Personal Data Sheet (PDS)

I. PERSONAL INFORMATION
1 CS ID No to be filled-up by CSC
2 Surname - First Name - Middle Name
3 Name Ext
4 Date of Birth (mm/dd/yyyy)
5 Place of Birth
6 Sex
7 Civil Status
8 Citizenship 1
9 Height (m)
10 Weight (kg)
11 Blood Type 2
12 GSIS ID No 3
13 Pag-Ibig ID No 4
14 PhilHealth No 5
15 SSS No 6
16 Residential Address

17 Telephone No
18 Permanent Address

19 Telephone No 7
20 E-Mail Address (if any)

21 Cellphone No (if any)

8
22 Agency Employee No
23 TIN 9

II. FAMILY BACKGROUND

24 Spouse's Surname - First Name - Middle Name
Occupation
Employer/Bus. Name
Business Address
Telephone No.
25 Name of Child
Date of Birth (mm/dd/yyyy)
26 Father's Name - First Name - Middle Name
27 Mother's Maiden Name - Surname - First Name - Middle Name 10

III EDUCATIONAL BACKGROUND

28 Level
Name of School
Degree Course
 Year Graduated
Highest Grade / Level / Units Earned
Inclusive Dates of Attendance: From - To
Scholarship / Academic Honors Received

IV CIVIL SERVICE ELIGIBILITY

29 Career Service / RA 1080 (Board/Bar) / CES / CSEE
Rating
Date of Examination / Conferment
Place of Examination / Conferment
License (if applicable)
Number
Date of Release 11

V WORK EXPERIENCE
30 Inclusive Dates: From - To (mm/dd/yyyy)
Position Title
Dept. / Agency / Office / Company
Monthly Salary
Salary Grade & Step Increment
Status of Appointment
Gov't Service (Yes/No) 12

VI VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT /

PEOPLE / VOLUNTARY ORGANIZATIONS
31 Name of Organization
Address of Organization

Inclusive Dates: From - To (mm/dd/yyyy)

Number of Hours
Position / Nature of Work 13

VII TRAINING PROGRAMS

32 Title of Seminar / Conference / Workshop / Short Courses

Inclusive Dates of Attendance (mm/dd/yyyy)
Number of Hours
Conducted / Sponsored By

Title of Seminar / Conference / Workshop / Short Courses

Inclusive Dates of Attendance (mm/dd/yyyy)
Number of Hours
Conducted / Sponsored By

VIII OTHER INFORMATION

33 Special Skills / Hobbies
Non-Academic Distinctions / Recognition
Membership in Association / Organization 14

IX LAST PAGE OF PDS

36 - 41 Various questions
42 References
43 Declaration of Oath 15
 SAP HRIS
Corresponding Infotypes / TCode
Not applicable
0002 Personal Data
0002 Personal Data
0002 Personal Data
0002 Personal Data
0002 Personal Data
0002 Personal Data
0002 Personal Data
0028 Internal Medical Service: Stype - 0001 General Data
0028 Internal Medical Service: Stype - 0001 General Data
0028 Internal Medical Service: Stype - 0001 General Data
0032 Internal Data
0423 HDMF Philippines
0596 PhilHealth Philippines
0422 Social Security Philipplines
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 2 Residential Address
0006 Address: Stype - 1 Permanent Residence
0006 Address: Stype - 1 Permanent Residence
0006 Address: Stype - 1 Permanent Residence
0006 Address: Stype - 1 Permanent Residence
0006 Address: Stype - 1 Permanent Residence
0006 Address: Stype - 1 Permanent Residence
0105 Communcation: Stype - 0010 BIR Email ID
0105 Communcation: Stype - 0010 BIR Email ID
0105 Communcation: Stype - CELL Mobile Number
0105 Communcation: Stype - CELL Mobile Number
0032 Internal Data
0411 Taxation Philippines

