CS Form No. 212 Revised Personal Data Sheet 2
CS Form No. 212 Revised Personal Data Sheet 2
212
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 Galino
NAME EXTENSION (JR., SR) N/A
FIRST NAME Jeffrey
4. PLACE OF BIRTH Quezon City If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female
15. AGENCY EMPLOYEE NO. HS - 00866 21. E-MAIL ADDRESS (if any)
[email protected]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
VOCATIONAL /
N/A
TRADE COURSE
DOST /
COLLEGE Philippine Normal University Bachelor of Science in Physics for Teachers 2003 2007 2007
Cum Laude
GRADUATE STUDIES