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 RENON
NAME EXTENSION (JR., SR)
FIRST NAME JONALYN

MIDDLE NAME PARROCHA

3. DATE OF BIRTH
January 28, 1985 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH Brgy. 02, Maria Aurora, Aurora If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Female
Male ✘

17. RESIDENTIAL ADDRESS JUNIOR STREET

6 CIVIL STATUS Single ✘ Married
House/Block/Lot No. Street
Widowed Separate 02
Other/s: d Subdivision/Village Barangay
MARIA AURORA, AURORA
7. HEIGHT (m) 5
City/Municipality Province
8. WEIGHT (kg) 52 ZIP CODE 3202

18. PERMANENT ADDRESS JUNIOR STREET

9. BLOOD TYPE O
House/Block/Lot No. Street
02
10. GSIS ID NO. N/A
Subdivision/Village Barangay

11. PAG-IBIG ID NO. N/A MARIA AURORA, AURORA

City/Municipality Province

12. PHILHEALTH NO. N/A ZIP CODE 3202

13. SSS NO. 0226714688 19. TELEPHONE NO. NONE

14. TIN NO. 274-733-795-000 20. MOBILE NO. 09817258554

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

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME RENON 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) COLYN P. RENON
FIRST NAME DONALD OCT. 29, 2013

MIDDLE NAME UMBAY

OCCUPATION COLLECTOR

EMPLOYER/BUSINESS NAME MICROFINANCE

BUSINESS ADDRESS CALABUANAN BALER AURORA

TELEPHONE NO. 9602141921

24. FATHER'S SURNAME PARROCHA

JR.
FIRST NAME PASCUAL

MIDDLE NAME NOVILLOS

25. MOTHER'S MAIDEN NAME

SURNAME FLORA

FIRST NAME DIONISIA

MIDDLE NAME DOMINGO (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 MARIA AURORA CENTRAL SCHOOL ELEMENTARY 1992 1998 N/A 1998 N/A

SECONDARY /
VOCATIONAL WESLEYAN UNIVERSITY PHILIPPNES AURORA SECONDARY 1998 2002 N/A 2002 N/A

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

TRADE
COURSE
COLLEGE WESLEYAN UNIVERSITY PHILIPPNES AURORA BACHELOR OF ELEMENTARY EDUCATION 2002 2008 N/A 2008 N/A

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

(Continue on separate sheet if necessary)

SIGNATURE DATE
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
BARANGAY
SUB- PROFESSIONAL OFFICIAL
11/14/2012 CITY OF SAN FERNANDO, PAMPANGA 220103120017 12042012

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

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

(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)

06/30/2018 11/20/2023 BARANGAY SECRETARY CO-TERMINOS YES

DEPARTMENT OF INTERIOR AND LOCAL

11/30/2013 06/30/2018 BARANGAY COUNCILOR GOVERNMENT
8200.00 N/A CO-TERMINOS YES

DEPARTMENT OF INTERIOR AND LOCAL

11/20/2010 11/30/2013 BARANGAY COUNCILOR GOVERNMENT
8200.00 N/A CO-TERMINOS YES

DEPARTMENT OF INTERIOR AND LOCAL

11/30/2007 11/30/2010 BARANGAY COUNCILOR 8200.00 N/A CO-TERMINOS YES
GOVERNMENT
DEPARTMENT OF INTERIOR AND LOCAL
1/8/2007 11/30/2007 SK- CHAIRWOMAN GOVERNMENT
3200.00 N/A CO-TERMINOS YES

6//1/2010 03/31/2013 TEACHER 1 AURORA SHEKINAH NEW SPROUT SCHOOL 5000.00 N/A CONTRACTUAL NO

(Continue on separate sheet if necessary)

SIGNATURE DATE
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

KALIPI 1/5/2018 PRESENT N/A N/A

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) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To