0021 Family Member/Dependents: Stype - 1 Spouse

0021 Family Member/Dependents: Stype - 1 Spouse
0021 Family Member/Dependents: Stype - 1 Spouse
0021 Family Member/Dependents: Stype - 1 Spouse
0021 Family Member/Dependents: Stype - 1 Spouse
0021 Family Member/Dependents: Stype - 2 Child
0021 Family Member/Dependents: Stype - 2 Child
0021 Family Member/Dependents: Stype - 3 Father
0021 Family Member/Dependents: Stype - 4 Mother

0022 Education
0022 Education
0022 Education
 0022 Education
0022 Education
0022 Education
0022 Education

0022 Education
0022 Education
0022 Education
0022 Education

0022 Education
0022 Education

0634 Other/Previous Employers

0634 Other/Previous Employers
0634 Other/Previous Employers
0634 Other/Previous Employers
0634 Other/Previous Employers
0634 Other/Previous Employers
0634 Other/Previous Employers

0219 External Organizations

0219 External Organizations
0219 External Organizations
0219 External Organizations
0219 External Organizations
0219 External Organizations
0219 External Organizations
0219 External Organizations

BEFORE BIR (from PREVIOUS Company) (from Personnel Administration module)

9001 Current Personnel Strength
9001 Current Personnel Strength
9001 Current Personnel Strength
9001 Current Personnel Strength

CURRENT (PRESENTLY employed in BIR) (c/o Training & Events Management module)
PSV2 Business Event Menu
PSV2 Business Event Menu
PSV2 Business Event Menu
PSV2 Business Event Menu

9001 Current Personnel Strength

9001 Current Personnel Strength
9001 Current Personnel Strength
9003 Last Page of Personal Data Sheet
9003 Last Page of Personal Data Sheet
9003 Last Page of Personal Data Sheet
SAP HRIS
Corresponding Data Fields
Not applicable
Last Name - First Name - Second Name
joint from the First Name
Birth date (mm/dd/yyyy)
Birthplace
Male / Female (radio button)
Mar. Status
Nationality
Examination Area: Height (m)
Examination Area: Weight (kg)
Examination Area: Blood Type
GSIS Number
HDMF Number
PhilHealth number
SSS number
c/o
Street & House No
2nd Address Line
Postal Code/City
Country Key
Telephone Number
c/o
Street & House No
2nd Address Line
Postal Code/City
Country Key
Telephone Number
Type
ID/Number
Type
ID/Number
Agency no./Employee ID
Tax id number (TIN)

Last name - First name - Middle name

Occupation
Employer
Bus. Address
Telephone #
Last name - First name - Middle name
Birth date (mm/dd/yyyy)
Last name - First name - Middle name
Last name - First name - Middle name

Educational est.
Institute
Branch of Study 1 / Branch of Study 2
 Endda
Educ Level
(Start) Begda / (End) Endda (mm/dd/yyyy)
Scholarship / Acad. Honors Received

Certificate
Final Grade
Begda (mm/dd/yyyy)
Institute

License
Date of Release (mm/dd/yyyy)

(Start) Begda / (End) Endda (mm/dd/yyyy)

Position Title
Dept/Agency/Office
Monthly Salary
Salary grade & Step Inc
Status of Appoint.
Gov't Service

Organization Name
Street and House No
2nd Address Line
City
Country Key
(Start) Begda / (End) Endda (mm/dd/yyyy)
No. of hours
Pos. / Nature of work

dministration module)
Training
From - To (mm/dd/yyyy)
No. of Hours
Conducted By

ents Management module)

Description Tab: Object - Object Name
Validity - (From) Begda / (To) Endda (mm/dd/yyyy)
Main Schedule Model Tab: Without pattern - Duration/hours
Relationships Tab: Rel'ship - Is organized by Organizational Unit (internal trainings)
Relationships Tab: Rel'ship - Is organized by Company (external trainings)

