CS FORM 212 (Revised 2005)

PERSONAL DATA SHEET

Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary. 1. CS ID No. (to be filled up by CSC)

I. PERSONAL INFORMATION
2. SURNAME RAÑESES

FIRST NAME RYAN

MIDDLE NAME ACABADO 3. NAME EXTENSION (e.g. Jr., Sr.) N/A

16. RESIDENTIAL ADDRESS
4. DATE OF BIRTH (mm/dd/yyyy) 4/28/1981
5. PLACE OF BIRTH Guinobatan , Albay 967 Kapitan Tikong St. Singalong Malate, Manila
6. SEX  Male Fem ale
7. CIVIL STATUS
 Single Widowed ZIP CODE 1008
Married Separated 17. TELEPHONE NO. None
Annulled ___________ Others, specify 18. PERMANENT ADDRESS

8. CITIZENSHIP Filipino Brgy. Inamnan Pequeño, Guinobatan, Albay

9. HEIGHT (m) 1.73
10. WEIGHT (kg) 79 ZIP CODE 4503
11. BLOOD TYPE B (+) 19. TELEPHONE NO. None
12. GSIS ID NO. 000-504897159 20. E-MAIL ADDRESS (if any) baruds@gmail.com
13. PAG-IBIG ID NO. 1211-7388-5362 21. CELLPHONE NO. (if any) 09164788956
14. PHILHEALTH NO. 01-050630808-4 22. AGENCY EMPLOYEE NO. N/A
15. SSS NO. 05-0489715-5 23. TIN 306-912-673
II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME N/A 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME N/A / /

MIDDLE NAME / /
OCCUPATION / /
EMPLOYER/BUS. NAME / /
BUSINESS ADDRESS / /
TELEPHONE NO. / /
(Continue on separate sheet if necessary) / /
26. FATHER'S SURNAME RAÑESES (+) / /
FIRST NAME RODOLFO / /
MIDDLE NAME OLAGUERA / /
27. MOTHER'S MAIDEN NAME / /
SURNAME ACABADO / /
FIRST NAME EDERLIN / /
MIDDLE NAME VALENZUELA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND YEAR

GRADUATED
HIGHEST GRADE/ INCLUSIVE DATES OF
28. NAME OF SCHOOL DEGREE COURSE SCHOLARSHIP/
LEVEL/ ATTENDANCE
LEVEL (Write in (Write in full) ACADEMIC HONORS
UNITS EARNED
full) From To RECEIVED
(if not graduated)
(if
graduated)
ELEMENTARY Guinobatan East Central School 1993 1986 1993

SECONDARY Marcial O. Rañola Memorial School 1997 1993 1997

VOCATIONAL /

None
TRADE
COURSE
COLLEGE
BS Commerce
Divine Word College of Legazpi 2001 1997 2001
Major in Bus. Mgt.

GRADUATE STUDIES
Aquinas University of Legazpi Bachelor of Laws 2005 2001 2005

(Continue on separate sheet if necessary)

Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
29. LICENSE (if applicable)
DATE OF
CAREER SERVICE/ RA 1080 (BOARD/ BAR)
RATING EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
UNDER SPECIAL LAWS/ CES/ CSEE NUMBER
CONFERMENT
DATE OF
RELEASE

Career Civil Service Professional 84.05% 10/17/2004 Legazpi City

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE (Include private employment. Start from your current work) GOV'T
SERVICE
30. INCLUSIVE DATES POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY SALARY GRADE
(mm/dd/yyyy) MONTHLY & STEP STATUS OF
SALARY INCREMENT APPOINTMENT
(Write in full) (Write in full) (Format "00-0")
From To (Yes /
No)
Human Resurce Specialist II
11/17/2014 Present (assigned at Manila Field Office, CSC- NCR 28,417 SG-16-1 Permanent Yes
CSC-NCR)
Human Resurce Specialist I
1/11/2014 11/16/2014 (assigned at Manila Field Office,
CSC-NCR)

Human Resurce Specialist I

2/24/2012 1/10/2014 (assigned in the Legal Services CSC- NCR 21,436 SG-13-1 Permanent Yes
Division, CSC-NCR)
UCPB General Insurance Co., Inc. - Makati
10/11/2010 2/24/2012 Legal Assistant 20,000 Permanent No
Avenue, Makati City

