Cs Form No. 212 PDS May 22 2023
Cs Form No. 212 PDS May 22 2023
Cs Form No. 212 PDS May 22 2023
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME NUÑEZ
NAME EXTENSION (JR., SR)
FIRST NAME RHEA
15. AGENCY EMPLOYEE NO. 4632922 21. E-MAIL ADDRESS (if any) [email protected]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME NUÑEZ 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
OCCUPATION N/A
SURNAME ABULAG
SECONDARY /
VOCATIONAL SAN ANDRES SCHOOL OF MASINLOC SECONDARY EDUCATION 2000 2004
TRADE
COURSE BACHELOR OF ARTS IN THEOLOGY MAJOR IN
COLLEGE FEBIAS COLLEGE OF BIBLE
CHRISTIAN EDUCATION
2005 2010
PRC LICENSE 75.0 10/12/2010 UNIVERSITY OF THE EAST MANILA 1073674 8/11/2024
5/3/2012 PRESENT TEACHER 2 MANUEL A. ROXAS HIGH SCHOOL 29449.00 PERMANENT YES
Virtual In-Service Training for Teachers 08/30/2021 3/9/2021 40 Department of Education - National
Information and Communications Technology Service in
Three-day Free International Multidisciplinary Webinar Series on the Use of Technology and its collaboration with Global Educators Network Association
06/30/2021 2/7/2021 24
Application in Different Subject Areas with a Special Session on Mental Health Issues of Teachers as a Foreign Language (GENTFL),
Thailand
Information and Communications Technology Unit
Virtual In- Service Training for Public School Teachers 03/15/2021 03/19/2021 40
(ICTS-EdTech)
Virtual In- Service Training for Teachers, "Revisiting and Up skilling the Technological
10/8/2020 08/14/2020 40
Competencies of Teachers" Manuel A. Roxas High School
Virtual In- Service Training for Teachers, "MRHS Bayanihan: Responding to the Call and Needs
8/6/2020 11/6/2020 40
for Education Amidst the Global Pandemic " Manuel A. Roxas High School
Division of City Schools, Quezon City and GENDER Education
Gender Mainstreaming Training of Trainers 10/21/2019 10/25/2019 34 for National Development and Recovery
Division Learning Action Cell for Edukasyon sa Pagpapakatao Department Heads and
11/20/2018 11/21/2018 16 Division of City Schools, Quezon City
Coordinators through the Divion LAC Session and Research
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘
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? ________________________________
END OF TERM
________________________________
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:
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
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.
SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.