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CS Form No. 212 Personal Data Sheet Revised
CS Form No. 212 Personal Data Sheet Revised
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME ONDANGAN
NAME EXTENSION (JR., SR)
FIRST NAME MELANIE
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) melanieondangan1@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME N/A
OCCUPATION N/A
SURNAME RAMIREZ
SECONDARY /
VOCATIONAL SANTANDER NATIONAL HIGH SCHOOL 2013
TRADE
BACHELOR OF ARTS IN THEOLOGY (AB-
COURSE
COLLEGE PRESBYTERIAN THEOLOGICAL COLLEGE
THEOLOGY)
2017
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
LICENSURE EXAMINATION FOR SEPTEMBER
0.8 CEBU
TEACHERS (LET) 09,2019
7/15/1905
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
N/A
Gender and Development Training and Seminar Program 2/18/2021 2/18/2021 PRESBYTERIAN THEOLOGICAL COLLEGE
Exemplary class leaderhip and direction as a subject teacher 12/16/2020 12/16/2020 PRESBYTERIAN THEOLOGICAL COLLEGE
Bridging the Gap of 1st and 21st Century Teaching-Learning Methodology: Implications of
2/29/2020 2/29/2020 CLAWS PHILIPPINES INC.
Sociological Foundations of Education
NEGROS ORIENTAL PRIVATE SCHOOLS
Finding Ways of Learning Efficacy in a Data-Driven World 2/28/2020 2/28/202
ORGANIZATION (NOPSO)
TECHNICAL EDUCATION SKILLS AND DEVELOPMENT
Contact Center Services NC II 9/23/2019 11/12/2019 144 hours AUTHORITY and PHILIPPINE CALL CENTER INSTITUTE
LT. ROWINE R. ELUM/ PRESBYTERIAN
Disaster and Emergency Response Training 10/5/2019 10/19/2019
THEOLOGICAL COLLEGE
Bridging the Gap of 1st and 21st Century
Teaching-Learning Methodology: Implications of
Sociological Foundations of Education
VIDEO EDITING
MICROSOFT/CANVA POWERPOINT
MICROSOFT WORD
MICROSOFT PUBLISHER
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘
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
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:
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.
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.