|||||||||||||||||
| 1) ? 2 : $esize+1 }} height={{ $data["eheight"] }} class=xl43524110 width=154 style="border-right:.5pt solid black; height:{{ $data['esheight'] . 'pt' }};width:116pt"> GRADUATE STUDIES | @if(sizeOf($data["gradstud"]) < 1)N/A | @endif | ||||||||||||||||||||||
| {{ $eb->school->name }} | {{ $eb->degree->name }} {{ ($eb->major) ? '(Major in ' . $eb->major->major . ')' : "" }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED" || true)
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING" || true) {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED" || true) {{ $eb->honor->name }} @else N/A @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED" || true) {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @else N/A @endif @else N/A @endif |
||||||||||||||||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | ||||||||||||||||||||||||
| (Continue on separate sheet if necessary) | ||||||||||||||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||||||||||||||
| CS FORM 212 (Revised 2017), Page 1 of 4 | ||||||||||||||||||||||||
| III. EDUCATIONAL BACKGROUND | ||||||||||||||||||||||||
| 26. | NAME OF SCHOOL (Write in full) |
BASIC
EDUCATION/DEGREE/COURSE (Write in full) |
PERIOD OF ATTENDANCE | HIGHEST LEVEL/UNITS EARNED (if not graduated) |
YEAR GRADUATED |
SCHOLARSHIP/ ACADEMIC HONORS RECEIVED | ||||||||||||||||||
| LEVEL | ||||||||||||||||||||||||
| From | To | |||||||||||||||||||||||
| GRADUATE STUDIES | ||||||||||||||||||||||||
| {{ $eb->school->name }} | {{ $eb->degree->name }} {{ ($eb->major) ? '(Major in ' . $eb->major->major . ')' : "" }} | {{ $eb->yr_start }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} | {{ $eb->units }} | {{ ($eb->yr_end == 0) ? "" : $eb->yr_end }} |
@if(!is_null($eb->scholarship) && !is_null($eb->honor))
@if($eb->scholarship->status == "APPROVED" && $eb->honor->status == "APPROVED")
{!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym .'/ '. $eb->honor->name : $eb->scholarship->name .'/ '. $eb->honor->name !!} @elseif($eb->scholarship->status == "APPROVED" && $eb->honor->status == "PENDING") {!! (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name !!} @elseif($eb->scholarship->status == "PENDING" && $eb->honor->status == "APPROVED") {{ $eb->honor->name }} @endif @elseif(is_null($eb->scholarship) && !is_null($eb->honor)) @if($eb->honor->status == "APPROVED") {{ $eb->honor->name }} @endif @elseif(!is_null($eb->scholarship) && is_null($eb->honor)) @if($eb->scholarship->status == "APPROVED") {{ (!is_null($eb->scholarship->acronym)) ? $eb->scholarship->acronym : $eb->scholarship->name }} @endif @endif |
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| (Continue on separate sheet if necessary) | ||||||||||||||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||||||||||||||
| IV. CIVIL SERVICE ELIGIBILITY | ||||||||||||||
| 27. |
CES/CSEE/CAREER SERVICE/RA 1080 (BOARD/
BAR)/UNDER SPECIAL LAWS/CATEGORY II/ IV ELIGIBILITY and ELIGIBILITIES FOR UNIFORMED PERSONNEL |
RATING (If Applicable) |
DATE OF EXAMINATION / CONFERMENT |
PLACE OF EXAMINATION / CONFERMENT | LICENSE (if applicable) | |||||||||
| NUMBER | Valid Until | |||||||||||||
| {{ $eligibility->eligibility->name }} | {{ $eligibility->rating }} | {{ ($eligibility->exam_date ) ? date('m/d/Y',strtotime($eligibility->exam_date)) : "N/A" }} | {{ ($eligibility->exam_place) ? $eligibility->exam_place : "N/A" }} | {{ ($eligibility->license_number) ? $eligibility->license_number : "N/A" }} | {{ ($eligibility->date_valid ) ? date('m/d/Y',strtotime($eligibility->date_valid)) : "N/A" }} | |||||||||
