CS FORM 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
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 EDUARDO
NAME EXTENSION (JR., SR.)
FIRST NAME ALFREDO
JR.
MIDDLE NAME ACOSTA

3. DATE OF BIRTH 16. CITIZENSHIP

02/16/1970 [✔] Filipino [ ] Dual Citizen
(mm/dd/yyyy)

4. PLACE OF BIRTH MANDALUYONG/METRO MANILA [ ] by birth [ ] by naturalization

If holder of dual citizenship,
Please indicate country:
5. SEX [✔] Male [ ] Female please indicate details.

[ ] Single [ ] Widowed 17. RESIDENTIAL ADDRESS N/A BLK 10 LOT 48, EP HOUSING PH 1
[✔] Married [ ] Separated House/Lot/Block No. Street
6. CIVIL STATUS
[ ] Other/s N/A BRGY. PINAGSAMA
Subdivision/Village Barangay
7. HEIGHT (m) 1.65 TAGUIG METRO MANILA
City/Municipality Province
8. WEIGHT (kg) 52 ZIP CODE 1632

18. PERMANENT ADDRESS N/A BLK 10 LOT 48, EP HOUSING PH 1

9. BLOOD TYPE A
House/Lot/Block No. Street
10. GSIS ID NO. 2000559795 N/A BRGY. PINAGSAMA
Subdivision/Village Barangay
11. PAG-IBIG ID NO. 104-0067-4129 TAGUIG METRO MANILA
City/Municipality Province
12. PHILHEALTH NO. 19-000835432-8 ZIP CODE 1632

13. SSS NO. N/A 19. TELEPHONE NO. N/A

14. TIN NO. 123-273-632 20. MOBILE NO. 09054923681

15. AGENCY EMPLOYEE NO. 4159 21. EMAIL ADDRESS (if any) drawdeez@yahoo.com

II. FAMILY BACKGROUND

DATE OF BIRTH
22. SPOUSE'S SURNAME RAMOS 23. NAME OF CHILD (Write full name and list all)
(mm/dd/yyyy)
NAME EXTENSION (JR., SR.)
FIRST NAME THERESITA ABEGAIL NIRVANA R EDUARDO 02/21/1992
N/A
MIDDLE NAME SUPINA HANN DRAUDEE R EDUARDO 01/05/1995

OCCUPATION N/A GWYNETH PAULA R EDUARDO 05/01/1999

EMPLOYER/BUS. NAME N/A N/A N/A

BUSINESS ADDRESS N/A N/A N/A

TELEPHONE NO. N/A N/A N/A

24. FATHER'S SURNAME EDUARDO N/A N/A

NAME EXTENSION (JR., SR.)
FIRST NAME ALFREDO N/A N/A
N/A
MIDDLE NAME BONIFACIO N/A N/A

25. MOTHER'S MAIDEN NAME N/A N/A

SURNAME ACOSTA N/A N/A

FIRST NAME IMELDA N/A N/A

MIDDLE NAME FRANCISCO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY NAMEI POLYTECHNIC UNIVERSITY ELEMENTARY 1977 1982 1982

SECONDARY PHIL UNION COLLEGE HIGH SCHOOL 1982 1986 1986

VOCATIONAL /
N/A N/A N/A N/A N/A N/A N/A
TRADE COURSES

COLLEGE PHIL WOMENS UNIVERSITY BACHELOR OF ARTS 1989 1992 N/A 1992

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 02/27/2019

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 applicable)
RATING
SPECIAL LAW CES/CSEE EXAMINATION/ PLACE OF EXAMINATION / CONFERMENT Date of
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT Validity

CIVIL SERVICE PROFESSIONAL 80.00% 10/17/1993 QUEZON CITY, METRO MANILA N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

(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.
SALARY/JOB/
28. INCLUSIVE DATES PAY GRADE (if
(mm/dd/yyyy) GOV'T
POSITION TITLE DEPARTMENT/AGENCY/OFFICE/COMPANY MONTHLY applicable) & STATUS OF
SERVICE
(Write in full) (Write in full) SALARY STEP(Format APPOINTMENT
(Y/N)
From To "00-0")/
INCREMENT

