Republic of the PhiliPPines

PUBLIC ATTORNETS OFFIGE

Tanggapan ng Manananggol Pambayan
Kagararan ng Katarungan
DOJ Agencies Building, NIA Road corner Easl Avenue, 1104 Quezon City
Telephone Nos. 929-90-10 I 929-94-36 ; Fax Nos. 927$8-10 I 926-28-78

MEMORANDUM

TO ALL REGIONAL PUBLIC ATTORNEYS,

REGIONAL OFFIC ER-IN.CHARGE
SERVICE OFFICERS.IN.C HARG E
DIRECTOR lls, DISTRICT PUBLIC ATTORNEYS/
DISTRICT OFFICERS.IN.GHARGE AND
REGIONAL ADMINISTRATIVE OFFIGERS V

SUBJECT : AMENDMENTS TO OFFICE MEMORANDUM

DATED MARCH 10,2017 RE: SUBMISSION
OF THE LATEST PERSONAL DATA SHEET (PDS)
OF ALL PAO OFFICTALS AND EMPLOYEES

ln view of the recenfly issued resolution by the Civil

Service
Commission (CSC) mandating the use of the newly revised Personal
Data Sheet (PDS) Form (CS Form No. 212, Revised 2A17), the
previously issued office Memorandum dated March 1A,2017 is hereby
amended as follows, to wit:

o The PDS form to be used/accomplished shall now

be the new CSC Form No. 212, Revised 2A17
(copy enclosed) instead of the old CSC Form
No. 212, Revised 2005;

o To properly fill-up the new Form, please also refer

to the enclosed revised "GUIDE TO FILLING OUT
THE PERSONAL DATA SHEET (PDS)"; and

a) The deadline for its submission to the Human

Resource Management and Development Division
(HRMDD), Administrative Service, PAO-Central
Office, shall now be not later than April 3A, 2017
instead of May 31,2017.

Page 1 o{ 2
 lf you have further queries on the matter, please do not hesitate
to call the HRMDD at telephone nos. 927-6834 and 929-9436 local 156
and 161 , for immediate assistance.

FOR STRICT COMPLIANCE

Quezon City, Metro Manila

April 3, 2017

FOR AND tsY AUTHORITY OF THE

CHIEF PUBLIG ATTORNEY:

SILVE RE A. MOSING
Depu hief Public Attorney
N,'

Encls. as stated

copy furnished:

Financaal Planning and Management Service

PAO-Central Oflice
Quezon City, Metro Manila

Human Resource Management and Development Division

Administrative Service
PAO-Central Office
Quezon City, Metro Manila

co2
DUH / ebp

PaEe 2 ol 2
 UJ rVt,,, taV. -*
Revised 2077
PERSONAL DATA SHEET

THE ATTACHEO GU'DE TO FILLINA OU| THE PERSONAL DA|A SHEET (PDS) BEFORE AC'ONPLISHNG THE PDS
lndicate N/A if not DO NOT ABBREVIATE. (00 not fi[ up. For cSC use
Print Tick boxes us0 sheet if

2. SURNAIV|E
MME DCTENSON(4., SR)
FIRST NAME

MIDDTE NAME

3. DATE OF BIRTH t.

(mm/dd/yyyy)
16. CTT|ZENSH|P-
D Rttptno E ouat Citizenship

E Uy Uirttr n by naturatization

4-, PLACE OF BIRTH lf holder d dual cilizonship, Pls. indicale country

5. SEX I uuu I remale

please udicate hs debils.

6 CIV]L STATUS I singte tr uarried 17. RESIDENTIAADDRESS

n wiaowea I separated
Hoesd8bckn oti/o. Street

E ou.r^'
t
I 7. HEIGHT(m), .t.

8. WEIGHT(kg) ZIP COOE

,18.
PERMANENT AOORESS
9- BLOOD TYPE
Ho'tsdBbcklLot No. Street

10. GS|S rD NO.

Slrt;v,sbn /raoe
*..-""l$Edrv *
.I,I. PAGIBIG ID NO,

T2. PHILHEALTH NO.