Skills
Remarks
Remarks
Refer to Tabs 1 - 4
Refer to Tab 5
Refer to Tab 6
PERSONNEL DATA SHEET (PDS)
Personal Data (Infotype 0002)
Form of Name Last
Address Key Format Name Initials
Personnel Number Start Date End Date
Q0002- P0002- P0002-NACHN P0002-INITS
PERNR BEGDA ENDDA ANREX KNZNM
CHAR 8 DATS 8 MM/DD/YYY DATS 8 MM/DD/YYY CHAR 5 CHAR 2 CHAR 40 CHAR 10
Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Optional
Employee Name (hired date)
Sanchez, Aida B. 00007506 10/7/1996 12/31/9999 Ms 2 Sanchez ABS

Name format:
00 - First Name, Last Name
01- First Name, Middle Name, First Name
02- Last Name, First Name, Middle Name
Marital Status;
Single
Marr.
Wid.
LS
Annuld
Others
Region;
1- Ilocos
2- Cagayan Valley
3- Central Luzon
4- South Luzon
5- Bicol
6- West Visayas
7- Central visayas
8- Eastern visayas
9- Western Mindanao
10- Northern Mindanao
11- Central Mindanao
12- Southern Mindanao
13- NCR
14- ARRM
Religion
RC - Roman Catholic
BAPT - Baptist
CHTN - Christian
CHAR- Charismatic Church
INIC - Iglesia ni Cristo
ISL - Islam or Islamic
JW - Jehovah's Witness
NORM- Mormon
MUSL- Muslim
PG- Pentecostal Church
SDA- Seventh Day Adventist
ADD- Ang Dating Daan
0002)
Second Name/Middle
First Name Nickname Name Language Marital Status Birth Date Birth Place Gender

P0002-VORNA P0002-RUFNM P0002-NACH2 P0002- Q0002- P0002-GBDAT P0002-GBORT Q0002-

SPRSL FATXT GESC1
CHAR 40 CHAR 40 CHAR 40 LANG 1 CHAR 6 DATS 8 CHAR 40 CHAR 1
Mandatory Optional Mandatory Optional Mandatory Mandatory Mandatory Mandatory

Aida Baranggan Marr. 05/02/1969 Salvador, Lanao Del Norte

 Country of Number of
Birth Gender Region Children Nationality Religion Nationality 2

P0002- Q0002-GESC2 P0002- P0002- P0002-NATIO Q0002-KITXT NATI2

GBLND GBDEP ANZKD
CHAR 3 CHAR 1 CHAR 3 DECI 3 CHAR 3 CHAR 4 CHAR 3
Optional Mandatory Optional Optional Mandatory Mandatory Optional

PH x Female NCR 2 Filipino RC

Nationality 3

NATI3

CHAR 3
Optional
 Addresses (Infotype 0006)
Personnel Number Start date End Date Address type C/O name ( if applicable)

PERNR/PNALT/PERSONID_EXT P0006-BEGDA P0006-ENDDA P0006-ANSSA P0006-NAME2

CHAR 8 DATS 8 DATS 8 CHAR 4 CHAR 40
Mandatory Mandatory Mandatory Mandatory Optional
(date
encoded/uploaded in
Employee Name the system) default to 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999 1
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999 2

Address Type;
1 - Permanent
2- Residence
3- Emergency Contact number
4- Private Physician

Region;
1- Ilocos
2- Cagayan Valley
3- Central Luzon
4- South Luzon
5- Bicol
6- West Visayas
7- Central visayas
8- Eastern visayas
9- Western Mindanao
10- Northern Mindanao
11- Central Mindanao
12- Southern Mindanao
13- NCR
14- ARRM
 Street and
2nd Address Line Postal Code City Region Country Key
House No.
P0006-STRAS P0006-LOCAT P0006-PSTLZ P0006-ORT01 P0006-STATE P0006-LAND1
CHAR 60 CHAR 40 CHAR 10 CHAR 40 CHAR 3 CHAR 3
Mandatory Optional Mandatory Mandatory Optional Default