01/01/2019 PRESENT TYPESETTER III PHILIPPINE AIR FORCE, 420TH SUPPLY WING Php 17,975.00 09-1 PERMANENT YES

04/16/2018 12/31/2018 TYPESETTER III PHILIPPINE AIR FORCE, 420TH SUPPLY WING Php 17,473.00 09-1 PERMANENT YES

01/01/2018 04/15/2018 DRAFTSMAN I PHILIPPINE AIR FORCE, 520 ABW Php 14,578.00 06-3 PERMANENT YES

01/01/2017 12/31/2017 DRAFTSMAN I PHILIPPINE AIR FORCE, 520TH ABW Php 14,578.00 06-3 PERMANENT YES

01/01/2014 10/16/2016 DRAFTSMAN I PHILIPPINE AIR FORCE, 520TH ABW Php 14,459.00 06-2 PERMANENT YES

01/04/2007 01/02/2014 DRAFTSMAN I PHILIPPINE AIR FORCE, 520TH ABW Php 14,459.00 06-2 PERMANENT YES

06/16/2003 01/03/2007 DRAFTSMAN I PHILIPPINE AIR FORCE, 520TH ABW Php 7,606.00 06-1 PERMANENT YES

01/01/2002 07/03/2003 ILLUSTRATOR VARIOUS PUBLISHING COMPANIES Php 8,000.00 TEMPORARY NO

08/16/2000 08/16/2002 ILLUSTRATOR VICANISH PUBLISHING Php 7,000.00 CASUAL NO

01/01/1995 01/01/1997 ARTIST AMNIL PUBLISHING Php 6,000.00 PERMANENT NO

01/01/1994 01/01/1995 ARTIST VALUES MEDIC INC. Php 5,000.00 CASUAL NO

01/01/1993 01/01/1994 DISPLAY ARTIST LANDMARK MALL Php 4,500.00 CASUAL NO

06/10/1990 08/30/1992 GALLERY ARTIST KENT GALLERY Php 3,000.00 PERMANENT NO

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N/A N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 02/27/2019

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 (mm/dd/yyyy) NUMBER OF
POSITION / NATURE OF WORK
(Write in full) HOURS
From To

DIWA SCHOLARSHIP PUBLISHING / RADE ST. SALCEDO VILLAGE, MAKATI CITY 01/01/2000 01/01/1970 0 FREELANCE ILLUSTRATOR

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A

(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 Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS (mm/dd/yyyy) NUMBER OF (Managerial/ CONDUCTED/SPONSORED BY
(Write in full) HOURS Supervisory/ (Write in full)
From To Technical/etc)

IPPPMS SEMINAR 12/15/2016 12/15/2016 4 PAF OCLUB

MBAI LIVELIHOOD SEMINAR 10/26/2014 10/26/2014 5 MBAI, GHQ

HRM COURSE 01/01/2014 01/01/2014 24 PAF CIVILIAN TRAINING CENTER

CIVILIAN PERSONNEL ADVANCED SUPERVISORY COURSE 05/01/2010 06/01/2010 160 PAF CIVILIAN TRAINING CENTER

CIVILIAN PERSONNEL BASIC SUPERVISORY COURSE 04/01/2010 05/01/2010 160 PAF CIVILIAN TRAINING CENTER

AUTO CAD 2007 COURSE 02/01/2007 03/01/2007 160 MAGNA CAD TECHNOLOGIES

CIVILIAN PERSONNEL BASIC COURSE 01/01/2006 01/01/2006 24 PAF CIVILIAN TRAINING COURSE

LIVELIHOOD TRAINING PROGRAM 01/01/2004 01/01/2004 24 PAF LADIES OFFICE CLUB

FIBEGLAS APPLICATON WORKSHOP 01/01/2004 01/01/2004 24 PAF BASE OPERATIONS

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

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N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

33. MEMBERSHIP IN
32. NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIALS SKILLS and HOBBIES ASSOCIATION/ORGANIZATION
(Write in full)
(Write in full)
DRIVING, DRAWING, PLAYING GUITAR, COMPUTER
N/A N/A
GRAPHICS, PAINTING

ART COMPETITIONS, COMICS, COSPLAY EXHIBITS N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 02/27/2019 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 [✔] NO

b. within the fourth degree (for Local Government Unit - Career Employees)? [ ] YES [✔] NO
If YES, give details:
N/A

35. a. Have you ever been found guilty of any administrative offense? [ ] YES [✔] NO
If YES, give details:
N/A

b. Haveyou been criminally charged before any court? [ ] YES [✔] NO

If YES, give details:
Date Filed: N/A
Status of Case/s:N/A

36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or [ ] YES [✔] NO
regulation by any court or tribunal? If YES, give details:
N/A

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 out If YES, give details:
(abolition) in the public or private sector? N/A

38. Have you acquired the status of an immigrant or permanent resident of another country? [ ] YES [✔] NO
If YES, give details (country):
N/A

39. 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:
N/A
b. Have you resigned from the government service during the three (3)-month period before the
last election to promote/actively campaign for a national or local candidate? [ ] YES [✔] NO
If YES, give details:
N/A

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: N/A

b. Are you differently abled? [ ] YES [✔] NO

If YES, please specify ID No.: N/A

[ ] YES [✔] NO
c. Are you a solo parent?
If YES, please specify ID No.: N/A

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

NAME ADDRESS TEL. NO

COL JOEL FERNANDEZ PAF (GSC) PHILIPPINE AIR FORCE

COL MACARIO MACARANAS PAF (GSC) PHILIPPINE AIR FORCE

MR. SILVANO SANTIAGO DIWA PUBLISHING

42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and 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 administrative/criminal case/s
against me. PHOTO

Government Issued ID (i.e. Passport, GSIS, SSS, PRC, Drivers's License, etc.)
PLEASE INDICATE ID Number and Date of Issuance

Government Issued ID: N/A

ID/License/Passport No: 00900013 Signature (Sign inside the box)

02/27/2019
Date/Place of Issuance: 02/03/2017 / BACOOR, CAVITE
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 of 4