| {{ $eligibility->eligibility->name }} | {{ $eligibility->rating }} | {{ ($eligibility->exam_date ) ? date('m/d/Y',strtotime($eligibility->exam_date)) : "N/A" }} | {{ ($eligibility->exam_place) ? $eligibility->exam_place : "N/A" }} | {{ ($eligibility->license_number) ? $eligibility->license_number : "N/A" }} | {{ ($eligibility->date_valid ) ? date('m/d/Y',strtotime($eligibility->date_valid)) : "N/A" }} | |||||||||
| {{ $eligibility->eligibility->name }} | {{ $eligibility->rating }} | {{ ($eligibility->exam_date ) ? date('m/d/Y',strtotime($eligibility->exam_date)) : "N/A" }} | {{ ($eligibility->exam_place) ? $eligibility->exam_place : "N/A" }} | {{ ($eligibility->license_number) ? $eligibility->license_number : "N/A" }} | {{ ($eligibility->date_valid ) ? date('m/d/Y',strtotime($eligibility->date_valid)) : "N/A" }} | |||||||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | ||||||||||||||
| N/A | N/A | N/A | N/A | N/A | N/A | |||||||||
| (Continue on separate sheet if necessary) | ||||||||||||||
| V. WORK EXPERIENCE | ||||||||||||||
| (Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet. | ||||||||||||||
| 28. | INCLUSIVE DATES (mm/dd/yyyy) |
POSITION TITLE (Write in full/Do not abbreviate) |
DEPARTMENT / AGENCY / OFFICE /
COMPANY (Write in full/Do not abbreviate) |
{{-- MONTHLY SALARY | --}}
{{-- SALARY/ JOB/ PAY GRADE (if applicable)& STEP (Format"00-0")/ INCREMENT | --}}
STATUS OF APPOINTMENT |
GOV'T SERVICE (Y/ N) |
|||||||
| From | To | |||||||||||||
| {{ date('m/d/Y',strtotime($experience->start_date)) }} | {{ !isset($experience->end_date) ? (($keyyy === 0) ? "PRESENT" : "") : date('m/d/Y',strtotime($experience->end_date)) }} | {{ @$experience->position->name }} | {{ @$experience->company->name }} | {{--{{ number_format($experience->monthly_salary, 2) }} | --}} {{--{{ $experience->salgrade.'-'.$experience->step }} | --}}{{ @$experience->appointment_status->name }} | {{ ($experience->is_government == 1) ? "Y" : "N" }} | |||||||
| {{ date('m/d/Y',strtotime($experience->start_date)) }} | {{ !isset($experience->end_date) ? "" : date('m/d/Y',strtotime($experience->end_date)) }} | {{ @$experience->position->name }} | {{ @$experience->company->name }} | {{--{{ number_format($experience->monthly_salary, 2) }} | --}} {{--{{ $experience->salgrade.'-'.$experience->step }} | --}}{{ @$experience->appointment_status->name }} | {{ ($experience->is_government == 1) ? "Y" : "N" }} | |||||||
| {{ date('m/d/Y',strtotime($experience->start_date)) }} | {{ !isset($experience->end_date) ? "" : date('m/d/Y',strtotime($experience->end_date)) }} | {{ @$experience->position->name }} | {{ @$experience->company->name }} | {{--{{ number_format($experience->monthly_salary, 2) }} | --}} {{--{{ $experience->salgrade.'-'.$experience->step }} | --}}{{ @$experience->appointment_status->name }} | {{ ($experience->is_government == 1) ? "Y" : "N" }} | |||||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | ||||||||||||||
| N/A | N/A | N/A | N/A | {{--N/A | --}} {{--N/A | --}}N/A | N/A | |||||||
| {{-- | --}} {{-- | --}} | ||||||||||||
| (Continue on separate sheet if necessary) | ||||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||||
| CS FORM 212 (Revised 2017), Page 2 of 4 | ||||||||||||||
| IV. CIVIL SERVICE ELIGIBILITY | ||||||||||||
| 27. | CAREER SERVICE/ RA 1080 (BOARD/
BAR) UNDER SPECIAL LAWS/ CES/ CSEE BARANGAY ELIGIBILITY / DRIVER'S LICENSE |
RATING (If Applicable) |
DATE OF EXAMINATION / CONFERMENT |
PLACE OF EXAMINATION / CONFERMENT | LICENSE (if applicable) | |||||||
| NUMBER | Date of Validity |
|||||||||||
