I. PERSONAL INFORMATION
2. SURNAME R | O | D | R | I | G | U | E | Z | | | | | | | | | | | | | | | | | |
FIRST NAME C | E | S | A | R | | | | | | | | | | | | | | | | | | | | | | | |
8. CITIZENSHIP FILIPINO 109 SAN NICOLAS SUBDIVISION, NEW BUSWANG, KALIBO, AKLAN
9. HEIGHT (m) 1.63 m
10. WEIGHT (kg) 45 kg ZIP CODE 5500
11. BLOOD TYPE O 19. TELEPHONE NO. (036) 2621048
12. GSIS ID NO. B62GECPR011 20. E-MAIL ADDRESS (if any) ceskalibo@yahoo.com
13. PAG-IBIG ID NO. 786677309 21. CELLPHONE NO. (if any) 09178913816
14. PHILHEALTH NO. 190000535617 22. AGENCY EMPLOYEE NO. S-O917
15. SSS NO. 0711190092 23. TIN 154828273
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)
(if graduated)
ELEMENTARY GUINACAS ELEMENTARY SCHOOL ELEMENTARY 1975 1970 1975 VALEDICTORIAN
HONORABLE
SECONDARY HOLY INFANT COLLEGE SECONDARY 1979 1975 1979
VOCATIONAL / MENTION
N/A
TRADE
COURSE
COLLEGE UNIVERSITY OF THE PHILIPPINES- BACHELOR OF SCIENCE
IN MANAGEMENT 1984 1980 1984
DILIMAN
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)
HOUSE OF REPRESENTATIVES OFFICE OF
07/01/2009 06/30/2010 POLITICAL AFFAIRS ASSISTANT III HONORABLE FLORENCIO T. MIRAFLORES
P12,748.00 11-1 CO-TERMINUS YES
CONTRACTUA
07/01/2007 07/31/2007 LEGISLATIVE STAFF OFFICER II HOUSE OF REPRESENTATIVES P14,630.00 YES
L
CONTRACTUA
01/01/2000 12/31/2000 LEGISLATIVE STAFF OFFICER VI HOUSE OF REPRESENTATIVES P18,334.00 22-0 YES
L
CONTRACTUA
12/01/1998 12/31/1999 LEGISLATIVE STAFF OFFICER VI HOUSE OF REPRESENTATIVES P16,667.00 22-0 YES
L
CONTRACTUA
08/01/1989 06/30/1991 MTIO DEPARTMENT OF TRADE AND INDUSTRY - REGION VI P3,790.00 N/A YES
L
07/01/1983 07/01/1986 BOOKKEEPER/BUDGET OFFICER RURAL BANK OF BALETE - AKLAN P5,600.00 N/A REGULAR NO
(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
N/A / / / /
/ / / /
/ / / /
/ / / /
/ / / /
(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
3RD CONSULTATION-DIALOGUE WITH LEGISLATORS, CHIEF OF DEPARTMENT OF SOCIAL WELFARE AND
STAFF/TECHNICAL STAFF AND SELECTED P/C/MWSDOS 11/25/2004 11/25/2004 8 DEVELOPMENT -REGION IV-A (CALABARZON)
ORIENTATION PROGRAM FOR THE NEW LEGISLATIVE STAFF HUMAN RESOURCE MANAGEMENT SERVICE,
08/16/2001 08/16/2001 4 HOUSE OF REPRESENTATIVES
CHIEFS
ROUNDTABLE DISCUSSION WITH LEGISLATIVE CHIEFS-OF- INDIGENT PROGRAM GROUP, PHILIPPINE HEALTH
09/02/2000 09/02/2000 4 INSURANCE CORPORATION
STAFF
ORIENTATION WORKSHOP ON POPULATION, GENDER AND PHILIPPINE LEGISLATOR'S COMMITTEE ON
06/29/2000 06/29/2000 8 POPULATION AND DEVELOPMENT FOUNDATION
HUMAN DEVELOPMENT
HUMAN RESOURCE MANAGEMENT SERVICE,
SPEECH WRITING SEMINAR 04/28/2000 04/28/2000 4 HOUSE OF REPRESENTATIVES
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
(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)
CERTIFICATE OF APPRECIATION, OPERATION SMILE CONGRESSIONAL STAFF
READING
PHILIPPINES FOUNDATION, INC. ASSOCIATION
CERTIFICATE OF APPRECIATION, PANELIST FOR THE FEASIBILITY STUDY UNIVERSITY OF THE PHILIPPINES
WRITING "ZONE VIDEO SHOP"NEW ERA UNIVERSITY ALUMNI ASSOCIATION
CERTIFICATE OF APPRECIATION, PANELIST OFR THE FEASIBILITY STUDY "CLASSICA ARCHBISHOP GABRIEL M. REYES
SWIMMING DORMITORY", NEW ERA UNIVERSITY FOUNDATION
CERTIFICATE OF APPRECIATION, ASSOCIATION OF LAW
STUDENTS OF THE PHILIPPINES-NCR
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:
I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust
that this information shall remain confidential. PHOTO
30025905
COMMUNITY TAX CERTIFICATE NO.
RODRIGUEZ, RIZAL
ISSUED AT SIGNATURE (Sign inside the box)
03/23/2010
ISSUED ON (mm/dd/yyyy) DATE ACCOMPLISHED RIGHT THUMBMARK