Maranding , Lala , Lanao Del Norte 9211 Iligan city 10 Philippines

Lot 4 - Blk4, Beethoven Street, Ideal Subdivision, Quezon City 1118 Quezon City NCR Philippines
 Telephone
number
P0006-TELNR
CHAR 14
Optional

4305300
 Family Members/Dependents (Infotype 0021)
Employee ID Start Date End Date

PERNR/PNALT/PERSONID_EXT P0021-BEGDA P0021-ENDDA

CHAR 8 DATS 8 DATS 8
Mandatory Mandatory Mandatory
Employee Name
date
encoded/uploa
ded in the default to
system 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999
Sanchez, Aida B. 00007506 05/01/2008 12/31/9999

Type of Family Record / Family Member;

1 - Spouse
2 - Child
3- Father
4 - Mother
5 - Dependent
6- Relative- Gov't Employee
 Second
Type of Family Child No. /
Last Name First Name Initials Name/Middle RELATIONSHIP Gender Gender Date of Birth
Record Number
Name
P0021-FAMSA P0021-OBJPS P0021-FANAM P0021-FAVOR P0021-FINIT P0021-FNAC2 P0021-RELATIONSHIP Q0021-GESC1 Q0021-GESC2 P0021-FGBDT
CHAR 4 CHAR 2 CHAR 40 CHAR 40 CHAR 10 CHAR 40 CHAR 20 CHAR 1 CHAR 1 DATS 8
Mandatory Optional Mandatory Mandatory Optional Optional Optional Mandatory Mandatory Mandatory

1 01 Sanchez Milton Alquizola Husband x Male 01/08/1968

2 01 Sanchez Jann Milton Baranggan Child x Male 05/18/1994
2 02 Sanchez Sean Marionne Baranggan Child x Male 09/08/1998
3 Baranggan Diosdado Bargio Father x Male 11/03/1942
4 Baranggan Guillerma Sabandija Mother x Female 04/08/1948
 Country of Second Third
Birthplace Nationality OCCUPATION EMPLOYER NAME
Birth Nationality Nationality

P0021-FGBOT P0021-FGBLD P0021-FANAT P0021-FANA2 P0021-FANA3 P0021-OCCUPATION P0021-EMPLOYERNAME

CHAR 40 CHAR 3 CHAR 3 CHAR 3 CHAR 3 CHAR 40 CHAR 40
Optional Optional Optional Optional Optional Optional Optional

Naga, Cebu City Philippines Filipino Seaman Jebsen Shipping

Provincial Hospital, Baroy Lanao Del Norte Philippines Filipino student
General Malvar Hospital, Quezon City Philippines Filipino student
Philippines Filipino
Philippines Filipino
 BUS. ADDRESS TELEPHONE # Type of Dependent for BIR 2316

P0021-BUSADDRESS P0021-TELEPHONENUM P0021-NTREL P0021-QDPCH P0021-OTHDP

CHAR 60 CHAR 20 CHAR 1 CHAR 1 CHAR 1
Optional Optional Optional Optional Optional
not relevant to BIR Form 2316 Qualified Dependent Child Other Dependent

Pier , Manila 4315544 x

x
x
x

x
 Education (Infotype 0022)
Educational
Personnel Number Start date End Date
Establishment

P0022-PERNR P0022-BEGDA P0022-ENDDA P0022-SLART

CHAR 8 DATS 8 DATS 8 CHAR 2
Mandatory Mandatory Mandatory Mandatory
Employee Name Inclusive Dates of attendance From Inclusive Dates of attendance To
MARZAN, JAIME GALLARDO 00000432 06/01/1959 03/01/1963 03 Secondary
MARZAN, JAIME GALLARDO 00000432 06/01/1964 03/01/1968 04 College
MARZAN, JAIME GALLARDO 00000432 06/01/1978 03/01/1982 04 College
MARZAN, JAIME GALLARDO 00000432 06/01/1953 03/01/1959 07 Elementary
MARZAN, JAIME GALLARDO 00000432 12/01/1968 12/31/9999 08 Eligibility
MARZAN, JAIME GALLARDO 00000432 12/01/1969 12/31/9999 08 Eligibility