Tro annE

13. SSS NO. 19. TELEPHONE NO

14. TtN NO. 20. MOBILE NO.

AGENCY ElIPLOYEE NO. . E{r,lAlL ADDRESS (ifany)

NAME ol CHILD REN (Write full name and list all) DATE OF BIRIH {mrddd/yyyy)

MMEEXIENSON(.R., SR)
FIRST NA}IE

MIDDLE NAME . ,

:]
Sll PLOYEF'BUSINESS NIM E
i
I
BUSINESS,ADORESS

TE-EPHONE NO.

24. FATHER'SSURNAIIE

MME EXTEMToN (ff.. Sft)

FIRST NAME

FIRST NAME

NAME on saptt to shortll necrssary)

SCHOTARSHIPT
HIGHEST
NAfuIEOF SCHOOL BASIC MUCATIONDreREUCOUISE \GAR ACAOEMC
LEV& UNITS
(\'[ite in tull) (\ Iih in tull) HONORS
RECEVED

E,EMENIARY

SECONDARY

VOCATIONAL]
I
TRADE COURSE
I
I
I

GRADUATE STUOIES

ld
CS FORU 212 (Revised 2017), Pege 1 of 4
 CAREER SERVICE/ &\ 1O8O (BOARD/ BAR) UNDER
RATING
SPECIAL LAWS/ CES/ CSEE Date of
(lfApdicsUe) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE \ialidity

INCLUSIVE DATES GOW

(mm/ddryyyy) POSIIION IITLE DEPARTMENI/ AGENCY 1 OFFICE /6!MPANY MONIHLY
SERVICE
(Write in fuuDo not abbre/iate) (Writs in ftiUDo not abbrevhte) SALARY APPOINTMEI{T
(Y/ N)
From To

DATE cS FORM 212 (Revisad 2017), Page 2 ot I

S'G/VAIURE
 INULUJI\
(mrn/d drynY;' MJIiBEROFHO,FS

-_Jt*- fT"
I

. CONDUCTEO/SPONSOREOBY
(Wiit8 in tuu)

From lr.

lu0.0r, Sorarare

NON.ACADEMIC DISI]NCT]Cl\S / TECOGNTNN

J7
. (Wrte in tul)

CS FORII 212 (Revised 2017), Page 3 ot I

 Are y0u related )r
chief of bureau 0r office 0r to the pers0n who has immediate the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? Eves Euo
b. within the fourth degrae (for Local Govemment Unit - Career Employees)? Ivrs Eno
lf YES, give details:

ts. a. Have you ever been iound guilty of any administrative offense? Dves Eruo
lf YES, give details:

b. Have you been criminally charged before any court?

nYes trruo
lf YES, give details:
Date Filed:
Status of Case/s:

36. Have y0u ever of any law, decree, ordinance or 'egulation Ll vrs LJ No
by any court or tribunal? lf YES, give details:

37. Have you ever been serarated from the servrce tn any of the following modes:
resignatim,
contrac{ ptnsed
Ives Eruo
YES, qive details:
lf
retirement, dropped from the rolls, dismissal, termination, end of term, finished

out (abolition) in the public or private sector?

ga. a. Have you ever been a candidate in a national or local election held within the last Year
(oaePt
Eves Eruo
Barangay election)? lf YES, give details:

b, Have you resigned frcm the govemment service during the three (3)-month
period before ihe Evrs Eruo
lf YES. oive details:
last election to promotelactively campaign for a national or local candidate?

sg Have you acquired the status an immigrant or permanent resident of another counfY? Evrs Eruo
lf YES, give details (country):

Pensons (RA
Pursuant to: (a) lndigenous People's Act (RA 8371 ); (b) Magna Carta for Disabled
please answer the following iterns:
7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972),
e. Are you a member of any indigenous group? Eves
lf YES, please specifl:
Eruo

b. Are you a person with cisabilitY? Eves Eruo

YES, please specify lD No:

c. Are you a solo parent? nves

YES, please specifv lD No:
Ino

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

ADDRESS TEL. NO.

