Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
212
Revised 2017
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 CAYABYAB
NAME EXTENSION (JR., SR)
FIRST NAME JOED
BASISTA PANGASINAN
7. HEIGHT (m) 1.76 m
City/Municipality Province
CABELDATAN
10. GSIS ID NO. N/A
Subdivision/Village Barangay
BASISTA PANGASINAN
11. PAG-IBIG ID NO. N/A
City/Municipality Province
15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) joed.cayabyab@yahoo.com
22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
OCCUPATION N/A
ELEMENTARY CABELDATAN ELEMENTARY SCHOOL PRIMARY 1996 2003 2003 WITH HONORS
SECONDARY MALASIQUI CATHOLIC SCHOOL SECONDARY 2003 2007 2007 ESC SCHOLARSHIP
VOCATIONAL /
MASTER IN DEVELOPMENT
GRADUATE STUDIES PANGASINAN STATE UNIVERSITY 12 UNITS N/A
MANAGEMENT
(Continue on separate sheet if necessary)
(R.A 6506) BOARD OF CRIMINOLOGY 80.30% 10/22/24/2011 BAGUIO CITY 0062086 10/5/2019
NAPOLCOM SENIOR POLICE OFFICER EXAMINATION 71.00% 4/24/2016 SAN FERNANDO CITY, LA UNION
1/1/2018 TO DATE POLICE OFFICER 1 PHIIPPINE NATIONAL POLICE P29,668 10 PERMANENT YES
11/20/2013 12/31/2017 POLICE OFFICER 1 PHIIPPINE NATIONAL POLICE P14,834 10 PERMANENT YES
7/24/2013 11/20/2013 POLICE OFFICER 1 PHIIPPINE NATIONAL POLICE P14,834 10 PERMANENT YES
6/14/2013 7/24/2013 POLICE OFFICER 1 PHIIPPINE NATIONAL POLICE P14,834 10 PERMANENT YES
7/2/2012 6/14/2013 POLICE OFFICER 1 PHIIPPINE NATIONAL POLICE P14,834 10 TEMPORARY YES
COMPUTER HARDWARE MAINTENANCE & TROUBLESHOOTING 9/16/2015 9/29/2015 100 HOURS TECHNICAL PANGASINAN POLICE PROVINCIAL OFFICE 1
HUMAN RIGHTS SEMINAR FOR PATROLLERS 4/3/2015 4/3/2015 7 HOURS TECHNICAL PANGASINAN POLICE PROVINCIAL OFFICE 2
MEDALYA NG KASANAYAN
COMMENDATION
(Continue on separate sheet if necessary)
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed:
________________________________
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by YES ✘ NO
any court or tribunal?
If YES, give details:
________________________________
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, retirement, YES ✘ NO
dropped from the rolls, dismissal, termination, end of term, finished contract or phased out (abolition) in If YES, give details:
the public or private sector? ________________________________
________________________________
38. 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:
b. Have you resigned from the government service during the three (3)-month period before the last YES ✘ NO
election to promote/actively campaign for a national or local candidate? If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):
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:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:
RET. PC/SUPT WENDY ROSARIO CALASIAO, PANGASINAN N/A With full and handwritten
name tag and signature over
printed name
PSSUPT BELLI TAMAYO CALASIAO, PANGASINAN N/A
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and complete or photocopied picture
is not acceptable
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 PHOTO
against me.
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.