| {{ $eligibility->eligibility->name }} | {{ $eligibility->rating }} | {{ ($eligibility->exam_date ) ? date('m/d/Y',strtotime($eligibility->exam_date)) : "N/A" }} | {{ ($eligibility->exam_place) ? $eligibility->exam_place : "N/A" }} | {{ ($eligibility->license_number) ? $eligibility->license_number : "N/A" }} | {{ !isset($eligibility->date_valid) ? "N/A" : date('m/d/Y',strtotime($eligibility->date_valid)) }} | |||||||
| (Continue on separate sheet if necessary) | ||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||
| V. WORK EXPERIENCE | ||||||||||||
| (Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet. | ||||||||||||
| 28. | INCLUSIVE DATES (mm/dd/yyyy) |
POSITION TITLE (Write in full/Do not abbreviate) |
DEPARTMENT / AGENCY / OFFICE /
COMPANY (Write in full/Do not abbreviate) |
{{-- MONTHLY SALARY | --}}
{{-- SALARY/ JOB/ PAY GRADE (if applicable)& STEP (Format"00-0")/ INCREMENT | --}}
STATUS OF APPOINTMENT |
GOV'T SERVICE (Y/ N) |
|||||
| From | To | |||||||||||
| {{ date('m/d/Y',strtotime($experience->start_date)) }} | {{ !isset($experience->end_date) ? "" : date('m/d/Y',strtotime($experience->end_date)) }} | {{ @$experience->position->name }} | {{ @$experience->company->name }} | {{--{{ number_format($experience->monthly_salary, 2) }} | --}} {{--{{ $experience->salgrade.'-'.$experience->step }} | --}}{{ @$experience->appointment_status->name }} | {{ ($experience->is_government == 1) ? "Y" : "N" }} | |||||
| (Continue on separate sheet if necessary) | ||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||
| VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S | ||||||||||
| 29. | NAME & ADDRESS OF ORGANIZATION (Write in full) |
INCLUSIVE DATES (mm/dd/yyyy) |
NUMBER OF HOURS |
POSITION / NATURE OF WORK | ||||||
| From | To | |||||||||
| {{ $voluntary->voluntary_work->name }} {{ $voluntary->address }} |
{{ date('m/d/Y',strtotime($voluntary->start_date)) }} | {{ !isset($voluntary->end_date) ? (($kery === 0) ? "PRESENT" : "") : date('m/d/Y',strtotime($voluntary->end_date)) }} | {{ $voluntary->hours }} | {{ $voluntary->position }} | ||||||
| {{ $voluntary->voluntary_work->name }} {{ $voluntary->address }} |
{{ date('m/d/Y',strtotime($voluntary->start_date)) }} | {{ !isset($voluntary->end_date) ? "" : date('m/d/Y',strtotime($voluntary->end_date)) }} | {{ $voluntary->hours }} | {{ $voluntary->position }} | ||||||
| {{ $voluntary->voluntary_work->name }} {{ $voluntary->address }} |
{{ date('m/d/Y',strtotime($voluntary->start_date)) }} | {{ !isset($voluntary->end_date) ? "" : date('m/d/Y',strtotime($voluntary->end_date)) }} | {{ $voluntary->hours }} | {{ $voluntary->position }} | ||||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | ||||||||||
| N/A | N/A | N/A | N/A | N/A | ||||||
| (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) | ||||||||||
| TITLE OF LEARNING AND DEVELOPMENT
INTERVENTIONS/TRAINING PROGRAMS (Write in full) |
INCLUSIVE DATES OF ATTENDANCE (mm/dd/yyyy) |
NUMBER OF HOURS |
Type of LD ( Managerial/ Supervisory/ Technical/etc) |
CONDUCTED/ SPONSORED BY (Write in full) |
||||||
| 30. | ||||||||||
| From | To | |||||||||
| {{ $training->training_program->title }} | {{ date('m/d/Y',strtotime($training->start_date)) }} | {{ date('m/d/Y',strtotime($training->end_date)) }} | {{ $training->hours }} | {{ $training->training_type->type }} | {{ $training->training_sponsor->name }} | |||||
| {{ $training->training_program->title }} | {{ date('m/d/Y',strtotime($training->start_date)) }} | {{ date('m/d/Y',strtotime($training->end_date)) }} | {{ $training->hours }} | {{ $training->training_type->type }} | {{ $training->training_sponsor->name }} | |||||
| {{ $training->training_program->title }} | {{ date('m/d/Y',strtotime($training->start_date)) }} | {{ date('m/d/Y',strtotime($training->end_date)) }} | {{ $training->hours }} | {{ $training->training_type->type }} | {{ $training->training_sponsor->name }} | |||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | ||||||||||