NAME
lD picture taken within
the last 6 months
3.5 cm. X 4.5 cm
(passport size)

With full and handwritten

name tag and signature over
printed name

Computer generated
accomplished Data which IS a true conect or photocopied Picluro
42. declare nder oath that have
is not ac,c€ptable
provisions of pertinent laws, rules and regulatons of the Republic of
complete statement pursuant to the
Philippines. authorize the agency head I authorized representative to verify/validale th: contents stated herein.
PHOTO
this document and its attachments slall cause the filing
agree that any misrepresentation made tn
administrative/criminal case/s against me'

Govemment lssued lD (i.e.paseort GSIS, sSS, PRC, Drive/s Licens€. etc )

PLEASE INDICATE lD Numbr and Date of lssuance

Govemmenl lssued lD:

lD/License/PassPort No.: the

Date/Place of lssuance: Right Thumbmart

Date Acccrnpl shed

afiial exhibiting his/trer validly issued govemment lD as indicated above'

SUBSCRIBED AND S1A,ORN to before me this

Person Adm' nistering Oath

 Attachment to CS FormltJo.212

lnstructions: 1. lnclude only the work experiences relevant to the position being to.

2. The duration should include start and finish dafes, if known, month in abbreviated form,
if known, and year in full. For the current position, use fhe word Present, e.9., 1998-
Present. Work should be tisted from most recent first.
lf aoolvino to:

. Duration:
. Position:
. Name of Office/Unit:
. lmmediate Supervisor:
. Name of Agency/Organization and Location:

a List of Accomplishments and Contributions (if any)

a Summary of Actual Duties

.o':

(Signature over Printed Name

of Em ployee/Applicant)

Date:
 GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS)

Warning:
Any misrepresen tation made in the Personal Data Sheet and theWork Experience Sheef
shall cause the tiling of administrative/criminal case/s against the person concerned.

Please fitt out each of the fields in the PDS when applicable.

Note:
a The PDS may be accomplished using the MS Word format or MS Excel
format

a In the MS Excel format, all the tick boxes will automatically be marked once
clicked

a The PDS must bear the signature of the employee and date of
accomplishment at the bottom of every page'

Entries in the PDS may be filled out through handwriting or via

typewriter/computer. lf handwritten, entries should be in block capital (e'9.
PRINT) format using a Pen.

a All information should be provided accurately

a Do not leave blank entries. Put N/A if not applicable.

For purposes of application to a vacant position, the additional sheet for work
experience should be accomplished.

l. Personal lnformation

o Employee's name is to be filled out in the following format: surname,

first name, name extension (if any), middle name. A space is allotted
for each character or letter in the name.
o Dates are in numeric format: mm/dd/yyyy
. Specifics should be given to "Others" response in the civil status field.
o Agency employee number refers to employee lD number in the current
agency.
. For holders of foreign/dual citizenship, please select from the
dropdown list the foreign country where you were born/naturalized or
type/write the same in the space provided therein.

Page 1 of 4
ll. Family Background

. Names of spouse and parents are to be filled out the following format:
surname, first name, name extension (if any), middle name.
. Motheds name is her maiden name, or name when she was single or
before marriage.
o List full names (first name and sumame) of ALL your children.
. Date of birth is in numeric format: mm/dd/yyyy

il1. Educational Background

. lndicate FULL name of schools. DO NOT ABBREVIATE.

. For Elementary Level, indicate PRIMARY EDUCATION if graduated
. For Secondary Level, indicate HIGH SCHOOL if graduated gryer-!9
old curriculum; or JUNIOR HIGH SCHOOL or SENIOR HIGH SCHOOL
if graduated under the K-1 2 cuniculum.
. lndicate in FULL all courses taken in college (e.9. ASSOCIATE lN
ARTS, AB ECONOMICS, BS PSYCHOLOGY, MA IN HISTORY).
o lndicate all masters or doctorate degrees taken.
. lf graduated for every level, indicate year of graduation'
. lf not graduated in any level, indicate the highest grade, level or units
eamed.
. Period of attendance are stated in school years (e.9. 1992-1996)
o lndicate any scholarship and/or academic honors received in each
level.

lV. Civil Service EligibilitY

a lndicate all civil service eligibilities earned with conesponding rating,

date and place of exam ination/conferment.

