Bio Format

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 10

Form Mo.

NP08 -KB GL/SL System-1996 (Revised 2001)

Deadline:

For DCB I/II & DTBBFI: Seven (7) days after election/appointment or as changes occur. For DRB: Not later than ten (10) banking days after election/appointment or 30 days prior to intended opening date of bank/branch. Original-DCB I/II, DTBNBFI, DRB Duplicate-SPDDC

Submission:

LAGAWE HIGHLANDS RURAL BANK INC. ___________________________________________________ NAME


JDT Bldg.,Poblacion East, Lagawe, Ifugao ___________________________________________________________________ ADDRESS

BIOGRAPHICAL DATA
JONEF D. DULAWAN
NAME

Internal Auditor/Compliance Officer


POSITION I hereby certify that the information contained in this document and its supporting schedule of my own knowledge is true and correct.

__________________________ Date

_______________________________________ Signature of Officer/Director

SUBSCRIBED AND SWORN TO BEFORE ME this ________ day of _________________, 20_____ at ______________________________, Philippines, affiant exhibit to me his/her Community Tax Certi ficate No. ____________________, issued at _________________ on _____________________, 20_____.

_________________________________ NOTARY PUBLIC Until December 31, PTR ____________________________

Doc. No. ____________; Page No. ____________; Book No. ___________; Series of 2001. Page 1 of 10

BIOGRAPHICAL DATA
___________________________________________________ NAME ___________________________________________________________________ ADDRESS

Lagawe Highlands Rural Bank Inc.

JDT Bldg.,Poblacion East, Lagawe Ifugao

PERSONAL INFORMATION: SURNAME 1. NAME : GIVEN MIDDLE

Dulawan 276-851-469-000

Jonef
3. UPDATED AS OF :

Dulnuan
March, 2011

2. TIN :

4. OTHER NAMES USED, IF ANY :

N/A
Director

5. MANAGEMENT LEVEL :

X Officer
March 12,2011

6. DATE ELECTED / RE-ELECTED / APPOINTED / POSITION CHANGED :

7. RESIDENCE ADDRESS :

Pindongan, Kiangan, Ifugao 09268027544


9. E-MAIL ADD :

8. TELEPHONE NO. :

djonef@yahoo.com

10. BUSINESS ADDRESS :

N/A

11. TELEPHONE NO. :

N/A X
Single Female

12. E-MAIL ADD :

N/A
Widow

13. CIVIL STATUS : 14. SEX :

Married

Divorced/Separated

X Male

15. CITIZENSHIP : 17. PLACE OF BIRTH :

Filipino Tinoc, Ifugao

16. DATE OF BIRTH :

December 15,1986

Page 2 of 10

NAME

TIN

UPDATED AS OF

EDUCATION AND TRAINING : 18. Educational Attainment DEGREE/COURSE COLLEGE : SCHOOL LAST ATTENDED YEARS GRADUATED/ATTENDED

BS-Accountancy

St. Mary's University

2004-2008
N/A

POST-GRADUATE :

N/A N/A N/A

N/A
N/A

OTHERS :

N/A N/A

N/A

19. Training in Banking Other Related Fields NATURE/TITLE CONDUCTED BY YEAR TAKEN

AMLA Training Seminar

BSP

2010
2010 2010

Compliance Training Seminar


Risk Management Seminar

RBAP
Valdez Accounting Office RBAP

Updates on Lending Regulations

2011

Page 3 of 10

NAME

TIN

UPDATED AS OF

WORK EXPERIENCE : 20. Present Position - This Institution NAME OF OFFICE POSITION DATE ASSUMED

Lagawe Highlands Rural Bank Inc. Internal Auditor/Compliance Officer

April 1, 2011

21. Present Position - Other Private Institution (Including Corporate Directorships) INDICATE IF OWNER/PARTNER/ STOCKHOLDER

NAME OF OFFICE

POSITION

DATE ASSUMED

N/A

N/A

N/A

N/A

Page 4 of 10

NAME

TIN

UPDATED AS OF

WORK EXPERIENCE : 22. Present Position - Government (Including Directorships in Government Corporate Institutions) INDICATE IF ELECTIVE OR APPOINTIVE AND PART/FULL-TIME

NAM E OF OFFICE

POSITION

DATE ASSUMED

N/A

N/A

N/A

N/A

23. Past Positions - This Institution DURATION (YEAR) FROM TO

NAME OF OFFICE

POSITION

Lagawe Highlands RB Inc.


