Professional Documents
Culture Documents
Datomanong, Nadjirah
Datomanong, Nadjirah
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME DATOMANONG
NAME EXTENSION (JR., SR)
FIRST NAME NADJIRAH
MIDDLE NAME MACAAYONG
3. DATE OF BIRTH
(mm/dd/yyyy) 11/13/1972 16. CITIZENSHIP
✘ Filipino Dual Citizenship
by
✘ by naturalization
birth
4. PLACE OF BIRTH RAGONDINGAN BUADIPOSO BUNTONG If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male ✘ Female
15. AGENCY EMPLOYEE NO. 4258817 21. E-MAIL ADDRESS (if any) N/A
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME DATOMANONG 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME SAKKAF MOH'D MONER M. DATOMANONG 9/20/1997
MIDDLE NAME USMAN HEDAYA M. DATOMANONG 12/29/1999
OCCUPATION N/A HAFSAH M. DATOMANONG 6/19/2001
EMPLOYER/BUSINESS NAME N/A HAFIS M. DATOMANONG 11/27/2003
BUSINESS ADDRESS N/A MOH'D RYAN M. DATOMANONG 5/28/2005
TELEPHONE NO. N/A
SURNAME MACAAYONG
FIRST NAME MONAWIRA
MIDDLE NAME SULTAN (Continue on separate sheet if necessary)
DIVISION GENDER and DEVELOPMENT TRAINING 11/9/2016 11/9/2016 8HOURS MANAGERIAL DIVISION OF LANAO DEL SUR I
2-DAY MASS TRAINING OF GRADE-I TEACHERS ON EGRA-ARATA 9/16/2013 9/17/2013 16HOURS SUPERVISORY DIVISION OF LANAO DEL SUR I
3-DAY SEMINAR WORKSHOP ON THE GUIDELINES ON THE ASSESSMENT and
RATING ON LEARNING OUTCOMES UNDER THE K to 12 BASIC EDUCATION 11/11/2012 11/13/2012 24HOURS SUPERVISORY DIVISION OF LANAO DEL SUR I
CURRICULUM
REGIONAL MASS TRANING OF GRADE-I TEACHER ON Kto12 and MBTS-MLE 6/14/2012 6/18/2012 40HOURS MANAGERIAL DIVISION OF LANAO DEL SUR I
3-DAY TROOP LEADERSHIP COURSE FOR 24HOURS 10/14/2012 10/15/2012 24HOURS TECHNICAL DIVISION OF LANAO DEL SUR I
N/A
N/A
N/A
N/A
N/A
(Continue on separate sheet if necessary)
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
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
YES ✘ NO
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, YES ✘ NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased If YES, give details:
out (abolition) in the public or private sector? ________________________________
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except YES ✘ NO
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES ✘ NO
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?
YES ✘ NO
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 answer the following items:
a. Are you a member of any indigenous group? YES ✘ NO
If YES, please specify:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.