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 ag
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

I. PERSONAL INFORMATION
2. SURNAME TAPORCO
NAME EXTENSION (JR., SR
FIRST NAME JOEL

MIDDLE NAME PAJO

3. DATE OF BIRTH
(mm/dd/yyyy) 6/21/1974 16. CITIZENSHIP Filipino Dual Citizenship
by birth by
4. PLACE OF BIRTH PALAO, ILIGAN CITY If holder of dual citizenship, Pls. indicate cou
please indicate the details.
5. SEX Male Female

Single Married 17. RESIDENTIAL ADDRESS

6 CIVIL STATUS
Widowed Separated House/Block/Lot No. S

Other/s:
Purok 1 Ma
Subdivision/Village Ba
7. HEIGHT (m) Linamon Lanao
City/Municipality Pr
8. WEIGHT (kg) 72kg ZIP CODE 9201

9. BLOOD TYPE " B+ "

18. PERMANENT ADDRESS Purok 1 Ma
House/Block/Lot No. S

10. GSIS ID NO. 74062100561 Linamon Lanao

Subdivision/Village Ba

11. PAG-IBIG ID NO. 1950-0006-1191

City/Municipality Pr

12. PHILHEALTH NO. 15-000055367-2 ZIP CODE 9

13. SSS NO. none 19. TELEPHONE NO. none

14. TIN NO. 182-329-860 20. MOBILE NO. 09264026674

15. AGENCY EMPLOYEE NO.
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME
FIRST NAME
0259402 21. E-MAIL ADDRESS (if any) joeltaps@gmail.com
none 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR)

MIDDLE NAME

OCCUPATION n/a n/a

EMPLOYER/BUSINESS NAME n/a n/a

BUSINESS ADDRESS n/a n/a

TELEPHONE NO. n/a n/a

24. FATHER'S SURNAME TAPORCO

FIRST NAME LORETO NAME EXTENSION
(JR., SR)
 MIDDLE NAME MACARANAS
25. MOTHER'S MAIDEN NAME PAJO
SURNAME TAPORCO
FIRST NAME CONSORCIA
MIDDLE NAME (Continue on separate sheet if necessary

III. EDUCATIONAL BACKGROUND

NAME OF SCHOOL HIGHEST LEVEL/
26. BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE UNITS
LEVEL (Write in EARNED
(Write in full)
full) (if not graduated)
From To

ELEMENTARY Linamon Central School Elementary 6/1/1981 4/27/1987

Our Lady of Perpetual Help

SECONDARY /
VOCATIONAL Secondary 6/10/1987 4/28/1991
Academy

Iligan Computer Institute Vocational Course ### ###

TRADE
COURSE
COLLEGE MSU-Iligan Institute of Technology BSIED-Machine Shop Tech. 6/15/1991 4/3/1997

GRADUATE STUDIES MSU-IIT EXTENSION Bachelor of Laws(LlB.) 6/21/2005 4/3/2009

(Continue on separate sheet if necessary)

SIGNATURE DATE Augus

CS FORM
L DATA SHEET
erience Sheet shall cause the filing of administrative/criminal case/s against the person

EFORE ACCOMPLISHING THE PDS FORM.

(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

Dual Citizenship

by naturalization

Pls. indicate country:

Street
Magoong
Barangay
Lanao del Norte
Province
9201
Magoong
Street
Lanao del Norte
Barangay

Province

9201

none

09264026674

joeltaps@gmail.com

DATE OF BIRTH (mm/dd/yyyy)

9/6/1944
 4/28/1942

(Continue on separate sheet if necessary)

SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED

1987 none

1991 none

2012 none

1997 none

2009 none
parate sheet if necessary)

August 8, 2017
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 ap
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT

LICENSURE EXAMINATION FOR

78.20 August 23-24, 1997 Cagayan de Oro 0259402
TEACHERS(LET)

(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.
28. INCLUSIVE DATES SALARY/ JOB/ PAY
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

Regular-
1/1/2016 12/31/2016 Teacher -1 Kabacsanan National High School 20142.00 11-6
Permanent
Regular-
6/21/2014 12/31/2015 Teacher -1 Kabacsanan National High School 19495.00 11-6
Permanent
Regular-
6/13/2013 6/12/2014 Teacher -1 Kabacsanan National High School 19302.00 11-5
Permanent
Regular-
1/1/2013 6/12/2013 Teacher -1 Local School Board(LSB)-LGU 18549.00 11-5
Permanent
Regular-
1/28/2012 12/31/2012 Teacher -1 Local School Board(LSB)-LGU 17994.00 11-5
Permanent
Regular-
1/1/2012 1/27/2012 Teacher -1 Local School Board(LSB)-LGU 17765.00 11-5
Permanent
Regular-
1/1/2011 12/31/2011 Teacher -1 Local School Board(LSB)-LGU 16419.00 11-5
Permanent
Regular-
1/1/2010 12/31/2010 Teacher -1 Local School Board(LSB)-LGU 15072.00 11-4
Permanent
Regular-
7/1/2008 12/31/2009 Teacher -1 Local School Board(LSB)-LGU 12951.00 10-4
Permanent
Regular-
6/21/2008 12/31/2008 Teacher -1 Local School Board(LSB)-LGU 11774.00 10-4
Permanent
Regular-
1/1/2008 6/20/2008 Teacher -1 Local School Board(LSB)-LGU 11486.00 10-3
Permanent
Regular-
6/21/2005 12/31/2007 Teacher -1 Local School Board(LSB)-LGU 10442.00 10-3
Permanent
Regular-
7/1/2004 6/20/2005 Teacher -1 Local School Board(LSB)-LGU 10188.00 10-2
Permanent
Regular-
1/1/2004 6/30/2004 Teacher -1 Local School Board(LSB)-LGU 9939.00 10-2
Permanent
Regular-
1/1/2000 12/31/2003 Teacher -1 Local School Board(LSB)-LGU 9466.00 10-2
Permanent
Regular-
6/21/1999 12/31/1999 Teacher -1 Local School Board(LSB)-LGU 8605.00 10-1
Permanent
 (Continue on separate sheet if necessary)

SIGNATURE DATE
CS FORM 212 (Revised 20
 LICENSE (if applicable)

Date of
Validity

arate sheet if necessary)

GOV'T
SERVICE

(Y/
N)

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES
arate sheet if necessary)

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 /
From To

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/
NUMBER OF HOURS
(Write in full) Supervisory/
(mm/dd/yyyy)
Technical/etc)
From To
 (Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERS
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)

(Continue on separate sheet if necessary)

SIGNATURE DATE
/ PEOPLE / VOLUNTARY ORGANIZATION/S

POSITION / NATURE OF WORK

eparate sheet if necessary)

ROGRAMS ATTENDED
five (5) years for Division Chief/Executive/Managerial positions)

CONDUCTED/ SPONSORED BY
(Write in full)
eparate sheet if necessary)

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)

eparate sheet if necessary)

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
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:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
3.5 cm. X 4.5 cm
(passport size)

With full and handwritten

name tag and signature over
printed name

Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
is not acceptable
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:

ID/License/Passport No.:
Signature (Sign inside the box)

Date/Place of Issuance:
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 o

If YES, give details (country):
, affiant exhibiting his/her validly issued government ID as indicated above.

CS FORM 212 (Revised 2017), Page 4 of 4