| N/A | N/A | N/A | N/A | N/A | N/A | |||||
| (Continue on separate sheet if necessary) | ||||||||||
| VIII. OTHER INFORMATION | ||||||||||
| 31. | SPECIAL SKILLS and HOBBIES | 32. | NON-ACADEMIC DISTINCTIONS / RECOGNITION (Write in full) |
33. | MEMBERSHIP IN ASSOCIATION/ORGANIZATION (Write in full) |
|||||
| {{ $info[0] }} | {{ $info[1] }} | {{ $info[2] }} | ||||||||
| {{ $info[0] }} | {{ $info[1] }} | {{ $info[2] }} | ||||||||
| {{ $info[0] }} | {{ $info[1] }} | {{ $info[2] }} | ||||||||
| PLEASE SEE ATTACHMENT {{ $attach_letter }} | @php $attach_other = $attach_letter; $attach_letter++; @endphp||||||||||
| N/A | N/A | N/A | ||||||||
| (Continue on separate sheet if necessary) | ||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||
| CS FORM 212 (Revised 2017), Page 3 of 4 | ||||||||||
| VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S | ||||||||||||
| 29. | NAME & ADDRESS OF ORGANIZATION (Write in full) |
INCLUSIVE DATES (mm/dd/yyyy) |
NUMBER OF HOURS |
POSITION / NATURE OF WORK | ||||||||
| From | To | |||||||||||
| {{ $voluntary->voluntary_work->name }} {{ $voluntary->address }} |
{{ date('m/d/Y',strtotime($voluntary->start_date)) }} | {{ !isset($voluntary->end_date) ? "" : date('m/d/Y',strtotime($voluntary->end_date)) }} | {{ $voluntary->hours }} | {{ $voluntary->position }} | ||||||||
| (Continue on separate sheet if necessary) | ||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||
| 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) | ||||||||||||
| TITLE OF LEARNING AND DEVELOPMENT
INTERVENTIONS/TRAINING PROGRAMS (Write in full) |
INCLUSIVE DATES OF ATTENDANCE (mm/dd/yyyy) |
NUMBER OF HOURS |
Type of LD ( Managerial/ Supervisory/ Technical/etc) |
CONDUCTED/ SPONSORED BY (Write in full) |
||||||||
| 30. | ||||||||||||
| From | To | |||||||||||
| {{ $training->training_program->title }} | {{ date('m/d/Y',strtotime($training->start_date)) }} | {{ date('m/d/Y',strtotime($training->end_date)) }} | {{ $training->hours }} | {{ $training->training_type->type }} | {{ $training->training_sponsor->name }} | |||||||
| (Continue on separate sheet if necessary) | ||||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||||
| VIII. OTHER INFORMATION | ||||||||||
| 31. | SPECIAL SKILLS and HOBBIES | 32. | NON-ACADEMIC DISTINCTIONS / RECOGNITION (Write in full) |
33. | MEMBERSHIP IN ASSOCIATION/ORGANIZATION (Write in full) |
|||||
| {{ $info[0] }} | {{ $info[1] }} | {{ $info[2] }} | ||||||||
| (Continue on separate sheet if necessary) | ||||||||||
| SIGNATURE | DATE | {{ date('m/d/Y') }} | ||||||||
| --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | --}} {{-- | CS FORM 212--}} {{--(Revised 2017), Page {{ ++$current_page }} of {{ $data["total_page"] }} | --}} {{--
| 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 | NO | |||||||||||||||
| b. within the fourth degree (for Local Government Unit - Career Employees)? | YES | NO | ||||||||||||||
| If YES, give details: | ||||||||||||||||
| {{ $data["yesArr"][1]["detail"] }} | ||||||||||||||||
| 35. | a. Have you ever been found guilty of any administrative offense? | YES | NO | |||||||||||||
| If YES, give details: | ||||||||||||||||
| {{ $data["yesArr"][2]["detail"] }} | ||||||||||||||||
| b. Have you been criminally
charged before any court? |
YES | NO | ||||||||||||||
| If YES, give details: | ||||||||||||||||
| Date Filed: | {{ $data["yesArr"][3]["detail"] }} | |||||||||||||||
| Status of Case/s: | {{ $data["yesArr"][3]["detail"] }} | |||||||||||||||
| 36. | Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal? | YES | NO | |||||||||||||
