Professional Documents
Culture Documents
Pds Jeanievel Final!!!!!!!New
Pds Jeanievel Final!!!!!!!New
Pds Jeanievel Final!!!!!!!New
212
Revised 2017
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 CUEVA
NAME EXTENSION (JR., SR)
FIRST NAME JEANIEVEL N/A
9. BLOOD TYPE O+
18. PERMANENT ADDRESS N/A N/A
House/Block/Lot No. Street
10. GSIS ID NO. N/A N/A MILBUK
Subdivision/Village Barangay
14. TIN NO. 719 965 541 000 20. MOBILE NO. 09556133878
15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) jeanievel.cueva@deped.gov.ph
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME CUEVA 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME ROMEL N/A ZACH LEMOR N. CUEVA 05/21/2022
MIDDLE NAME ALINIABO N/A N/A
OCCUPATION REGULAR DOLE EMPLOYEE
EMPLOYER/BUSINESS NAME DOLEFIL COMPANY
BUSINESS ADDRESS CANNERY SITE, POLOMOLOK, SOUTH COTABATO
TELEPHONE NO. N/A
24. FATHER'S SURNAME NAVIDA
NAME EXTENSION (JR., SR)
FIRST NAME JUNIE
N/A
MIDDLE NAME MAYO
25. MOTHER'S MAIDEN NAME MARY JANE ORGANAS ESPINOSA
SURNAME NAVIDA
FIRST NAME MARY JANE
MIDDLE NAME ESPINOSA (Continue on separate sheet if necessary)
3RD HONORABLE
ELEMENTARY CABADING ELEMENTARY SCHOOL ELEMENTARY 2004 2010 N/A 2010
MENTION
SECONDARY /
VOCATIONAL SALAKIT NATIONAL HIGH SCHOOL HIGH SCHOOL 2010 2014 N/A 2014 SALUTATORIAN
DEPARTMENT OF EDUCATION-
01/8/2024 PRESENT TEACHER I 27,000.00 11-1 PERMANENT Y
DIVISION OF SULTAN KUDARAT
06/18/2019 07/27/2023 TEACHER EDENTON MISSION COLLEGE INC., 12,000.00 N/A CONTRACTUAL N
DEPARTMENT OF
IN-SERVICE TRAINING FOR JUNIOR HIGH SCHOOL TEACHERS (INSET) 08/02/2021 08/04/2021 24 TECHNICAL
EDUCATION - SARANGANI
DEPARTMENT OF
IN-SERVICE TRAINING FOR SENIOR HIGH SCHOOL TEACHERS (INSET) 11/19/2020 11/21/2020 24 TECHNICAL
EDUCATION - SARANGANI
DEPARTMENT OF
IN-SERVICE TRAINING FOR JUNIOR HIGH SCHOOL TEACHERS (INSET) 11/16/2020 11/18/2020 24 TECHNICAL
EDUCATION - SARANGANI
N/A N/A N/A N/A N/A N/A
VIII.
OT
HE (Continue on separate sheet if necessary)
R
OTHER INFORMATION
INF
OR NON-ACADEMIC DISTINCTIONS / RECOGNITION 33. MEMBERSHIP IN ASSOCIATION/ORGANIZATION
MA31. SPECIAL SKILLS and HOBBIES 32.
(Write in full) (Write in full)
TIO
N SINGING N/A N/A
DANCING
READING BOOKS
SOLVING NUMBERS
N/A
35. a. Have you ever been found guilty of any administrative offense?
YES ✘ NO
If YES, give details:
________________________________
________________________________
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? RESIGNATION
________________________________
________________________________
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 , affiant exhibiting his/her validly issued government ID as indicated above.