PERSONAL DATA SHEET
Print legibly. Tick appropriate boxes and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIA1. CS ID No. 2. SURNAME CATINDOY
FIRST NAME LOREMELO
MIDDLE NAME JUAYANG
3. DATE OF BIRTH
(mm/dd/yyyy) 1978-9-3 16. CITIZENSHIP
4. PLACE OFBIRTH TAGUIG If holder of dual citizenship, 5. SEX
please indicate the details.
6 CIVIL STATUS 17. RESIDENTIAL ADDRESS 5
7. HEIGHT (m) 1.7m Taguig City
8. WEIGHT (kg) 79kg ZIP CODE
9. BLOOD TYPE O 18. PERMANENT ADDRESS
10. GSIS ID NO.
11. PAG-IBIG ID NO. Taguig City
12. PHILHEALTH NO. ZIP CODE
13. SSS NO. 33-554****-*-**. TELEPHONE NO.
14. TIN NO. 202-***-***-**. MOBILE NO. 092********-**. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) loremelo_cat 22. SPOUSE'S SURNAME CATINDOY 23. NAME of CHILDREN (Write full name FIRST NAME AILEEN
NAME EXTENSION (JR., SR) N/A
MIDDLE NAME ROSALES
OCCUPATION NONE
EMPLOYER/BUSINESS NAME
BUSINESSADDRESS
TELEPHONE NO.
Filipino Dua
Male Female
Single Married
Widowed
Other/s:
Separated
24. FATHER'S SURNAME CATINDOY
FIRST NAME LORENZO
NAME EXTENSION (JR., SR)
MIDDLE NAME BORER
25. MOTHER'S MAIDEN NAME JUAYANG
SURNAME CATINDOY
FIRST NAME MELODINA
MIDDLE NAME JUAYANG
26.
LEVEL NAMEOFSCHOOL
(Write in full)
BASIC EDUCATION/DEGREE/COURSE
(Write in full)
PERIOD OF ATTENDANCE
From To
ELEMENTARY EMS ELEM SCH
SECONDARY PASAY CITY SOUTH HS
VOCATIONAL /
TRADE COURSE TOLENTINO TECH. INSTITUTE ELEC. COMP. TECH. COLLEGE TAGUIG CITY UNIVERSITY BS COMP. SCI.
GRADUATESTUDIES BATANGAS STATE UNIVERSITY MSCS 2019-8-18 PRESENT
(Do not fill up. For CSC use only)
NAME EXTENSION (JR., SR)
Pls. indicate country:
Visayas St.
Brgy. South Signal
Metro Manila
Metro Manila
adxe77@r.postjobfree.com
e and list all) DATE OF BIRTH
(mm/dd/yyyy)
al Citizenship
by
birth
by
naturalization
HIGHEST LEVEL/
UNITS EARNED
(if not graduated)
YEAR
GRADUATED
SCHOLARSHIP/
ACADEMIC
HONORS
RECEIVED
1991
1995
1998
2010
MAGNA CUM
LAUDE
Thesis
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER
SPECIAL LAWS/ CES/ CSEE
BARANGAYELIGIBILITY/DRIVER'S LICENSE
RATING
(If Applicable)
DATE OF
EXAMINATION/
CONFERMENT
PLACE OF EXAMINATION/CONFE
HONOR GRADUATE CS ELIGIBILITY 2019-6-25 QUEZON CITY 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
From To
1/ /2011 PRESENT INSTRUCTOR III TAGUIG CITY UNIVERSITY 5/ /2011 3/ /2016
ASSISTANT MANAGER FOR
TECHNICAL ACCUSTOM
1/ /2007 1/ /2011 HARDWARE BUILDER BECCI
1/ /2001 1/ /2007 PROD. TECHNICIAN TELETECH TELESYSTEM INC.
/ /1998 / /2001 ELEC REPAIR TECH TEMIC RF TECHNOLOGIES ERMENT
LICENSE (if applicable)
NUMBER Date of
Validity
SALARY/ JOB/
PAY GRADE (if
applicable)& STEP
(Format "00-0")/
INCREMENT
STATUS OF
APPOINTMENT
GOV'T
SERVICE
(Y/ N)
29. NAME &ADDRESS OF ORGANIZATION
(Write in full)
INCLUSIVEDATES
(mm/dd/yyyy) NUMBER OF HOURS
From To
30. TITLE OFLEARNINGANDDEVELOPMENTINTERVENTIONS/TRAINING PROGRAMS
(Write in full)
INCLUSIVE DATES OF
ATTENDANCE
(mm/dd/yyyy)
NUMBER OF HOURS
From To
DEV OPS 8.0
JAVA PROGRAMMING 28.0
VISUAL STUDIO 2008 6.0
Python Programming Essentials Training 2021-1-18 2021-1-29 40.0 CYBERSECURITY GUIDE TO DIGITAL FORENSIC 2021-9-26 2021-9-26 2.0 31. SPECIAL SKILLS and HOBBIES 32. NON-ACADEMIC DISTINCTIONS / RECOGNITION
(Write in full)
POSITION/NATURE OF WORK
Type of LD
( Managerial/
Supervisory/
Technical/etc)
CONDUCTED/ SPONSORED BY
(Write in full)
Technical IBM- P>TECH
Technical IBM- P>TECH
Technical COPERNICUS PEPITO
DICT
EROVOUTICA
33. MEMBERSHIP INASSOCIATION/ORGANIZATION
(Write in full)
34. Are you related by consanguinity or affinity to the appointing or recommending chief of bureau or office or to the person who has immediate supervision over you in Bureau or Department where you will be apppointed, a. within the third degree?
b. within the fourth degree (for Local Government Unit - Career Employees)? If YES, give details:
35. a. Have you ever been found guilty of any administrative offense? If YES, give details:
b. Have you been criminally charged before any court? If YES, give details:
Date Filed:
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal? If YES, give details: 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? If YES, give details:
38. a. Have you ever been a candidate in a national or local election held within the last year (except Barangay election)? 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?
If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country? If YES, give details (country)
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 a. Are you a member of any indigenous group?
If YES, please specify:
b. Are you a person with disability?
If YES, please specify ID No:
c. Are you a solo parent?
If YES, please specify ID No:
41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee) NAME ADDRESS TEL. NO.
REYNALDO ALVEZ USUSAN, TAGUIG 093********
MICHAEL CARZA Brgy South Signal Village, Taguig City 097******** ROMEO LIM
5th Flr. Dilexio Bldg. Singalong St. Malate
Manila 524-2525
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 ID
Wit
name
C
or
YES N
O
YES N
O
YES NO
YES NO
YES NO
YES NO
YES NO
YES
YES
YES
NO
NO
NO
YES NO
YES NO
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. Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Drivers License, etc.)
Government Issued ID: SSS (33-5549017-3)
ID/License/Passport No Signature (Sign inside thebox) Date/Place of Issuance: Date Accomplished R
SUBSCRIBED AND SWORN to before me this, affiant exhibiting his/her validly issuedgovernm Person Administering Oath
):
picture takenwithin
the last 6 months
3.5 cm. X 4.5 cm
(passport size)
h full and handwritten
e tag and signature over
printed name
omputer generated
photocopied picture
is not acceptable
PHOTO
ight Thumbmark
ment ID as indicated above.