Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME MANALO
NAME EXTENSION (JR., SR)
FIRST NAME LORINA N/A
9. BLOOD TYPE B+
18. PERMANENT ADDRESS ATIS STREET
House/Block/Lot No. Street
15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) lorinamanalo25@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME MANALO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
N/A
NAME EXTENSION (JR., SR)
FIRST NAME TEOFILO PHILIP LOUISE C. MANALO 02/09/1996
SURNAME UNIDA
N/A
TRADE
TOMAS CLAUDIO MEMORIAL BACHELOR OF SCIENCE IN
COURSE
COLLEGE 1990 1993 GRADUATED 1993 N/A
COLLEGE COMMERCE
GRADUATE STUDIES TOMAS CLAUDIO COLLEGES SUPPLEMENTAL 2017 2017 27 UNITS 2017 N/A
(Continue on separate sheet if necessary)
LICENSURE EXAMINATION FOR TEACHERS 81.20% MARCH 25, 2018 MANILA 1646767 11/25/2021
N/A
CODE OF ETHICS FOR TEACHERS AND GRADING SYSTEM 10/13/2017 10/13/2017 8 TECHNICAL TOMAS CLAUDIO COLLEGES
MOST FUNCTIONAL COMMUNITY LEARNING CENTER 12/08/2017 12/08/2017 8 TECHNICAL ALTERNATIVE LEARNING SYSTEM
COMPUTER SYSTEMS SERVICING 11/27/2017 02/07/2018 360 TECHNICAL TECHNICAL EDUCATION AND SKILLS
DEVELOPMENT AUTHORITY
COMPUTER LITERATE
DANCING
SINGING
READING
b. within the fourth degree (for Local Government Unit - Career Employees)? YES
If YES, give details:
________________________________
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
YES ✘ NO
by any court or tribunal?
If YES, give details:
________________________________
________________________________
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 If YES, give details:
out (abolition) in the public or private sector? ________________________________
FINISHED CONTRACT
________________________________
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:
SUBSCRIBED AND SWORN to before me this 27TH DAY OF MAY 2019 , affiant exhibiting his/her validly issued government ID as indicated above.
SEVERO E. VALDEZ
Person Administering Oath