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    PERSONAL DATA SHEET READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM. 1. CS ID No. I PERSONAL INFORMATION 2.SURNAMEFIRST NAME NAME EXTENSION (JR MIDDLE NAME3.16. CITIZENSHIP4.PLACE OF BIRTHIf holder of dual citizenship, Pls. Indicate 5.SEXplease indicate the details.6CIVIL STATUS17. RESIDENTIAL ADDRESS House/Block/Lot No.Subdivision/Village  7.HEIGHT (m) City/Municipality  8.WEIGHT (kg)ZIP CODE9.BLOOD TYPE18. PERMANENT ADDRESS House/Block/Lot No. 10.GSIS ID NO. Subdivision/Village  11.PAG-IBIG ID NO. City/Municipality  12.PHILHEALTH NO.ZIP CODE13.SSS NO.19.TELEPHONE NO.14. TIN NO.20. MOBILE NO.15. AGENCY EMPLOYEE NO.21. E-MAIL ADDRESS (if any) II FAMILY BACKGROUND 22.SPOUSE'S SURNAME23. NAME of CHILDREN (Write full name and list all) FIRST NAME NAME EXTENSION (JR,SR) N/A  MIDDLE NAMEOCCUPATIONEMPLOYER/BUSINESS NAMEBUSINESS ADDRESSTELEPHONE NO.24.FATHER'S SURNAMEFIRST NAME NAME EXTENSION (JR,SR) N/A MIDDLE NAME25.MOTHER'S MAIDEN NAMESURNAMEFIRST NAMEMIDDLE NAME (Continue on separate sheet if necessar III EDUCATIONAL BACKGROUND 26.LEVELNAME OF SCHOOL (Write in full)PERIOD OF ATTENDANCE HIGHEST LEVEL/UNITS EARNED FromTo (If not graduated) ELEMENTARYSECONDARY WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/ concerned. Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE DATE OF BIRTH (mm/dd/yyyy) BASIC EDUCATION/DEGREE/COURSE (Write in full)  CS Form No. 212 Revised 2017     Filipino Dual Citizenship Male Female Single Married    Widowed Other/s: Separatedby birth  COLLEGEGRADUATE STUDIES (Continue on separate sheet if necessary) SIGNATUREDATE  CS    (Do not fill up. For CSC use only)  SR) N/A  country: Street Barangay Province Street Barangay Province  DATE OF BIRTH (mm/dd/yyyy ) (Continue on separate sheet if necessary) YEAR GRADUATED  against the person SCHOLARSHIP/ACADEMIC HONORS RECEIVED  by naturalization  arate sheet if necessary)  ORM 212 (Revised 2017), Page 1 of 4 
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