Professional Documents
Culture Documents
CSC Pds Meo 2017
CSC Pds Meo 2017
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME TOLEDO
NAME EXTENSION (JR., S
FIRST NAME ROMEO
MIDDLE NAME CALACAT
3. DATE OF BIRTH
(mm/dd/yyyy) 11/4/1965 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by birth by
4. PLACE OF BIRTH TAGBILARAN CITY, BOHOL If holder of dual citizenship, Pls. indicate cou
please indicate the details.
5. SEX ✘ Male Female
Other/s:
POBL
Subdivision/Village Ba
7. HEIGHT (m) 1.73 M BILAR BO
City/Municipality Pr
8. WEIGHT (kg) 85 KG ZIP CODE 6317
18. PERMANENT ADDRESS
9. BLOOD TYPE O
House/Block/Lot No. S
POBL
10. GSIS ID NO.
Subdivision/Village Ba
BILAR BO
11. PAG-IBIG ID NO.
City/Municipality Pr
12. PHILHEALTH NO. 12-050041369-2 ZIP CODE 6317
13. SSS NO. 06-1149594-9 19. TELEPHONE NO. (038) 510-82-59
14. TIN NO. 167-162-702-000 20. MOBILE NO. 09203731623
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any)
ELEMENTARY LOBOC CENTRAL ELEMENTARY SCHOOL PRIMARY EDUCATION 1976 1977 GRADUATED
VOCATIONAL
SECONDARY / (PMI) LOBOC ACADEMY HIGH SCHOOL 1982 1983 GRADUATED
N/A
TRADE BACHELOR OF SCIENCE IN
COURSE UNIVERSITY OF BOHOL COMMERCE MAJOR IN FINANCE
1985 1986 GRADUATED
COLLEGE
zenship
by naturalization
indicate country:
Street
POBLACION
Barangay
BOHOL
Province
Street
POBLACION
Barangay
BOHOL
Province
-59
23
3/8/1994
11/11/1998
et if necessary)
SCHOLARSHIP/
YEAR ACADEMIC
GRADUATED HONORS
RECEIVED
N/A
N/A
N/A
N/A
CONTRACTUA
5/13/2014 PRESENT DRIVER LOCAL GOVERNMENT UNIT 3100.00 00-0 L
CONTRACTUA
2/30/1988 1/3/2014 STO. NINO DE CEBU FINANCE CORP LIASON OFFICER 10500.00 00-00 L
CONTRACTUA
12/1/1987 1/31/1988 LEASE FINANCE & CREDIT CORP LIASON OFFICER 10500.00 00-00 L
CONTRACTUA
6/1/1987 11/30/1987 COCA-COLA BOTTLING COMPANY PRODUCTION WORKER 10500.00 00-00 L
CONTRACTUA
12/1/1987 5/1/1987 SAN MIGUEL CORPORATION PRODUCTION WORKER 10500.00 00-00 L
MAGNOLIA ICE CREAM SAN MIGUEL CONTRACTUA
6/1/1986 11/30/1986 CORPORATION PRODUCTION WORKER 10500.00 00-00 L
(Continue on separate sheet if necessary)
Date of
Validity
eet if necessary)
GOV'T
SERVICE
(Y/
N)
Y
N
eet if necessary)
N/A
N/A
(Continue on separate sheet if necessary)
SIGNATURE DATE
/ PEOPLE / VOLUNTARY ORGANIZATION/S
CONDUCTED/ SPONSORED BY
(Write in full)
eparate sheet if necessary)
MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)
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.
NORMAN D. PALACIO
Person Administering Oath