CS Form No.

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 ALONTO
NAME EXTENSION (JR., SR)
FIRST NAME PRAGA

MIDDLE NAME TAMBASING

3. DATE OF BIRTH
(mm/dd/yyyy) 1/7/1976 16. CITIZENSHIP
✘ Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH MASIU, LANAO DEL SUR If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female Philippines

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS House No. 0006 Engineerimg
Widowed Separated House/Block/Lot No. Street
Purok Santo Niño Making
Other/s:
Subdivision/Village Barangay

7. HEIGHT (m) 5'5" 1/2 Parang Maguindanao

City/Municipality Province
8. WEIGHT (kg) 85 ZIP CODE 9604

9. BLOOD TYPE "B"

18. PERMANENT ADDRESS Brgy Lot No. 0051 Mimbalay
House/Block/Lot No. Street

10. GSIS ID NO. N/A N/A Magompara

Subdivision/Village Barangay

11. PAG-IBIG ID NO. 1212-1439-1035 Masiu LANAO DEL SUR

City/Municipality Province

12. PHILHEALTH NO. 15-201267048-0 ZIP CODE 9706

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

14. TIN NO. 950-619-187 20. MOBILE NO. 0955-779-8529 / 0910-721-8486

15. AGENCY EMPLOYEE NO. 000-088-079 21. E-MAIL ADDRESS (if any) 09557798529alonto@gmail.com

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME DIBAROSAN 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

NAME EXTENSION (JR., SR)

FIRST NAME ROCMA DHULQUITFANY DIBAROSAN ALONTO 12/2/2006

MIDDLE NAME DICAY DARIL HASANAYN DIBAROSAN ALONTO 08/26/2008

OCCUPATION HOUSEWIFE DHULLAYZAH DIBAROSAN ALONTO 9/4/2011

EMPLOYER/BUSINESS NAME N/A DHULKHULAYFAH DIBAROSAN ALONTO 03/18/2013

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME SOMAGUINA

NAME EXTENSION (JR., SR)
FIRST NAME TAMBASING

MIDDLE NAME MANGGUIS

25. MOTHER'S MAIDEN NAME

SURNAME TABUACAR

FIRST NAME PRAGA

MIDDLE NAME AMPUAN (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY MIMBALAY ELEMENTARY SCHOOL ELEMENTARY 1983 1989 GRADUATE 1989 DIPLOMA

SECONDARY /
VOCATIONAL DELA VIDA COLLEGE, COTABATO CITY SECONDARY 1974 1978 GRADUATE 1993 DIPLOMA

MINDANAO STATE UNIVERSITY AGRICULTURE TECHNOLOGY N/A N/A 96 UNITS N/A N/A
TRADE
MINDANAO ISLAMIC COMPUTER BATCHELOR OF SECONDARY
COURSE
COLLEGE 1979 1983 GRADUATE 2007 DIPLOMA
COLLEGE EDUCATION

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

(Continue on separate sheet if necessary)

SIGNATURE DATE April 25, 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 LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

Barangay Eligibility 0.00 Oct. 27, 2003 Commission on Civil Sercvice-Cotabato City 21150608 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. GOV'T
SERVICE
28. INCLUSIVE DATES SALARY/ JOB/ PAY
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)
10/26/2017 Present Admin Clerk PNP-IAS 17,426 500.00 Permanent Yes

1/9/2008 8/20/2016 Teacher DepED-ARMM 4,000 N/A Volunteer Yes

3/5/2007 8/29/2008 Admin Aide CHED-ARMM 5,000 N/A Contractual Yes

Contract of
10/6/2006 3/20/2007 Instractor Mindanao Islamic Computer College 2,750 N/A No
Service
Bubong Marzok Memorial College Contract of
6/11/2006 3/24/2007 Instractor 2,250 N/A No
Foundation INC Service
BRGY LGU of Apa Mimbalay, Masiu,
1/7/1997 6/29/2002 Barangay Treasurer 600 N/A Appointed Yes
Lanao Del Sur

