Professional Documents
Culture Documents
JO1T Martinez Mark Angelo C.
JO1T Martinez Mark Angelo C.
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME MARTINEZ
pNAME EXTENSION (JR., SR)
FIRST NAME MARK ANGELO
MIDDLE NAME CANO
3. DATE OF BIRTH
(mm/dd/yyyy) 10/1/1996 16. CITIZENSHIP
Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH SAN PABLO CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX MALE
15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) themark1968@gmail.com
FIRST NAME
NAME EXTENSION (JR., SR) N/A N/A
N/A
MIDDLE NAME
OCCUPATION
EMPLOYER/BUSINESS NAME
BUSINESS ADDRESS
TELEPHONE NO.
SURNAME CANO
ELEMENTARY SAN JUAN ELEMENTARY SCHOOL PRIMARY EDUCATION 6/7/2003 6/7/2009 GRADUATED 2009 N/A
TRADE
COURSE
COLLEGE LAGUNA STATE POLYTECHNIC UNIVERISTY BACHELOR OF SCIENCE IN CRIMINOLOGY 8/9/2015 6/7/2019 GRADUATED 2019 N/A
R.A 1080 PRC-BOARD PASSER CRIMINOLOGIST 85.4 Nov. 29-Dec. 1, 2019 INTERGLOBAL COLLEGE FOUNDATION 0207472 10/1/2023
7/1/2021 Present Jail officer 1 Trainee Bureau of Jail Management and Penology 29668.00 10-0 Permanent Y
UNDERSTANDING THE CONCEPT OF JAIL INTELLIGENCE 9/27/2021 9/27/2021 8.0 TECHNICAL BJMP REGIONAL OFFICE CALABARZON
MENTAL HEALTH ORIENTATION 7/15/2021 7/15/2021 8.0 TECHNICAL BJMP REGIONAL OFFICE CALABARZON
CSC OMNIBUS RULE ON APPOINTMENT AND OTHER HUMAN RESOURCES ACTION 7/14/2021 7/14/2021 8.0 TECHNICAL DIRECTORATE FOR HUMAN RESOURCES
BJMP CALABARZON
SINGING
ONLINE GAMING
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘
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 January 28,2021 , affiant exhibiting his/her validly issued government ID as indicated above.