Education establisment;
01- University
02- Vocational/Trade Course
03- Secondary
04- College
05- Business School
06-Graduate Studies
07-Elementary
08- Eligibility

Education level
Bachelor of Laws
College Graduate
College Undergraduate
Diploma / Certificate Course
Elementary Graduate
High School Graduate
Masteral Degree
Masteral Units
PHD
PHD Units
 Duration of
Branch of Branch of
Education Level Institute/Location Country Key Certificate Training Final Grade Branch of Study 1
Study 1 Study 2
Course
P0022-INSTI P0022-SLAND P0022-SLABS P0022-ANZKL P0022-EMARK P0022-SLTP1 P0022-SLTP2
CHAR 80 CHAR 3 CHAR 2 DEC 3 CHAR 4 NUMC 5 NUMC 5
Optional Mandatory Optional Mandatory Optional Optional Mandatory Optional

Highschool Graduate BAGUIO CITY HIGH SCHOOL Philippines 17 0 00149 High School Graduate 0
College Graduate FAR EASTERN UNIVERSITY Philippines 18 0 00045 Commerce, BS 0
Bachelor of Laws BAGUIO COLLEGES FOUNDATION Philippines 18 0 00178 Law, Bachelor of 0
Elementary Graduate BURGOS ELEMENTARY SCHOOL Philippines 17 0 00268 Elementary 0
Diploma/Certificate Course MANILA Philippines 10 0 00269 Not Applicable 0
Diploma/Certificate Course MANILA Philippines 06 0 75 00269 Not Applicable 0
 Scholarship /
License / ROLL
Academic Honors Date of Release
NO.
Received
P0022-SCHOLAR P0022-LICENSE P0022-DRELEA
CHAR 40 CHAR 12 DATS 8
Optional Optional Optional

00/00/0000
00/00/0000
00/00/0000
00/00/0000
12/01/1900
12/01/1900
 Internal Data (Infotype 0032)
Personnel Number Start Date End Date Agency No. / Employee ID # GSIS No.
PERNR/PNALT/PERSONID_EXT P0032-BEGDA P0032-ENDDA P0032-AGENCYNO P0032-GSISNUMBER
DATS 8
CHAR 8 DATS 8 MM/DD/YYY CHAR 20 CHAR 20
MM/DD/YYY
Mandatory Mandatory Mandatory Mandatory Mandatory
Employee Name (hired date) default to 12/31/9999
Sanchez, Aida B. 00007506 10/07/1996 12/31/9999 001-937 69050200582
 Policy Number
P0032-POLICYNUMBER

CHAR 20

Mandatory

CM00001096019
 Communication (Infotype 0105)
Employee ID Start Date End Date Type
PERNR/PNALT/PERSONID_EXT P0105-BEGDA P0105-ENDDA P0105-USRTY
CHAR 8 DATS 8 DATS 8 CHAR 4
Mandatory Mandatory Mandatory Mandatory

Employee Name date encoded/uploaded in the system default to '12/31/9999'

Sanchez, Aida B. 7506 11/18/2008 12/31/9999 0001
Sanchez, Aida B. 7506 11/18/2008 12/31/9999 0010
Sanchez, Aida B. 7506 11/18/2008 12/31/9999 CELL
Sanchez, Aida B. 7506 11/18/2008 12/31/9999 DLLN
Sanchez, Aida B. 7506 11/18/2008 12/31/9999 PEAD

TYPE;
0001- System User Name (Sy-uname)
0010- BIR email id
CELL - Mobile Number
CRN #- Common Reference Number
DLLN- Direct Line/Local Number
IPAD- IP Address
PEAD-Personal email Address
 ID/Number
P0105-USRID_LONG
CHARC 30
Mandatory

