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GUIDELINES INFILLING UP THE

FORMS

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You may use additional/separate sheets if informationexceeds the spaces provided.

Do not leave blank entries. Put N/A for notapplicable.

Please take note of the ARRANGEMENT/SEQUENCEOF DOCUMENTS as shown in this power pointpresentation before you submit said documents toCareer Management Section.

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CSC ID No. is a systems-generated number tobe filled by up the CSC-COpersonnel. Do not fill up this field.

D E L A C R U Z

J U A N AM E R C A D O

01 20 1977VALENZUELA

123 ATIS ST. SAN JUAN, MANILA

1020

FILIPINO1.53 m

60 kg A

77012000506

8901205682

n/a

625 GENERAL ST., MEYCAUAYAN, BULACAN

3020

02-981-12-34

044-981-12-34

55012000506

Juana.delacruz@gmail.com

0919-120-00-50

n/a85012000506

Dates are in numeric form (mm/dd/yyyy )

Name is to be filled up in the form: surname, first nameand middle name where a space is allotted for each

character or letter in the name.

Do not leave blank entries. Put N/A for not applicable.

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Educational Background Indicate FULL name of schools.

Indicate in FULL all courses taken in college (e.g. ASSO. IN ARTS, ABECONOMICS, BS PSYCHOLOGY, MA IN HISTORY). Indicate all masters or doctorate courses taken. If graduated for every level, indicate year of graduation. If not graduated in any level, indicate the highest grade, level or unitsearned.

Inclusive dates of attendance are stated in schoolyears. Indicate any scholarship and/or academic honors received in each level.

PANDAYAN ELEMENTARY SCHOOL

ST. ANNE ACADEMY

UNIVERSITY OF SAN PABLO

1994

1998

2002BS PSYCHOLOGY

1994

1998

1990

1994

VALEDICTORIAN

SALUTATORIAN

CUM LAUDE1998 2002

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. Civil Service Eligibility Indicate all civil service eligibilities earned with corresponding rating, dateand place of examination /conferment.Example:Career service sub-professional EO132/790 - Veteran Prefernce Rating

Career service professional PD 907 - Honor GraduateCareer service executive RA 7883 - Barangay Health WorkerStenographer PD 997 - Scientific and Techonological SpecialistCSC Res. #93-3666 - Barangay Official

If earned eligibility entails a license (RA 1080), indicate the license numberand its date of release.

CIVIL SERVICE PROFESSIONAL 83.45% APRIL 2002 QUEZON CITY

REGISTERED NURSE 84.10% JULY 2010 MANILA 004245 MAY 2010

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V. Work Experience Indicate all positions held both in the public and private employmentstarting from current work. Inclusive dates are indicated in numeric form (mm/dd/yyyy) Indicate FULL position titles and COMPLETE NAME of

department/agency/office/company. Indicate monthly salary in figures (e.g. P21,877) Salary grade and step increment is stated in the format 00 -0 (e.g. 24 -2for salary grade 24, step increment 2). Indicate status of employment (i.e., permanent, temporary, casual,contractual)

Indicate yes under government service if position held is in the public or government employment or no if held in the private employment.

01/ 04/2002 PRESENT ADMINISTRATIVE OFFICER MANILA CONTAINER INC. P 18,000 n/a Permanent NO

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VI. Voluntary Work or involvement in civic/nongovernment/people/voluntary organizations

Indicate the FULL name and address of the organization where involvedas voluntary worker. Inclusive dates, start (from) and end (to) shall be in numeric form(mm/dd/yyyy) Indicate the number of hours of voluntary work rendered. Indicate the position /nature of voluntary work rendered.

SILAYAN NG KAUNLARAN 01 08 2004 02/ 06/ 2005 500 SECRETARIAT

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VII. Training ProgramsIndicate FULL titles of seminars, conferences, workshops and short

courses attended during employment. Indicate list from the most recent

training.Inclusive dates of attendance, start (from) and end (to) shall be innumericform (mm/dd/yyyy).

Indicate the number of hours attended for programIndicate the FULL name of institution/agency that conducted or

sponsoredthe program. Do not use abbreviation (e.g. CSC should be Civil Service

IN DEPTH SEMINAR ON SOCIAL SECURITY BENEFITS 01 08 2004 01/ 10/ 2004 18 HOURS Social Security System

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VIII. Other Information Indicate special skills/hobbies Indicate in FULL non-academic distinctions/recognition (awards received) Indicate membership in any professional association/organization bywriting in FULL said association/organization.

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#s 36-41Indicate response to questions 36 to 41

on the right side of the sheet.

Give details or specifications for any yesresponse.

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Juana Dela ruz

2556896642

Bulacan

03/20/2014 6/24/2014

As agreement to #43 and for completion of the PDS, indicate theemployees signature and right thumb mark in the boxes provided. Also indicate the community tax certificate number, date and place of issuancein the boxes provided. Lastly, attach a RECENT PASSPORT SIZE picturewith the name and signature affixed at the back and must be taken withinthe last 6 months.

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BE SURE TO INDICATETHE COMPLETEADDRESSES OF YOURREFERENCES

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Second degreeN/A

N/A

N/AN/A

Juana Dela ruz

JUANA A. DELA CRUZRevenue Officer

National Office

RR4 Pampanga Regional OfficeRR6 Manila Regional Office

Juana Dela ruz

JUANA A. DELA CRUZ

January 7, 2013

Check and encircle ifyou have relative/s.

DONT FORGET TO SIGN HERE. (TWO SIGNATURESREQUIRED)

January 7, 2013

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PERSONAL DATA SHEET

STATEMENT OF RELATIVES

COLLEGE DIPLOMA

TRANSCRIPT OF RECORDS

CERTIFICATE OF ELIGIBILITY

PRC IDBOARD RATING

BAR RATING

CERTIFICATE OF MEMBERSHIPIN THE PHILIPPINE BAR

ARRANGEMENT OF DOCUMENTS

IF CPA

IF LAWYER

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The three (3) sets of formsand documents will be

submitted on the day ofthe Pre-Employment

Examination . (regardless if youhave submitted already three set toHRMU office)

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THANK YOU!!!