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 TADO
NAME EXTENSION (JR., SR)
FIRST NAME CHARLENE
MIDDLE NAME BETONIO
3. DATE OF BIRTH
(mm/dd/yyyy)
FEBRUARY 22,1986 16. CITIZENSHIP
Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH CANSUNGAY,PILAR,BOHOL If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female
Single Married 17. RESIDENTIAL ADDRESS N/A N/A
6 CIVIL STATUS
Widowed Separated House/Block/Lot No. Street
N/A CANSUNGAY
Other/s:
Subdivision/Village Barangay
PILAR BOHOL
7. HEIGHT (m) 157.480315
City/Municipality Province
8. WEIGHT (kg) 62 ZIP CODE 6321
18. PERMANENT ADDRESS N/A N/A
9. BLOOD TYPE o+
House/Block/Lot No. Street
N/A CANSUNGAY
10. GSIS ID NO. N/A
Subdivision/Village Barangay
11. PAG-IBIG ID NO. 121255653570 PILAR BOHOL
City/Municipality Province
12. PHILHEALTH NO. 122020940962 ZIP CODE 6321
13. SSS NO. N/A 19. TELEPHONE NO. N/A
14. TIN NO. 445-437-900-000 20. MOBILE NO. 09488686825
15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) Charlenetado22@[Link]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME TADO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME JOEL CATHLEEN JOY BETONIO TADO 7/18/2014
MIDDLE NAME JALOP JANELLA BETONIO TADO 9/28/2018
OCCUPATION POLICE OFFICER KYLE CJ BETONIO TADO 11/11/2020
EMPLOYER/BUSINESS NAME PHILIPPINE NATIONAL POLICE
BUSINESS ADDRESS CAMP CRAME QUEZON CITY
TELEPHONE NO. N/A
24. FATHER'S SURNAME BETONIO
NAME EXTENSION (JR., SR)
FIRST NAME FABIO
MIDDLE NAME HINAMPAS
25. MOTHER'S MAIDEN NAME PAULINES
SURNAME BETONIO
FIRST NAME LUCRESIA
MIDDLE NAME GENITA (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) (if not graduated)
GRADUATED HONORS
RECEIVED
SCHOLARSHIP/
HIGHEST LEVEL/
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR ACADEMIC
LEVEL UNITS EARNED
(Write in full) (Write in full) (if not graduated)
GRADUATED HONORS
From To RECEIVED
WITH
ELEMENTARY CATAGDAAN ELEMENTARY SCHOOL PRIMARY EDUCATION 16/06/1905 21/06/1905 GRADUATED 1999
HONOR
SECONDARY PILAR HIGH SCHOOL HIGH SCHOOL 21/06/1905 25/06/1905 GRADUATED 2003 AWARDEE
VOCATIONAL /
PILAYRE VOCATIONAL SCHOOL BASIC IN COMPUTER LITERACY 01/06/2007 01/12/2007 GRADUATED 2007 N/A
TRADE COURSE
COLLEGE HOLYNAME UNIVERSITY BACHELOR IN ELEMENTARY EDUCATION 25/06/1905 29/06/1905 GRADUATED 2007 N/A
GRADUATE STUDIES HOLYNAME UNIVERSITY EARNED 18 UNITS IN PRESCHOOL 01/09/2013 01/01/2014 2014 N/A
(Continue on separate sheet if necessary)
SIGNATURE CHARLENE BETONIO TADO DATE
CS FORM 212 (Revised 2017), Page 1 of 4