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PDS-CS-FORM

The document is a Personal Data Sheet (CS Form 212) revised in 2003, used for collecting personal information including name, date of birth, address, civil status, and educational background. It requires details about the individual's family, including spouse and children, as well as educational history and achievements. The form is to be filled out legibly and is valid for submissions not older than six months.

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cofstudio2018
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© © All Rights Reserved
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4 views

PDS-CS-FORM

The document is a Personal Data Sheet (CS Form 212) revised in 2003, used for collecting personal information including name, date of birth, address, civil status, and educational background. It requires details about the individual's family, including spouse and children, as well as educational history and achievements. The form is to be filled out legibly and is valid for submissions not older than six months.

Uploaded by

cofstudio2018
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CS FORM 212 (Revised 2003)

PERSONAL DATA SHEET Not older than 6 mos.


3.5cm x 4.5 cm
(passport size)

Print legibly Mark appropriate boxes with 


I. PERSONAL INFORMATION
1. SURNAME

FIRST NAME

MIDDLE NAME
2. DATE OF BIRTH I 13. RESIDENTIAL I
3. PLACE OF BIRTH I ADDRESS I
4. SEX I Male Female
5. CIVIL STATUS I ZIP CODE I
Single Widowed 14. TELEPHONE NO. II I
Married Separated 15. PERMANENT I
ADDRESS
6. CITIZENSHIP I
7. HEIGHT (M) I ZIPCODE
8. WEIGHT (KG) I 16. TELEPHONE NO. I
9. BLOOD TYPE I 17. E-MAIL ADDRESS (if any)I
10.GSIS POLICY NO. I 18. CELLPHONE NO. (if any)I
11. PAG-IBIG ID NO. I 19. AGENCY EMPLOYEE NO.
12. PHILHEALTH NO. I 20. TIN I
II. FAMILY BACKGROUND
21. NAME OF SPOUSE I
OCCUPATION .
EMPLOYER/BUSS. NAME
BUSSINESS ADDRESS.
TELEPHONE NO..
22. NAME OF CHILD/CHILDREN Date of Birth (mm/dd/yyyy) D NAME OFCHILD/CHILDREN Date of Birth (mm/dd/yyyy)

Kk
23. NAMEOF FATHER. 24. FULL MAIDEN NAME OF MOTHER.
25. PARENTS
ADDRESS
III. EDUCATIONAL BACKGROUND
26. Highest Grade/ INCLUSIVE DATES
LEVEL Name of School DEGREE / COURSE Level/ OF ATTENDANCE ACADEMIC
(Write in Full) (Write in Full) Units Earned HONORS
(If not Graduated) From. To. RECEIVED
TO.
ELEMENTARY
SECONDARY
VOCATIONAL COURSE
TRADE COURSE
TERTIARY
GRADUATE STUDIES
- Diploma
- Master’s
- Doctorate

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