Example:

career service Sub-Professional EO132n90 - Veteran Preference Rating

Career Service Professional PD 907 - Honor Graduate
Career Service Executive RA 7883 - Barangay Health Worker
Stenographer BarangaY Official
PD 997 - Scientific and Technological Specialist

a lf earned eligibility entails a license (RA 1080), indicate the license

number and its date of validitY.

V Work Experience

. lndicate all positions held both in the public and private employment
starting from current work.
Page 2 of 4
 . lnclusive dates are indicated in numeric format. mm/ddlyyyy.
. lndicate FULL position titles and COMPLETE NAME of
departmenUagency/office/company. DO NOT ABBREVIATE.
. lndicate monthly salary in figures (e.9. P21 ,877).
. Salary grade and salary step, if applicable, should be stated in the
format '00-0' (e.9. 24-2,24 for salary grade, 2 for salary step)
. lndicate status of employment (e.9. permanent, temporary, casual,
contractual)
. lndicate "yes" under government service if position held is in the public
or government employment or "no" if held in the private employment.
o Additional sheet for work experience should be accomplished and
submitted together with the PDS in case of application to a vacant
position. This should be accomplished only for work experience
relevant to the position being applied to.

vt. Voluntary Work or lnvolvement in Civic/Non-GovernmenUPeople/

Voluntary Organizations

. lndicate the FULL name and address of the organization where

involved as voluntary worker.
. Inclusive dates, start (from) and end (to) should be in numeric format:
mm/dd/yyyy.
. lndicate the number of hours of voluntary work rendered.
. lndicate the position/nature of voluntary work rendered.

Vll. Learning and Development lnterventions

o lndicate FULL titles of learning and development (L&D) interventions

attended during employment. lndicate list from the most recent L&D.
. lnclusive dates of attendance, start (from) and end (to) should be in
numeric form at: m m/dd/yyyy.
o lndicate the number of hours attended for program.
o lndicate the type of L&D intervention (e.9. managerial, supervisory,
technical).
. lndicate the FULL name of
institution/agency that conducted or
sponsored the program. DO NOT ABBREVIATE. (e.9. CSC should be
Civil Service Commission).

Vlll. Otherlnformation

o lndicate special skills /hobbies.

. lndicate in FULL non-academic distinctions/recognition (awards
received)
o lndicate membership in any professional association/organization by
writing in FULL said association/organization.
Page 3 of 4

.1I'
# 3440

o lndicate response to questions 34 to 40 on the right side of the sheet.

. Provide details or specifications for any yes response.

#41

a lndicate the FULL name of references with the format FIRST NANIE, il/ll,
SURNAME, their addresses and respective telephone numbers.

#42

a As agreement to and for completion of the PDS, the employee's signature and
right thumb mark should be affixed in the boxes provided. lndicate also the
government lD number and date of issuance in the boxes provided. Lastly,
attach a RECENT PASSPORT SIZE (4.5 cm. x 3.5 cm.) picture with
COMPLETE AND HANDWRITTEN NAME TAG and SIGNATURE OVER
PRINTED NAME. Picture must be taken within the last six (6) months.
Computer generated or photocopied picture is not acceptable.

Page 4 of 4
$ [http://www.gov.ph)

You are herc: Home (/) I NewS ReleaSes (/neW-UOdateS.html) r CSC to g0vl workers: Update prsornl data by April 30

Proorams

CSC to govt workers: Update personal data by

April 30

Print (/new-uodates/1321-csc-to.gov't-workers-update-oersonal-data-by-april-30.html?
tm ol=component&orint=1 &layout=default&oaoe=)
Email (icomponenVmailto/?tmpl=component&template=gvvt-imla-
22 1 &lin k=dbc9 1 6f9c1 5da9efa24483783fc92d€f0fba573 )

March 30,2017
{iitLI';'
The Civil Service Commission (CSC) directed all government ernployees tro submit their updated Personal Data Sheet
(PDS) (htto:/Aanrwrr.csc.gov.ohi2014-02-21-08-28-23lodf-files/cateqory/861-oersonal-data-sheet-revised-2017.htm1) using
the new form not later than April 30, 2017.