NABSANCH
AIDA.SANCHEZ@BIR.GOV.PH
09157147120
4315300
aida.sanchez@yahoo.com
 External Organizations (Infotype 0219)
Personnel Number Start Date End Date Benefit Organization Name
PERNR/PNALT/PERSONID_EXT P0219-BEGDA P0219-ENDDA P0219-ORGNM
CHAR 8 DATS 8 MM/DD/YYY DATS 8 MM/DD/YYY CHAR 40
Mandatory Mandatory Mandatory Mandatory
date encoded/uploaded in the system default to '12/31/9999'
Employee Name
ESQUIVIAS, SIXTO IV 00011313 01/01/2000 12/31/9999 Couples for Christ Foundation Inc.
ESQUIVIAS, SIXTO IV 00011313 01/01/1997 12/31/9999 Aquila Legis Fraternity
 No. Of Hours Nature of Work Street and House Number 2nd Address Line City Country Key
P0219-NUMHRS P0219-POSWORK P0219-STRAS P0219-LOCAT P0219-ORT01 P0219-LAND1
CHAR 5 CHAR 40 CHAR 60 CHAR 40 CHAR 40 CHAR 3
Optional Mandatory Mandatory Optional Optional Optional

0 Member
0 Member Ateneo College of Law
Telephone Number Fax Number
P0219-TELNR P0219-FAXNR
CHAR 14 CHAR 14
Optional Optional
 Other/Previous Employers (Infotypes 0634)
Employee ID Start date End Date Dept/Agency/Office
PERNR/PNALT/PERSONID_EXT P00634-BEGDA P0634-ENDDA P0634-ERNAM
CHAR 8 DATS 8 DATS 8 CHAR 30
Mandatory Mandatory Mandatory Mandatory

Employee Name Inclusive dates from inclusive dates to

ESQUIVIAS, SIXTO IV 00011313 01/01/1986 01/01/1998 UNIVERSITY OF THE PHILIPPINES
ESQUIVIAS, SIXTO IV 00011313 01/01/2004 01/01/2007 CONG.OVERSIGHT COMM ON CTRP
ESQUIVIAS, SIXTO IV 00011313 01/01/2006 01/01/2009 UNIVERSITY OF THE PHILIPPINES
 Position Title Status of Appoint Sal grade & Step Inc Monthly Salary

P0634-ADDRS P0634-CITY1 P0634-ZIPCD P0634-TINNO

CHAR 30 CHAR 30 CHAR 4 CHAR 12
Mandatory Mandatory Optional Optional

PROFESSOR OF TAXATION
CONSULTANT
PROFESSOR OF TAXATION
Country Key Gov't Service

P0634-LAND1 P0634-BRANC
CHAR 3 CHAR 4
Optional Mandatory
 Internal Medical Service (Infotype 0028)
Date of Last
Employee ID Subtype Examination Date Diagnosis
Examination
PERNR/PNALT/PERSONID_EXT P0028-EXDAT P0028-LXDAT P0028-RESUL
CHAR 08/12/20 DATS 8 DATS 8 CHAR 2
Mandatory Mandatory Mandatory Optional Optional
Employee Name
NAIG, HERNANDO NACOR 00000397 001 05/01/2008 05/01/2008

subtype;
001- General Data
CC00- to check upon consultation
DD00- Doctor's/Dentist's SOAP
DH00- Dental History
DI00- Dental Interventions/Consultation
DP00- Diagnostic Procedure
FH00- Family History
MC00- Medical Cert issued/other eval/plan of action
MH00- Medical History
MSP0- Minor surgical Procedure
OC00- Oral Condition
OEL0- Oral exam Lower
OEU0- Oral exam upper
OH00- OB-GYNE History
SC00- Specialty Clinics
SH00- Social History
TH00- Therapy
 Checkbox - for Checkbox - for Specification - for Specification - for Specification - for
Checkbox - for HEIGHT
WEIGHT BLOOD HEIGHT WEIGHT BLOOD
P0028-JNFLD_01 P0028-JNFLD_02 P0028-JNFLD_03 P0028-WTFLD_01 P0028-WTFLD_02 P0028-WTFLD_02
CHAR 1 CHAR 1 CHAR 1 CHAR 10 CHAR 10 CHAR 10
Optional Optional Optional Mandatory Mandatory Mandatory