8/1/2010 9/30/2010 Legal Assistant Municipality of Mercedes Camarines Norte 15,000 Contractual No

System and Encoding Corp. Ayala Avenue

7/1/2007 5/24/2009 Legal Researcher 18,000 Permanent No
Makati City

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(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
31. NAME & ADDRESS OF ORGANIZATION NUMBER OF
(Write in full) (mm/dd/yyyy) POSITION / NATURE OF WORK
HOURS
From To

NONE / / / /

/ / / /

/ / / /

/ / / /

/ / / /
(Continue on separate sheet if necessary)
VII. TRAINING PROGRAMS (Start from the most recent training.)
INCLUSIVE DATES OF ATTENDANCE
32. TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORT COURSES (Write NUMBER OF CONDUCTED/ SPONSORED BY
in full) (mm/dd/yyyy) HOURS (Write in full)
From To

Leave Administration Course 5/28/2013 5/29/2013 16 CSC - NCR

Gender Sensitivity 3/30/2012 / / 8 CSC - NCR

Orientation Program for New Entrants 7/10/2012 7/13/2012 21 CSC

Trust and Basic Policies in the CSC 3/22/2012 3/23/2012 8 CSC - NCR

Public Service Ethics and Accountability 11/22/2012 11/23/2012 16 CSC - NCR

Insurance Institute for Asia and the

Basic Non-Life Insurance Course 11/15/2010 12/8/2010
Pacific, Inc. (IIAP)
Insurance Institute for Asia and the
Advanced Motor Insurance 5/9/2011 5/25/2011
Pacific, Inc. (IIAP)

Training on the Conduct of Background Investigation 2/24/2014 2/26/2014 24 Civil Service Institute

Seminar on Photograph, Signature, Handwriting Analyses and

6/1/2015 6/2/2015 12 CSC - NCR
Questioned Documents
Public Service Values Program: Bawat Kawani Gawing Lingkod
8/5/2015 8/5/2015 8 CSC - NCR
Bayani

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/ / / /
(Continue on separate sheet if necessary)
VIII. OTHER INFORMATION
MEMBERSHIP IN
NON-ACADEMIC DISTINCTIONS / RECOGNITION: ASSOCIATION/ORGANIZATION
33. SPECIAL SKILLS / HOBBIES: 34. 35.
(Write in full)
(Write in full)
Reading books, playing outdoor games, running None None

(Continue on separate sheet if necessary)

CS FORM 212 (Revised 2005), Page 3 of 4
 36. Are you related by consanguinity or affinity to any of the following :

a. Within the third degree (for National Government Employees): YES  NO

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? _____________________________________
_____________________________________

b. Within the fourth degree (for Local Government Employees): YES  NO

appointing authority or recommending authority where you will be appointed? If YES, give details:
_____________________________________
_____________________________________
_____________________________________
37 a. Have you ever been formally charged? YES  NO
If YES, give details:
________________________________
________________________________
b. Have you ever been guilty of any administrative offense? YES  NO
If YES, give details:
________________________________
________________________________
38. Have you ever been convicted of any crime or violation of any law, decree, ordinance or YES  NO
regulation by any court or tribunal? If YES, give details:
________________________________
________________________________
39. 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, AWOL or
phased out, in the public or private sector? If YES, give details: Resigned from UCPB Gen
and Sencor

40. Have you ever been a candidate in a national or local election (except Barangay election)? YES  NO
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:

a. Are you a member of any indigenous group? YES  NO

If YES, please specify: ____________________
b. Are you differently abled? YES  NO
If YES, please specify: ____________________
c. Are you a solo parent? YES  NO
If YES, please specify: ____________________
42. REFERENCES (Person not related by consanguinity or affinity to applicant / appointee)

NAME ADDRESS TEL. NO.

Atty. Carlo Martin Adille Legazpi City 480-2498

ID picture taken within
the last 6 months
811-1788 loc.
Atty. Dhalya Grace Solero Quezon City 3.5 cm. X 4.5 cm
6412 (passport size)

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

COMMUNITY TAX CERTIFICATE NO.

Manila
ISSUED AT SIGNATURE (Sign inside the box)

ISSUED ON (mm/dd/yyyy) DATE ACCOMPLISHED RIGHT THUMBMARK

CS FORM 212 (Revised 2005), Page 4 of 4