The CSC recently issued a resoltrtion mandating the use of the revised PDS (CivilService Form No.212, Revised2017)
and requiring allgovernment officials and employees to update their records using the newform, which should be
submitted to their agency's Human Resource Management Officer or HRMO by the said deadline.

The PDS is the ofiicial information sheet for all government officials and employees and is used as a main supporting
document for all appointments in the government service. lt requires lruthful disclosure not only of an employee's
personal information but also his/her civil service eligibility; work experience; voluntary work or involvement in any civic,
non-government, people, or voluntary organizations; learning and development interventions or training programs
attended; and other pertinent information.

CSC Chairperson Alicia dela Rosa-Bala said that the new form contains employee information that may support decisions
on appointments and other HR actions. lt also conforms with relevant lavrs and issuances.

"ln the 2017 version of the PDS, state workers who hold dual citizenship, including dual citizenship by birth, should
indicate the countries of which they are a citizen. Those who have acquired the status of an immigrant or permanent
resident of another country should also disclose the country where they acquired such status," Chairperson Bala said.

She added that the CSC now requires the submission of a separate Worr Experience Sheet, where employees shall
indicate their actual duties for eacfr position declared in the PDS under the Work Experience field.

"These details shall be used by the Commission in evaluating appointments issued, particulary in checking whether the
appointee's qualifications meet the requirements of the vacant position being filled," she stated.

Moreover, the new PDS is a sworn document, which means it shall be attested to under oath by the employee and
witnessed by a person authorized to administer an oath or affirmation. As provided in CSC Resolution No. 1700656
dated March 21,2017, any misrepresentation made in the PDS and the tArork Experience Sheet shall be a ground for the
Guide to Fillino Up the PerSOnal Uata Sneet tntp://w\'Yw.Csc.gov.pn/zu-14-Uz-z l-uo-zo-zc/Dol-llles/category/oo r-
personal-data-sheet-revised-20 1 7. html?download=3457 :pdsguide)

Civil Service Commission, Conetitution Hills, Batasang Pambansa Complex Diliman 1126 Quezon City,
Phlllpplnes lGet dtrccdon (lcentalofrce)l
CSG Trunklines : 931€092 / 931-7939 r 931-7935 I Text CSC : 0917-839{272 | Para sa
taumBAYAN hodine : 951-2575 / 951-2576 I 9324111

E:<aminatlon : erpo@csc.gov.ph (mallto:erpoGbsc.oov.phl Tralnlng : csl@sc.gov.ph (mailto:<scrlpt

firoe=Textliavascrioti <l- var otefix ='ma' + Tl'+ lo': var oath ='hr' +'ef + *': var addy76577 ='csi' +'@':
addv76577=addv76577+'csc'+'.'+hov'+'.'+'oh':documeniwrtte('Q'+oath+1"+oreftx+':'+addv76511
+ 151: documentwrib/addy70STll: documenLwrite(4la>l: ll+ln 4scrioRscriot tvoe=tex/javascriotfrilhpr,;
documenlwrlte(aspan shile{'disolav: none:li1: /l-> 4scriot>This email address is beino orotected from
soambob. You need JavaScriot enabled to vlew iL <scriottyoe='text/lavascrlotl4- documentwrite(4'l:
documenlwrlte(soan>?: //-> 4scrlot>) Legal : olaGlcsc.oov.oh (mailto:olafusc.oou.oh)
Policies : hroso@csc.sov.oh (mailto:hrpso@csc.aov.ohl Complaints : email@contactcenternobavan.oov.oh
(matlto:ccb@sc.oov.ohl Other Concerns : inoulry@sc.gov.oh (mailto:lnauiryG[csc.ao!t.oh)

Copyright (C) 2014 CMI Service Commission. All Rphts Reserved

Site Maintained by: IRMO - lnformation Technology Division