Lagawe Highlands RB Inc.

Asst. Internal Auditor March, 2010


Acting C.O/IA

Dec. 2010 March 2011

Jan. 2011

Page 5 of 10

NAME

TIN

UPDATED AS OF

WORK EXPERIENCE : 24. Past Position - Other Private Institutions (Including Corporate Directorships) NAME OF OFFICE POSITION DURATION (YEAR) FROM TO

St. Mary's University

Acctg. Instructor

June 2009

March 2010

25. Past Positions - Government (Including Directorships to Government Financial Institution) NAME OF OFFICE POSITION DURATION (YEAR) FROM TO

N/A

N/A

N/A

N/A

Page 6 of 10

NAME

TIN

UPDATED AS OF

FAMILY RELATIONS (Legitimate or Common -Law) : SURNAME 26. NAME OF SPOUSE : 27. TIN : GIVEN MIDDLE

N/A N/A

N/A

N/A

28. Employment (last 10 years) NAME OF OFFICE POSITION DURATION (YEAR) FROM TO

N/A

N/A

N/A

N/A

SURNAME 29. N AME OF C OMMON -LAW SPOUSE 30. TIN : 31. Employment (last 10 years) NAME OF OFFICE

GIVEN

MIDDLE

N/A

N/A

N/A

N/A
DURATION (YEAR) FROM TO

POSITION

N/A

N/A

N/A

N/A

Page 7 of 10

NAME

TIN

UPDATED AS OF

FAMILY RELATIONS (Legitimate or Common -Law) : 32. First Degree Relatives by Consanguinity: Parents and Children of legal age: Legitimate or illegitimate NAME (Surname, Given, Middle) RELATIONSHIP

Dulawan, Rafael B.
Dulawan, Mary D.

Father
Mother

33. First Degree Relatives by Affinity: Parents-i n-law and Children-i n-law or legal age NAME (Surname, Given, Middle) RELATIONSHIP

N/A

N/A

Page 8 of 10

NAME

TIN

UPDATED AS OF

FAMILY RELATIONS (Legitimate or Common -Law) : 34. Second Degree Relatives (of legal age) by Consanguinity: Grandparents, Grandchildren, Brothers and Sisters NAME (Surname, Given, Middle) RELATIONSHIP

Dulawan, Jave Rick D. Dulawan, Juden Ram D.

Brother

Brother
Brother Brother

Dulawan, Gil D.
Dulawan, Jonathan D. Dulawan, Jayson D.
Dulawan, Rosemarie D.

Brother
Sister

35. Second Degree Relatives (of legal age) by Affinity: Brothers-i n-law and Sisters-in-law NAME (Surname, Given, Middle)

Grandchildrens-i n-law, Grandchildren-in-law, RELATIONSHIP

N/A

N/A

Page 9 of 10

NAME

TIN

UPDATED AS OF

OTHERS : (last item) 36. Business establishments where the directors/officers and their spouses and within the second degree relatives have equity interests (As of ____________________). PERCENT OF STOCKHOLDINGS/ DATE INFORMATION FILED

NAME OF CORPORATION/ ASSOCIATION/FIRM

NAME OF PERTINENT STOCKHOLDERS, MEMBER CENTRAL PARTNER, OTHERS

N/A

N/A

N/A

37.

Have you ever been convicted, judicially or administratively of an offense or judicially declared insolvent, spendthrift, or incapacitated to contract? Yes PARTICULARS NATURE OF OFFENSE

No

If yes, please state: DATE INFORMATION FILED

COURT OF JURISDICTION

N/A

N/A

N/A

Page 10 of 10

You might also like