Documente Academic
Documente Profesional
Documente Cultură
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME SIBAL
NAME EXTENSION (JR., SR)
FIRST NAME JOHN EXEQUIEL
15. AGENCY EMPLOYEE NO. 2833 21. E-MAIL ADDRESS (if any) jesibal0629@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME NONE 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME NONE AL GREGORY ADAM TABERNA SIBAL 1/29/2014
OCCUPATION NONE
SURNAME SIBAL
ELEMENTARY TUGUEGARAO WEST CENTRAL SCHOOL ELEMENTARY 6/11/2001 3/9/2007 GRADUATED 2007 NONE
SECONDARY /
VOCATIONAL SAN JACINTO SEMINARY SECONDARY 6/18/2007 3/21/2011 GRADUATED 2011 NONE
NONE NONE
TRADE
B.S. BUSINESS ADMINISTRATION MAJOR IN
COURSE
COLLEGE CAGAYAN STATE UNIVERSITY
MANAGEMENT ACCOUNTING
### 6/15/2016 GRADUATED 2016 NONE
20021505077
CAREER SERVICE PROFESSIONAL 83.6 6/15/2015 TUGUEGARAO CITY
70301
CONTRACT
9/4/2017 PRESENT CLERK CAGAYAN VALLEY MEDICAL CENTER 7000.00 N/A
OF SERVICE
CONTRACT
3/1/2016 2/17/2017 BOOK-KEEPER THOM SOYA FOOD PRODUCTS 6000.00 N/A
OF SERVICE
CAGAYAN STATE UNIVERSITY - COLLEGE OF BUSINESS, ENTREPRENEURSHIP
3/9/2015 5/22/2015 ON-THE-JOB-TRAINEE AND ACCOUNTANCY N/A N/A OJT
CONTRACT
12/9/2013 1/23/2014 CALL SERVICE REPRESENTATIVE JOLIBEE FOODS CORPORATION 4000-4500 N/A
OF SERVICE
(Continue on separate sheet if necessary)
Date of
Validity
GOV'T
SERVICE
(Y/
N)
NO
NO
NO
NO
arate sheet if necessary)
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
NONE
LUSOG ISIP SEMINAR, MENTAL HEALTH CELEBRATION 10/21/2017 10/21/2017 8.0 TECHNICAL CAGAYAN VALLEY MEDICAL CENTER
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? ________________________________
RESIGNED IN JOLIBEE DUE TO PATERN
________________________________
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 , affiant exhibiting his/her validly issued government ID as indicated
✘ NO
✘ NO
If YES, give details (country):
✘ NO
✘ NO
✘ NO
Computer generated
or photocopied picture
is not acceptable
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