X X x 5'1" 130 LBS AB

 Taxation PH (Infotype 0411)
Tax Identification
Employee ID Start date End Date
Number
PERNR/PNALT/PERSONID_EXT P0411-BEGDA P0411-ENDDA P0411-TAXFN
CHAR 08 DATS 8 DATS 8 NUMC 12
Mandatory Mandatory Mandatory Mandatory
Employee Name (hired date) default to '12/31/9999'
Sanchez, Aida B. 00007506 10/07/1996 12/31/9999 122807799

tax status
HF- Head of Family
HF**- Head of family + special exmpt
HF1- Head of family + 1 dependent
HF2- Head of family + 2 dependent
HF3- Head of family + 3 dependent
HF4- Head of family + 4 dependent
ME- Married Employee
ME1- Married emp + 1 dependent
ME2- Married emp + 2 dependent
ME3- Married emp + 3 dependent
ME4- Married emp + 4 dependent
S- Single employee
S** - Single emp + special exmpt
Z- Zero exemption
 Number of dependents BIR Form 2316 Second Job Flag for Spouse Exemption
Tax Status Regional District Office Code
for tax exemptions Indicator Tax Calculations Status
P0411-TAXST P0411-NODEP P0411-W2ISS P0411-SCJOB P0411-SPEXM P0411-TXRDO
CHAR 4 NUMC 2 NUMC 4 CHAR 1 CHAR 1 NUMC 3
Mandatory Optional Optional Optional Optional Optional

ME2 2
 SSS PH (Infotype 0422)
Social Security
Employee ID Start date End Date Membership
Number
PERNR/PNALT/PERSONID_EXT P0422-BEGDA P0422-ENDDA P0422-SSSNO
CHAR 8 DATS 8 MM/DD/YYY DATS 8 CHAR 11
MM/DD/YYY
Mandatory Mandatory Mandatory Mandatory
Employee Name start date of becoming a SSS member
MADRONA, LILIA VILLAMOR 00003510 03/02/1987 12/31/9999 344364318
 Employer SSS Employee SSS
Social Security Employer Medicare Employee Medicare Employee
Percentage Percentage
Contribution Exemption Contribution Contribution Compensation
Contribution Contribution
P0422-SSSEX P0422-SSSER P0422-SSSEE P0422-MEDER P0422-MEDEE P0422-EECMP
CHAR 1 CHAR 5 CHAR 5 CHAR 5 CHAR 5 CHAR 5

Optional Optional Optional Optional Optional Optional

 HDMF PH (Infotype 0423)
Employee ID Start date End Date HDMF NO.
PERNR/PNALT/PERSONID_EXT P0423-BEGDA P0423-ENDDA P0423-HDMNO
CHAR 8 DATS 8 DATS 8 CHAR 12
MM/DD/YYY MM/DD/YYY
Mandatory Mandatory Mandatory Mandatory
Employee Name date of becoming a HDMF member
Sanchez, Aida B. 00007506 10/07/1996 12/31/9999 770016909
 Philhealth PH (Infotype 0596)
Employee PhilHealth PhilHealth
Employee ID Start date End Date
Number Exemption Flag

PERNR/PNALT/PERSONID_EXT P0000-BEGDA P0000-ENDDA P0596-PHHNO P0596-PHHEX

CHAR 8 DATS 8 MM/DD/YYY DATS 8 CHAR 12 CHAR 1

MM/DD/YYY
Mandatory Mandatory Mandatory Mandatory Optional
Employee Name date of becoming a philhealth member
Sanchez, Aida B 00007506 12/31/9999 190000783610 x
 PhilHealth PhilHealth PhilHealth Dependent
PhilHealth Dependent 1 PhilHealth Dependent 2
Dependent 3 Dependent 4 5

