Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
with "
T15099015
1. CS ID No.
I. PERSONAL INFORMATION
L | E
2. SURNAME
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FIRST NAME
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MIDDLE NAME
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|A
|E
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|A
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|E
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6. SEX
7. CIVIL STATUS
Married
Separated
Annulled
Filipino
5'4"
40 kg
AB
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ZIP CODE
4119
(+639) 266942145
ZIP CODE
4119
(+639) 266942145
michelleanne.legaspi@yahoo.com
(+639)151769608
Widowed
9. HEIGHT (m)
Female
Single
8. CITIZENSHIP
03/03/1992
| I
483-364-762
23. TIN
34-5819338-8
FIRST NAME
12/09/2011
/
OCCUPATION
EMPLOYER/BUS. NAME
BUSINESS ADDRESS
MIDDLE NAME
TELEPHONE NO.
(Continue on separate sheet if necessary)
26. FATHER'S SURNAME
10/16/1956
Legaspi
FIRST NAME
Felicisimo
MIDDLE NAME
Baurile
07/22/1958
Vidal
FIRST NAME
Consuelo
MIDDLE NAME
Austria
YEAR
GRADUATED
NAME OF SCHOOL
LEVEL
(Write in
HIGHEST GRADE/
LEVEL/
UNITS EARNED
(if not graduated)
DEGREE COURSE
(Write in full)
From
To
SCHOLARSHIP/
ACADEMIC HONORS
RECEIVED
June 2001
March 2004
3rd honors
2008
June 2001
March 2008
2014
June 2009
October
2014
full)
(if graduated)
2004
SECONDARY
VOCATIONAL /
COLLEGE
COURSE
TRADE
Bachelor of Science
in Industrial
Education Major in
Computer
Education
INCLUSIVE DATES OF
ATTENDANCE
GRADUATE STUDIES
Page 1 of 4
RATING
DATE OF
EXAMINATION /
CONFERMENT
09/27/2015
Manila, Philippines
NUMBER
1414567
DATE OF
RELEASE
12/21/201
5
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30.
INCLUSIVE DATES
(mm/dd/yyyy)
From
POSITION TITLE
To
(Write in full)
GOV'T
SERVICE
MONTHLY
SALARY
SALARY GRADE
& STEP
INCREMENT
(Format "00-0")
STATUS OF
APPOINTMENT
(Yes / No)
07 /21
/2016
Present
Teacher
AWCI de Le Mar
7750
Contractual No
06 / 01
/2015
07 / 20
/2016
Teacher
7750
Contractual No
/
(Continue on separate sheet if necessary)
INCLUSIVE DATES
(Write in full)
NUMBER OF
HOURS
(mm/dd/yyyy)
From
To
(mm/dd/yyyy)
From
NUMBER OF
HOURS
CONDUCTED/ SPONSORED BY
(Write in full)
To
SHS et al: It's Never Too Late to Learn-the Fate of K-12 Lies in your
07 / 23 /2016
Hands
07 / 24 /2016 16 hours
03 / 09 /2013 32 hours
02 /16 /2013
34.
35.
MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
(Write in full)
Computer Literate
Art Works
Cooking
36.
a.
YES
NO
If YES, give details:
_____________________________________
_____________________________________
_____________________________________
b.
YES
NO
If YES, give details:
_____________________________________
_____________________________________
_____________________________________
37
YES
NO
NO
Have you ever been convicted of any crime or violation of any law, decree, ordinance or
regulation by any court or tribunal?
39.
Have you ever been separated from the service in any of the following modes: resignation,
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract, AWOL or
phased out, in the public or private sector?
40.
YES
NO
If YES, give details:
________________________________
________________________________
YES
NO
Have you ever been a candidate in a national or local election (except Barangay election)?
YES
NO
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.
b.
c.
YES
NO
If YES, please specify: ____________________
YES
NO
If YES, please specify: ____________________
YES
NO
If YES, please specify: Not yet Married
43.
ADDRESS
TEL. NO.
9328623417
I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines.
I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust
that this information shall remain confidential.
PHOTO
27229478
COMMUNITY TAX CERTIFICATE NO.
City of Bacoor
ISSUED AT
01/05/2015
07/08/2016
ISSUED ON (mm/dd/yyyy)
DATE ACCOMPLISHED
RIGHT THUMBMARK