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CS Form No.

212

PERSONAL DATA SHEET


Revised 2017

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 GALLEGO
NAME EXTENSION (JR., SR)
FIRST NAME WILLA JOY
MIDDLE NAME ALABADO
3. DATE OF BIRTH
16. CITIZENSHIP FILIPINO
(mm/dd/yyyy) 08/01/1998

4. PLACE OF BIRTH MUNTINLUPA CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX FEMALE
6 CIVIL STATUS SINGLE 17. RESIDENTIAL ADDRESS BLK 9 LOT 6 RIDGEVIEW 1
House/Block/Lot No. Street
CAMELLA HOMES TUNASAN
Subdivision/Village Barangay

7. HEIGHT (m) 149 CITY OF MUNTINLUPA NCR FOURTH DISTRICT


City/Municipality Province

8. WEIGHT (kg) 43 KG ZIP CODE 1773

9. BLOOD TYPE AB+ 18. PERMANENT ADDRESS BLK 9 LOT 6 RIDGEVIEW 1


House/Block/Lot No. Street

10. GSIS ID NO. N/A CAMELLA HOMES TUNASAN


Subdivision/Village Barangay

11. PAG-IBIG ID NO. 121271809503 CITY OF MUNTINLUPA NCR FOURTH DISTRICT


City/Municipality Province

12. PHILHEALTH NO. N/A ZIP CODE 1773

13. SSS NO. 34-9503704-1 19. TELEPHONE NO. N/A

14. TIN NO. 378-084-268-009 20. MOBILE NO. 09551477386

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) willajoyg01@gmail.com

II. FAMILY BACKGROUND


DATE OF BIRTH
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all)
(mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME N/A N/A
MIDDLE NAME

OCCUPATION

EMPLOYER/BUSINESS NAME

BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME GALLEGO


NAME EXTENSION (JR., SR)
FIRST NAME WILLIE
MIDDLE NAME OMANGAYON
25. MOTHER'S MAIDEN NAME

SURNAME ALABADO
FIRST NAME MA. AILEEN
MIDDLE NAME ESPAÑOLA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND


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

VICTORIA HOMES ELEMENTARY 3RD HON


ELEMENTARY ELEMENTARY 07/06/2005 07/04/2011 GRADUATE 2011
SCHOOL MENTION
MUNTINLUPA NATIONAL HIGH
SECONDARY SECONDARY 07/06/2011 27/03/2015 GRADUATE 2015
SCHOOL NHA ANNEX
VOCATIONAL /
N/A

PAMANTASAN NG LUNGSOD NG CHED


COLLEGE BS CRIMINOLOGY 01/08/2015 20/06/2020 GRADUATE 2020
MUNTINLUPA SCHOLAR

GRADUATE STUDIES N/A


(Continue on separate sheet if necessary)

SIGNATURE DATE August 04,2023


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 Date of
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT Validity

DECEMBER 12-14,
REGISTERED CRIMINOLOGIST 82.6 CENTRAL COLLEGE OF THE PHILIPPINES 0222148 08/01/2025
2021

(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/ SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY PAY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in applicable)& STEP
SALARY (Format "00-0")/ APPOINTMENT
full/Do not abbreviate) (Write in full/Do not abbreviate)
From To INCREMENT

PROJECT
25/08/2020 25/02/2021 CENSUS TEAM SUPERVISOR PHILIPPINE STATISTICS AUTHORITY 16425.00 Y
BASED
PROJECT
03/05/2021 10/12/2021 DOLE CONTACT TRACER DOLE/ PESO 11814.00 Y
BASED
PROJECT
03/28/2021 07/06/2022 MAP DATA PROCESSOR PHILIPPINE STATISTICS AUTHORITY 18304.00 Y
BASED
PROJECT
07/06/2022 09/15/2022 Assistant Statistician PHILIPPINE STATISTICS AUTHORITY 23, 452.00 Y
BASED
PROJECT
09/19/2022 12/29/2022 MAP DATA PROCESSOR PHILIPPINE STATISTICS AUTHORITY 18304.00 Y
BASED
Research Institute for Tropical Contact of
02/08/2023 Administrative Assistant II 18998.00 Y
Medicine Service

(Continue on separate sheet if necessary)

SIGNATURE DATE August 04 2023


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 NUMBER OF
(Write in full) 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 NUMBER OF ( Managerial/ CONDUCTED/ SPONSORED BY
(Write in full) HOURS Supervisory/ (Write in full)
(mm/dd/yyyy) Technical/etc)
From To
PSST. MARION BALOLONG / LAS PIÑAS CITY
DRUG ABUSE PREVENTION AND CONTROL 11/14/2018 11/14/2018 8 HRS N/A
POLICE STATION
CRIME PREVENTION SEMINAR ON DIFFERENT TYPES OF MODUS OPERANDI
AND MAGNA CARTA FOR WOMEN

ON THE JOB TRAINING (PNP) 10/04/2018 11/24/2018 270 HRS PRACTICUM


SPO4 DANTE MORALES/ LPCPS

LAWS AND JURISPRUDENCE 04/07/2019 04/07/2019 8 HRS


ATTY.ERNESTO CABRERA,MSCRIM

ANTI-VIOLENCE AGAINST WOMEN AND CHILDREN 11/11/2018 11/11/2018 8 HRS


PO3 MARY ROSELLE GERONIMO

NAPOLCOM SEMINAR ON LAW ENFORCEMENT 11/18/2018 11/18/2018 8 HRS


RONALD M. BANZUELA

ON THE JOB TRAINING (BUREAU OF CORRECTION) 03/02/2019 04/02/2019 270 HRS CCINSP LUCIO GUEVARRA,MM

STUDENTS' CITY-WIDE GAD CONVENTION 2018 02/23/2018 02/23/2018 8 HRS


CATHERINE MARY BIAZON

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION


MEMBERSHIP IN
NON-ACADEMIC DISTINCTIONS / RECOGNITION ASSOCIATION/ORGANIZATION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full) (Write in
full)
KUNG FU/MARTIAL ARTS Blue Belter KUNG FU CLUB

MARKSMANSHIP

Knowledgable in QGIS Application

Public Speaking

Microsoft Office Literate

(Continue on separate sheet if necessary)

SIGNATURE DATE August 04 2023


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 of bureau or office or to the person who has immediate supervision over you in the Office,
chief
Bureau or Department where you will be apppointed,
a. within the third degree?
b. within the fourth degree (for Local Government Unit - Career Employees)? No
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense? No
If YES, give details:
________________________________

b. Have you been criminally charged before any court? 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 by any court or tribunal? No
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 If YES, give details:
phased out (abolition) in the public or private sector? No

38. a. Have you ever been a candidate in a national or local election held within the last year
(except Barangay election)? No
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? 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
a. items:
Are you a member of any indigenous group? No
If YES, please specify:
b. Are you a person with disability? No
If YES, please specify ID No:
c. Are you a solo parent? No
If YES, please specify ID No:

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

NAME ADDRESS TEL. NO.

VICTORIA HOMES TUNASAN


JONIE ANN AZARCON 9551477386
MUNTINLUPA CITY

JAY MAGDADARO PHILIPPINE STATISTICS AUTHORITY

PASAY CITY/ PHILIPPINE


CHRISTIAN GONZALES 9205555209
STATISTICS AUTHORITY
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 PHOTO
filing of 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: PRC

ID/License/Passport No.: 0222148


Signature (Sign inside the box)
August 04 2023
Date/Place of Issuance: 03/11/2022
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

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