| If YES, give details: | ||||||||||||||||
| {{ $data["yesArr"][4]["detail"] }} | ||||||||||||||||
| 37. | Have you ever been separated from the service in any of the following modes: resignation, retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased out (abolition) in the public or private sector? | YES | NO | |||||||||||||
| If YES, give details: | ||||||||||||||||
| {{ $data["yesArr"][5]["detail"] }} | ||||||||||||||||
| 38. | a. Have you ever been a candidate in a national or local election held within the last year (except Barangay election)? | YES | NO | |||||||||||||
| {{ $data["yesArr"][6]["detail"] }} | ||||||||||||||||
| If YES, give details: | ||||||||||||||||
| b. Have you resigned from the government service during the three (3)-month period before the last election to promote/actively campaign for a national or local candidate? | YES | NO | ||||||||||||||
| {{ $data["yesArr"][7]["detail"] }} | ||||||||||||||||
| 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): | ||||||||||||||||
| {{ $data["yesArr"][8]["detail"] }} | ||||||||||||||||
| 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: | {{ $data["yesArr"][9]["detail"] }} | |||||||||||||||
| b. | Are you a person with disability? | |||||||||||||||
| YES | NO | |||||||||||||||
| If YES, please specify ID No | {{ $data["yesArr"][10]["detail"] }} | |||||||||||||||
| c. | Are you a solo parent? | YES | NO | |||||||||||||
| If YES, please specify ID No | {{ $data["yesArr"][11]["detail"] }} | |||||||||||||||
| 41. | REFERENCES (Person not related by consanguinity or affinity to applicant /appointee) | |||||||||||||||
| NAME | OFFICE / RESIDENTIAL ADDRESS | CONTACT NO. AND/OR |
||||||||||||||
|
Passport-sized unfiltered digital picture taken within the last 6 months 4.5 cm. X 3.5 cm {{-- --}} {{-- With full and handwritten --}} {{-- name tag and signature over --}} {{-- printed name --}} {{-- --}} {{-- Computer generated --}} {{-- or photocopied picture --}} {{-- is not acceptable--}} |
||||||||||||||||
| {{ (isset($data["references"][0])) ? $data["references"][0]["fullname"] : "" }} | {{ (isset($data["references"][0])) ? $data["references"][0]["address"] : "" }} | {{ (isset($data["references"][0])) ? $data["references"][0]["telephone"] : "" }} | ||||||||||||||
| {{ (isset($data["references"][1])) ? $data["references"][1]["fullname"] : "" }} | {{ (isset($data["references"][1])) ? $data["references"][1]["address"] : "" }} | {{ (isset($data["references"][1])) ? $data["references"][1]["telephone"] : "" }} | ||||||||||||||
| {{ (isset($data["references"][2])) ? $data["references"][2]["fullname"] : ""}} | {{ (isset($data["references"][2])) ? $data["references"][2]["address"] : ""}} | {{ (isset($data["references"][2])) ? $data["references"][2]["telephone"] : ""}} | ||||||||||||||
| 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. | |||||||||||||||
| PHOTO | ||||||||||||||||
| Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver\'s License, etc.) PLEASE INDICATE ID Number and Date of Issuance | ||||||||||||||||
| Government Issued ID: | {{ $data["issued_id"] }} | |||||||||||||||
| ID/License/Passport No.: | {{ $data["id_number"] }} | |||||||||||||||
| Signature (Sign inside the box) | ||||||||||||||||
| Date/Place of Issuance: | {{ $data["issued"] }} | {{ date('m/d/Y') }} | ||||||||||||||
| Date Accomplished | Right Thumbmark | |||||||||||||||
| SUBSCRIBED AND SWORN to before me this ____________________________________ , affiant exhibiting his/her validly issued government ID as indicated above. | ||||||||||||||||
| Person Administering Oath | ||||||||||||||||
| CS FORM 212 (Revised 2017), Page 4 of 4 | ||||||||||||||||