(Continue on separate sheet if necessary)

SIGNATURE DATE April 25, 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
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

Lanao Student Political Counsel- Marawi City 1/7/2001 5/7/2001 50.0 Member / Seminar

Muslim Youth Alliance -Marawi City 4/10/2000 5/10/2000 24.0 Member / Workshop

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

Training Orientation on Docketing and Investigation of Cases 3/10/2019 3/12/2019 24 Technical PNP RIAS ARMM

Training Orientation on Community-Based Employment Promotion 9/12/2015 10/12/2015 16 Supervisory BEAM-AARMM

Data Management and Information Technology Training 06/26/2015 06/26/2015 8 Technical DepEd ARMM Lanao Sur 1

Training Workshop on the Basic Computer Leteracy Program 6/12/2014 7/12/2014 16 Technical DepEd ARMM Lanao Sur 1
National Competency Assestment and Certificaiton Orientation to Grade 9
11/27/2014 11/28/2014 16 Technical TESDA-Lanao Sur 1
T.L.E. Teachers
Regional Roll-out Training for the use and care of Science Laboratory
2/2/2012 6/2/2012 40 Technical DepEd ARMM Regional Office
Equipments
BSP Camp Oral and GSP Incampment 10/12/2011 12/14/2011 40 Supervisory DepEd ARMM Lanao Sur 1

2011 Division Science, Math Fair and Talent Festival 09/30/2011 2/10/2011 24 Supervisory DepEd ARMM Lanao Sur 1

Enhance-Basic Education Information System (E-BEIS) Level 3 09/13/2011 09/14/2011 16 Technical DepEd ARMM Lanao Sur 1
Orientation on the Procedures Inspection and Acceptance of Science National Science Teaching Information
07/13/2011 07/14/2011 16.0 Supervisory
Equipments and Consumables Center
Information Technology (IT) 11/21/2009 11/25/2009 40.0 Technical HP Certification & Education EMEA
USAID's (GEM-3) Program DepED and
Digital Literacy and ICT Integration 12/17/2008 12/20/2008 32.0 Technical
Microsoft Philippines
TESDA and Mindanao Islamic Computer
PC Repair and Maintenance 04/15/2007 04/21/2007 56.0 Technical
College
TESDA and Mindanao Islamic Computer
Basic Information Technology 5/6/2006 9/6/2006 40.0 Technical
College
Teaching in Arabic And Islamic Studies 11/9/2005 11/9/2005 8.0 Technical Masiu Ulama Foundation Training INC

Seminar Workshop on Barangay Administration Training Program 1/10/1997 3/10/1997 24.0 Technical Local Government Academy DILG ARMM

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)
(Write in full)

READING LAW BOOKS N/A N/A

READING ISLAMIC AND SCIENCE BOOKS

(Continue on separate sheet if necessary)

SIGNATURE DATE April 25, 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:

35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
QUESTION OF RELIEVED, FROM PRO-10 TO IAS (WITHOUT DUE PROCESS)

________________________________
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? ________________________________
________________________________
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: MARANAO
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:

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

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
KIRAM M. LOMONTOD MASIU, LANAO DEL SUR N/A 3.5 cm. X 4.5 cm
(passport size)

ROCHMA D. DIBAROSAN PARANG, MAGUINDANAO 9561224475 With full and handwritten

name tag and signature over
printed name

Computer generated
42. or photocopied picture
I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and is not acceptable
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 PHOTO
administrative/criminal case/s against me.

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PHILPPINE NATIONAL POLICE

ID/License/Passport No.: 18A180213

Signature (Sign inside the box)
April 25, 2019
Date/Place of Issuance: 1/8/2018 CAMP CRAME, QUEZON CITY
Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

SHALEE MAE DUMDUM MATIAS, MPA, Llb

Administrative Officer V
Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4