CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person
concerned.
READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. 1. CS ID No. (Do not fill up. For CSC use only)

I. PERSONAL INFORMATION
2. SURNAME CALIGUID
NAME EXTENSION (JR., SR)
FIRST NAME JOSEPHH ZOE

MIDDLE NAME DEXIMO

3. DATE OF BIRTH
APRIL 01 1998 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by
by naturalization
birth
4. PLACE OF BIRTH QUEZON CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female

6 CIVIL STATUS ✘ Single Married 17. RESIDENTIAL ADDRESS

Widowed House/Block/Lot No. Street

Separate
Other/s: d
Subdivision/Village Barangay
7. HEIGHT (m) 5"11
City/Municipality Province
8. WEIGHT (kg) 100 Kgs ZIP CODE

9. BLOOD TYPE B
18. PERMANENT ADDRESS 163-D 21ST Avenue
House/Block/Lot No. Street
EAST REMBO
10. GSIS ID NO. N/A
Subdivision/Village Barangay
MAKATI CITY NCR
11. PAG-IBIG ID NO. N/A
City/Municipality Province

12. PHILHEALTH NO. 01 - 250401545-7 ZIP CODE 1216

13. SSS NO. N/A 19. TELEPHONE NO. N/A

14. TIN NO. 752-211-649-00000 20. MOBILE NO. 09678418332

15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) sephcaliguid01@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME N/A

NAME EXTENSION (JR., SR) N/A

MIDDLE NAME N/A

OCCUPATION N/A

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME CALIGUID

NAME EXTENSION (JR., SR)
FIRST NAME NORVIE SR.

MIDDLE NAME SAREN

25. MOTHER'S MAIDEN NAME MAGNO

SURNAME CALIGUID

FIRST NAME ANGELINA

MIDDLE NAME DEXIMO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

NAME OF SCHOOL HIGHEST LEVEL/ SCHOLARSHIP/
26. PERIOD OF ATTENDANCE YEAR
BASIC EDUCATION/DEGREE/COURSE UNITS ACADEMIC
LEVEL (Write in EARNED
GRADUATED
(Write in full) HONORS
full) (if not graduated) RECEIVED
From To

ELEMENTARY EAST REMBO ELEMENTARY SCHOOL PRIMARY EDUCATION N/A 2010 N/A

SECONDARY /
VOCATIONAL FORTRIDGE ASIAN SCHOOL HIGH SCHOOL N/A 2015 N/A

N/A- N/A N/A N/A N/A

TRADE
COURSE
COLLEGE JOSE RIZAL UNIVERSITY COLLEGE GRADUATE / BS CRIMINOLOGY N/A 2020 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE AUGUST 02 2021

CS FORM 212 (Revised 2017), Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

RA 1080 85.7 JUNE 12-14 2022 CLOVERLEAF AYALA MALLS 0230405 4/1/2025

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
GOV'T
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)

5/17/2021 10/1/2021 CONTACT TRACER DOLE TUPAD P.14.000 CONTRACTUAL

10/1/2020 12/31/2020 CONTACT TRACER DILG P.20.000 JOB ORDER

(Continue on separate sheet if necessary)

SIGNATURE DATE AUGUST 2 2021

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
(mm/dd/yyyy)
Technical/etc)
From To

CONTACT TRACING TRAINING DOLE TUPAD / CESU MAKATI

DILG CONTACT TRACING / JOHN HOPKINS UNIVERSITY CONTACT TRACING

DILG / CESU MAKATI

CRIME SCENE RECONSTRUCTION/ SOCO

JOSE RIZAL UNIVERSITY

BOMB DISPOSAL SEMINAR

JOSE RIZAL UNIVERSITY

HUMAN RIGHTS LAW SEMINAR

JOSE RIZAL UNIVERSITY

CYBER CRIME PREVENTION

JOSE RIZAL UNIVERSITY

COMBAT SHOOTIMG AND MARKSMANSHIP

JOSE RIZAL UNIVERSITY

MILITARY SCIENCE MS11 MS 12 ROTC

JOSE RIZAL UNIVERSITY

FIRST AID AND WATER SURVIVAL TRAINING JOSE RIZAL UNIVERSITY

ANTI DRUGS AWARENESS LAWS AND VIOLATIONS JOSE RIZAL UNIVERSITY / PDEA

FIRE PREVENTION TRAINING BFP MANDALUYONG

CRISIS MANAGEMENT AND ANTI RIOT JOSE RIZAL UNIVERSITY

OJT CRIMINOLOGY
JOSE RIZAL UNIVERSITY

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. (Write in
(Write in full)
full)

BASS AND GUITAR SKILLS HIGHSCHOOL C.A.T COCC CORPS COMMANDER AND OFFICER OF THE YEAR 2015 CRIMINAL JUSTICE STUDENTS SOCIETY
JRU STUDENT COUNCIL CRIM DEPARTMENT
BIKING / TRAVEL TOP 2 TOP GUN COMBAT SHOOTING SUBJECT BS CRIM
REPRESENTATIVE
BASIC MS WORD AND EXCEL CHAMPION IN FIRST AID PREPARATION AND RESCUE / ROTC PHIL ARMY RAATI

PISTOL LITERATE

MOBILE GAMES AND VIDEOGAMES

COMMUNICATION AND INVESTIGATION SKILLS

BASIC FINGERPRINT AND FIREARMS
EXAMINATION
(Continue on separate sheet if necessary)

SIGNATURE DATE AUGUST 2 2021

CS FORM 212 (Revised 2017), Page 3 of 4
 34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the
chief of bureau or office or to the person who has immediate supervision over you in the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? YES ✘

b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘

If YES, give details:

________________________________

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: ANTI LITTERING LAW
________________________________
Date Filed: 01/19/2018
________________________________
Status of Case/s: TERMINATED

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:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
SOPHIA MARQUEZ ABBOT ST PALAR SOUTHSIDE 9984355617 4.5 cm. X 3.5 cm
(passport size)

Computer generated
or photocopied picture
is not acceptable

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 verify/validate the contents stated herein.
I agree that any misrepresentation made in this document and its attachments shall cause the filing of PHOTO
administrative/criminal case/s against me.

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PASSPORT

ID/License/Passport No.: P9275435A

Signature (Sign inside the box)

Date/Place of Issuance: DFA MANILA 10/24/2018

Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4