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Personal Data Sheet of Jose Carlo Araojo

This document is a personal data sheet that collects an individual's personal and family information. It requests details such as name, date of birth, address, citizenship, civil status, family members, educational background, and employment information. It warns that any misrepresentation made will result in administrative or criminal charges. The form must be filled out legibly and completely, with additional sheets attached if needed.

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Jc Araojo
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34 views1 page

Personal Data Sheet of Jose Carlo Araojo

This document is a personal data sheet that collects an individual's personal and family information. It requests details such as name, date of birth, address, citizenship, civil status, family members, educational background, and employment information. It warns that any misrepresentation made will result in administrative or criminal charges. The form must be filled out legibly and completely, with additional sheets attached if needed.

Uploaded by

Jc Araojo
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CS Form No.

212

PERSONAL DATA SHEET


Revised 2017

WARNING: Any misrepresentation 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 ARAOJO
NAME EXTENSION (JR., SR)
FIRST NAME JOSE CARLO
MIDDLE NAME SUDLY
3. DATE OF BIRTH
(mm/dd/yyyy) 10/18/1983 16. CITIZENSHIP
Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH ZAMBOANGA CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female

6 CIVIL STATUS Single Married 17. RESIDENTIAL ADDRESS 034 SUTER STREET
Widowed Separated House/Block/Lot No. Street

Other/s:
SUTERVILLE SAN JOSE GUSU
Subdivision/Village Barangay
7. HEIGHT (m) 1.50 M ZAMBOANGA CITY ZAMBOANGA DEL SUR
City/Municipality Province
8. WEIGHT (kg) 100 KG ZIP CODE

9. BLOOD TYPE O 18. PERMANENT ADDRESS NA NA


House/Block/Lot No. Street

10. GSIS ID NO. NA NA


(Write in full) NA
Subdivision/Village Barangay

11. PAG-IBIG ID NO. NA NA NA


City/Municipality Province

12. PHILHEALTH NO. 14-050142633-0 ZIP CODE 7000

13. SSS NO. NA 19. TELEPHONE NO. NA

14. TIN NO. 292-540-954-000 20. MOBILE NO. 09054759289

15. AGENCY EMPLOYEE NO. NA 21. E-MAIL ADDRESS (if any) jcaraojo69@[Link]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ARAOJO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME KRISTINE


NAME EXTENSION (JR., SR)
JESSIE CARLITOS ARAOJO 5/7/2005
MIDDLE NAME SAMSON
OCCUPATION GOVERNMENT EMPLOYEE
EMPLOYER/BUSINESS NAME NATIONAL FOOD AUTHORITY
BUSINESS ADDRESS SAN ROQUE, ZAMBOANGA CITY
TELEPHONE NO. NA
24. FATHER'S SURNAME ARAOJO
NAME EXTENSION (JR., SR)
FIRST NAME DENNIS
MIDDLE NAME FRANCISCO
25. MOTHER'S MAIDEN NAME SUDLY
SURNAME ARAOJO
FIRST NAME MARISSA
MIDDLE NAME MACAPAGAL (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND


SCHOLARSHIP/
26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE HIGHEST LEVEL/
YEAR ACADEMIC
LEVEL UNITS EARNED
(Write in full) (Write in full) GRADUATED HONORS
(if not graduated)
RECEIVED
From To
ATENEO DE ZAMBOANGA
ELEMENTARY INTERMEDIATE 1991 1997 1997
UNIVERSITY
ATENEO DE ZAMBOANGA
SECONDARY SECONDARY 1997 2001 2001
UNIVERSITY
VOCATIONAL /
TRADE COURSE
NA NA NA NA NA
ATENEO DE ZAMBOANGA BACHELOR OF SCIENCE IN
2001 2005 2005
UNIVERSITY NURSING
COLLEGE

WESTERN MINDANAO STATE


GRADUATE STUDIES BACHELOR OF LAWS 2014 2018 2018
UNIVERSITY
(Continue on separate sheet if necessary)

SIGNATURE DATE February 7, 2022


CS FORM 212 (Revised 2017), Page 1 of 4

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