http://PERSONAL DATA SHEET WARNING: Any misinterpretation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person 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 not fill up. For CSC use only) I. PERSONAL INFORMATION 2. SURNAME PADLAN FIRST NAME FRANK NAME EXTENSION (JR., SR) MIDDLE NAME ABARRA 3. “DATE OF BIRTH (mm/dd/yyyy) ” NOVEMBER 1,1964 16. CITIZENSHIP 4. PLACE OF BIRTH QUEZON ,ISABELA If holder of dual citizenship, Pls. indicate country: 5. SEX please indicate the details. 6 CIVIL STATUS 17. RESIDENTIAL ADDRESS 32 EP.NAVA ROAD House/Block/Lot No. Street TAPUAC DISTRICT Subdivision/Village Barangay 7. HEIGHT (m) 5’61/2 DAGUPAN CITY PANGASINAN City/Municipality Province 8. WEIGHT (kg) 80KLS ZIP CODE 2400 9. BLOOD TYPE B 18. PERMANENT ADDRESS 32 House/Block/Lot No. Street 10. GSIS ID NO. BP: 2005059666 EP NAVA ROAD TAPUAC DISTRICT Subdivision/Village Barangay 11. PAG-IBIG ID NO. 1280-0084-1300 DAGUPAN CITY PANGASINAN City/Municipality Province 12. PHILHEALTH NO. 05-025081946-0 ZIP CODE 2400 13. SSS NO. 02-1287080-6 19. TELEPHONE NO. 0755247269 14. TIN NO. 148-179-160 20. MOBILE NO. 09270179475 15. AGENCY EMPLOYEE NO. 420-9080 21. E-MAIL ADDRESS (if any) [email protected] II. FAMILY BACKGROUND 22. SPOUSE’S SURNAME PADLAN 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy) FIRST NAME ZENAIDA NAME EXTENSION (JR., SR) MARIA FRANCES AIMEE M. PADLAN MARCH 11,1997 MIDDLE NAME MELCHOR MA. PAMELA ALYSSA M. PADLAN DECEMBER 15,1999 OCCUPATION GOVERN MENT EMPLOYEE EMPLOYER/BUSINESS NAME COMMISSION ON AUDIT BUSINESS ADDRESS COMMONWEALTH AVE. QUEZON CITY TELEPHONE NO. 24. FATHER’S SURNAME PADLAN FIRST NAME ALFREDO SR. MIDDLE NAME DE VERA 25. MOTHER’S MAIDEN NAME MORCILLO SURNAME PADLAN FIRST NAME LETICIA MIDDLE NAME ABARRA (Continue on separate sheet if necessary) III. EDUCATIONAL BACKGROUND 26. LEVEL NAME OF SCHOOL (Write in full) PERIOD OF ATTENDANCE “HIGHEST LEVEL/ UNITS EARNED (if not graduated)” YEAR GRADUATED SCHOLARSHIP/ ACADEMIC HONORS RECEIVED From To ELEMENTARY QUEZON ,ISABELA PRIMARY 1971 1977 1977 SECONDARY LA SALETTE OF QUEZON SECONDARY 1980 1984 1984 VOCATIONAL / TRADE COURSE NOT APPLICABLE N/A N/A N/A N/A COLLEGE VIRGIN MILAGROSA UNIVERSITY FOUNDATION BACHELOR OF SCIENCE AND BUSINESS ADMINISTRATION 1985 1989 1989 GRADUATE STUDIES VIRGIN MILAGROSA UNIVERSITY FOUNDATION LYCEUM NORTHWESTERN UNIVERSITY UNIVERSITY OF PANGASINAN MASTER IN BUSINESS ADMINISTRATION DOCTOR IN BUSINESS ADMINISTRATION BACHELOR OF LAWS 2004 2007 2005 2007 2010 2015 2007 2010 2015 (Continue on separate sheet if necessary) IV. CIVIL SERVICE ELIGIBILITY
27.
CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LAWS/ CES/ CSEE BARANGAY ELIGIBILITY / DRIVER’S LICENSE
RATING
(If Applicable)
DATE OF EXAMINATION / CONFERMENT
PLACE OF EXAMINATION / CONFERMENT
LICENSE (if applicable)
NUMBER
Date of
Validity
NATIONAL CERTIFICATE II IN AUTOMOTIVE SERVICING
MARCH 8,2017
TESDA- LINGAYEN,PANGASINAN
3/7/2022
NATIONAL CERTIFICATE II1 IN BOOKKEEPING
JUNE 2,2017
TESDA- LINGAYEN,PANGASINAN
JUNE 1,2022
(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 (mm/dd/yyyy)
POSITION TITLE (Write in full/Do not abbreviate)
DEPARTMENT / AGENCY / OFFICE / COMPANY (Write in full/Do not abbreviate)
MONTHLY SALARY
SALARY/ JOB/ PAY GRADE (if applicable)& STEP (Format “00-0”)/ INCREMENT
STATUS OF APPOINTMENT
GOV’T SERVICE (Y/ N)
From
To
JULY 25,2916
PRESENT
TEACHER 11
DEPARTMENT OF EDUCATION ROI
22,149
PROVISIONAL
YES
3/2/2097
PRESENT
TEACHER 11
DEPARTMENT OF EDECUATION-ROI
21387.00
PROVISIONAL
YES
6/15/2009
7/25/2016
ASSOCIATE PROFESSOR
UNIVERSITY OF PANGASINAN -PHINMA EDUCATION NETWORK
24900.00
TENURED
NO
6/15/2007
5/30/2009
INSTRUCTOR 111
LYCEUM NORTHWESTERN UNIVERSITY
8560.00
CONTRACTUAL
NO
11/4/2004
5/10/2007
INSTRUCTOR 111
VIRGIN MILAGROSA UNIVERSITY FOUNDATION
8560.00
CONTRACTUAL
NO
2000
2004
AGENCY MANAGER
INSULAR LIFE ASSURANCE
10000
CONTRACTUAL
NO
1999
2000
AGENCY MANAGER
AYALA LIFE ASSURANCE
10000.00
CONTRACTUAL
NO
1998
1999
MANAGING SALES DIRECTOR
PRYCE PLAN INCORPORATED
7500.00
CONTRACTUAL
NO
1997
1998
MARKETING EXECUTIVE
CHIMES ENTERPRISES
3500.00
REGULAR
NO
1989
1997
MEDICAL REPRESENTATIVE
NEW PENTAD MEDICAL CORPORATION
3800.00
REGULAR
NO
1998
PRESENT
PROPRIETOR/ MANAGER
FZA APARTMENT
28000.00
SELF-EMPLYED
NO
(Continue on separate sheet if necessary)
SIGNATURE
DATE
CS FORM 212 (Revised 2017), Page 2 of 4