P0596-DEPENDENT1 P0596-DEPENDENT2 P0596-DEPENDENT3 P0596-DEPENDENT4 P0596-DEPENDENT5

CHAR 40 CHAR 40 CHAR 40 CHAR 40 CHAR 40

Optional Optional Optional Optional Optional

Jann Milton B. Sanchez Sean Marionne B. Sanchez

 Last Page of Personal Data Sheet (Infotype 9003)
Tab 1
If If If
YES - YES - YES - If YES - If YES -
Questio Question Details Details Details Questio Question Details Details
Personnel Number Start Date End Date n 1 - Yes 1 - No (1) (2) (3) n 2 - Yes 2 - No (1) (2)
PERNR BEGDA ENDDA YES1 NO1 DETAIL01 DETAIL02 DETAIL03 YES2 NO2 DETAIL04 DETAIL05
DATS 8 DATS 8
CHAR 8 MM/DD/Y MM/DD/YY CHAR 1 CHAR 1 CHAR 40 CHAR 40 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 40
YY Y
Mandator
Mandatory y Mandatory Optional Optional Optional Optional Optional Optional Optional Optional Optional

(date
encoded/u
ploaded in
the default to
Employee Name system) '12/31/9999' x n/a n/a n/a x n/a n/a
Sanchez, Aida B. 00007506 5/18/2008 12/31/9999
 Tab 2 TAB
If YES - Question If YES - If YES - Question If YES - If YES - If YES - If YES - If YES -
Details Questio 1 - No Details Details Questio 2 - No Details Details Questio Question Details Details Questio Question Details
(3) n 1 - Yes (3) (1) (2) n 2 - Yes (4) (1) (2) n 3 - Yes 3 - No (1) (2) n 1 - Yes 1 - No (1)
DETAIL06 YES3 NO3 DETAIL07 DETAIL08 YES4 NO4 DETAIL09 DETAIL10 YES5 NO5 DETAIL11 DETAIL12 YES6 NO6 DETAIL13

CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 40 CHAR 1 CHAR 1 CHAR 40

Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional

n/a x n/a n/a x n/a n/a x n/a n/a x n/a

 TAB 3 TAB 4
Referenc Referenc
If YES - If YES - If YES - es - es -
Details Questio Question Details Details If YES - (b.) - If YES - (c.) - If YES - Name Address
(2) n 2 - Yes 2 - No (1) (2) (a.)- Yes (a.) - No Details Yes (b.) - No Details Yes (c.) - No Details (1) (1)
DETAIL14 YES7 NO7 DETAIL15 DETAIL16 YES8 NO8 DETAIL17 YES9 NO9 DETAIL18 YES10 NO10 DETAIL19 NAME1 ADDR1

CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 1 CHAR 1 CHAR 40 CHAR 50 CHAR 50

Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional

Carolyn
Ann C.
n/a x n/a n/a x n/a x n/a x n/a Reyes BIR
 TAB 5 TAB 6
Referenc Referenc Referenc Referenc Commun
Referenc es - es - Referenc es - es - Referenc ity Tax Date
es - Tel. Name Address es - Tel. Name Address es - Tel. Certificat Issued Issued Accompl
No. (1) (2) (2) No. (2) (3) (3) No. (3) e No At On ished
TELNO1 NAME2 ADDR2 TELNO2 NAME3 ADDR3 TELNO3 TAXNO
ISSON ISSAT
DATACC
DATS 8 DATS 8
CHAR 20 CHAR 50 CHAR 50 CHAR 20 CHAR 50 CHAR 50 CHAR 20 CHAR 20 CHAR 20 MM/DD/Y MM/DD/Y
YY YY

Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional

Jocelyn
D.C. Raquel Quezon
9817075 Zabala BIR 4262171 Baltazar BIR 9817075 27662227 City 2/22/2010 2/23/2010