TRAINING ON KATARUNGANG PAMBARANGAY 09/14/2023 09/15/2023 16 LGU MARIA AURORA, AURORA

ORIENTATION ON THE REFFERAL SYSTEM OF CASES ON VIOLENCE AGAINST WOMEN AND THEIR
CHILREN
06/23/2023 06/23/2023 8
LGU MARIA AURORA, AURORA
TRAINING WORKSHOP ON THE FINALIZATION OF BARANGAY DISASTER RISK REDUCTION AND
MANAGEMENT PLAN AND GENDER DEVELOPMENT PLAN
03/24/2023 03/26/2023 24
PLAZA GARDEN BAGUIO CITY

VAW DESK OFFICERS TRAINING 04/21/2022 04/21/2022 8

BALER AURORA
SEMINAR-WORKSHOP ON BRGY. BUDGETING IN THE LIGHT OF DEVOLUTION CERTAIN FUNCTIONS
OF THE EX BRANCH TO LOCAL GOVERNMENT
03/22/2022 03/26/2022 24
HOTEL CASINO CLARK PAMPANGA CITY
STRENTHENING OF THE FUNCTIONS OF BRGY. BASED INSTITUTIONS & EFFECTIVE MANAGEMENT
OF DISASTER PROTOCOL
12/5/2022 12/6/2022 16
LGU MARIA AURORA,AURORA

STRENGTHENING OF BRGY. ANTI-DRUG ABUSE COUNCIL(BADAC) 9/10/2022 9/2/2022 16

LGU MARIA AURORA,AURORA

SEMINAR ON DRUG RELATED COMMUNITY BASE REHABILITATION & AFTER CARE PROGRAM 1/9/2022 2/9/2022 16
LGU MARIA AURORA,AURORA
SEMINAR ON STRENGTHENING PROFICIENCY OF BARANGAY OFFICIALS ON KATARUNGANG
PAMBARANGAY
1/9/2022 2/9/2022 16 LGU MARIA AURORA, AURORA

SEMINAR ON STRENGTHENING OF BRGY. OFFICIALS ON TOWARDS EFFECTIVE BARANGAY

GOVERNANCE/WORKSHOP ON THE PREPARATION OF GAD PLAN WITH LECTURE ON DISASTER PREPAREDNESS 2/4/2022 4/4/2022 24 PLAZA LOGDE BAGUIO CITY

TRAINING / WORKSHOP ON THE GENDER AND DEVELOPMENT PLANNING AND BUDGETING CUM
ANNUAL INVESTMENT PLANNING
3/16/2021 3/16/2021 8 BALER AURORA
REFRESHER COURSE ON KATARUNGANG
PAMBARANGAY CUM FORMULATION OF 6/10/2021 7/10/2021 16
DEVOLUTIONTRANSITION PLAN MARIA AURORA, AURORA
REFRESHER COURSE ON KATARUNGANG
PAMBARANGAY CUM FORMULATION OF 9/8/2021 9/8/2021 8
DEVOLUTIONTRANSITION PLAN MARIA AURORA, AURORA
PAGPAPANATILI NG BAYANIHAN TUNGO SA MARIA AURORA CENTRAL
09/29/2020 9/29/2020 8
KALIDAD NA EDUKASYON PARA SA BAYAN SCHOOL
ENHANCEMENTTRAINING ON KATARUNGANG
11/6/2020 11/6/2020 8.0
PAMBARANGAY CUM RECORD MANAGEMENT LGU MARIA AURORA,AURORA

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

3MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 3
(Write in full)
. (Write in full)

COMPUTER LITERATE VOLUNTER MEMBER OF COMMUNITY SERVICE IN BARANGAY ASSOCIATE MEMBER OF DIFFERENT CHURCH

COOKING N/A NONE

DRIVING N/A NONE

(Continue on separate sheet if necessary)

SIGNATURE DATE
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:
________________________________
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? YES ✘ NO
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
HON. MAY ANN G. CASTRO BRGY. FLORIDA, MARIA AURORA 9182083183 4.5 cm. X 3.5 cm
(passport size)

HON. AMADO M. GENETA BRGY. 04, MARIA AURORA,AURORA N/A

Computer generated
or photocopied picture
HON. GAUDENCIO R. BITONG BRGY. 02,MARIA AURORA, AURORA 9488606770 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: BIR

ID/License/Passport No.: 274-733-795-000

Signature (Sign inside the box)

Date/Place of Issuance: 06/04/2018

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