Professional Documents
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Personal Data Sheet
Personal Data Sheet
I. PERSONAL INFORMATION
2. SURNAME ALVAREZ
FIRST NAME SWENEY MICHELLE
MIDDLE NAME RABORAR 3. NAME EXTENSION (e.g. Jr., Sr.) N/A
16. RESIDENTIAL ADDRESS
4. DATE OF BIRTH (mm/dd/yyyy) 03/21/1998
BLOCK 10 LOT 100 MONTALBAN HEIGHTS (LGU), SAN
5. PLACE OF BIRTH RODRIGUEZ, RIZAL
JOSE , RODRIGUEZ, RIZAL
6. SEX Male Fem ale
7. CIVIL STATUS Single Widowed ZIP CODE 1860
Married Separated
17. TELEPHONE NO. N/A
Annulled Others, specify ___________ 18. PERMANENT ADDRESS
BLOCK 10 LOT 100 MONTALBAN HEIGHTS (LGU), SAN
8. CITIZENSHIP FILIPINO
JOSE , RODRIGUEZ, RIZAL
9. HEIGHT (m) 1.57
10. WEIGHT (kg) 42 ZIP CODE 1860
11. BLOOD TYPE A+ 19. TELEPHONE NO. N/A
12. GSIS ID NO. N/A 20. E-MAIL ADDRESS (if any) alvarezsweney@gmail.com
13. PAG-IBIG ID NO. 121224557166 21. CELLPHONE NO. (if any) 09465543072
14. PHILHEALTH NO. 03-250476022-6 22. AGENCY EMPLOYEE NO. N/A
15. SSS NO. 34-7536733-3 23. TIN 722-731-718
II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
SECONDARY
VOCATIONAL /
SAN JOSE NATIONAL HIGH SCHOOL HIGHSCHOOL 2014 GRADUATED 2010 2014 N/A
02../.13./.1997 02../.13./.1997
02../.13./.1997 02../.13./.1997
02../.13./.1997 02../.13./.1997
02../.13./.1997 02../.13./.1997
02../.13./.1997 02../.13./.1997
(Continue on separate sheet if necessary)
a.
YES NO
Within the third degree (for National Government Employees):
appointing authority, recommending authority, chief of office/bureau/department or person who If YES, give details:
has immediate supervision over you in the Office, Bureau or Department where you will be _____________________________________
appointed? _____________________________________
_____________________________________
40. Have you ever been a candidate in a national or local election (except Barangay election)?
If YES, give details:
________________________________
________________________________
41. 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:
Computer generated
43. I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and or xerox copy of picture
is not acceptable
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines.
I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust
that this information shall remain confidential. PHOTO