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CS Form No.

212
Revised 2017

PERSONAL DATA SHEET


WARNING: Any misinterpretation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s aga
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

I. PERSONAL INFORMATION
2. SURNAME YSMAEL
NAME EXTENSION (JR., SR
FIRST NAME KHRISTIAN GALE

MIDDLE NAME AWING


3. DATE OF BIRTH
(mm/dd/yyyy) 7/9/1989 16. CITIZENSHIP

4. PLACE OF BIRTH LUBUAGAN, KALINGA If holder of dual citizenship, Pls. indicate cou
please indicate the details.
5. SEX

17. RESIDENTIAL ADDRESS FD-204A K


6 CIVIL STATUS
House/Block/Lot No. S
B
Subdivision/Village Ba
LA TRINIDAD BEN
7. HEIGHT (m) 1.57 m
City/Municipality Pr
8. WEIGHT (kg) 53 kg ZIP CODE 2601

18. PERMANENT ADDRESS B


9. BLOOD TYPE O
House/Block/Lot No. S
PUROK 2 BULANA
10. GSIS ID NO. N/A
Subdivision/Village Ba
TABUK KA
11. PAG-IBIG ID NO. 121106237134
City/Municipality Pr

12. PHILHEALTH NO. 020510481527 ZIP CODE 3800

13. SSS NO. 344-237-2924 19. TELEPHONE NO. N/A

14. TIN NO. 427-267-107 20. MOBILE NO. 0907-510-8432

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) galeysmael@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR)
FIRST NAME N/A

MIDDLE NAME

OCCUPATION

EMPLOYER/BUSINESS NAME

BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME YSMAEL


NAME EXTENSION (JR., SR)
FIRST NAME SOFRONIO JR.
MIDDLE NAME ILACAD

25. MOTHER'S MAIDEN NAME AWING

SURNAME YSMAEL

FIRST NAME TERESITA

MIDDLE NAME LANG-AY (Continue on separate sheet if necessary

III. EDUCATIONAL BACKGROUND


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

ELEMENTARY SOUTHERN TABUK CENTRAL SCHOOL 1995 2001

SECONDARY /
VOCATIONAL ST. WILLIAMS ACADEMY 2001 2005

N/A

TRADE
COURSE
COLLEGE UNIVERSITY OF THE CORDILLERAS BACHELOR OF SCIENCE IN ACCOUNTANCY 2005 2012

GRADUATE STUDIES

(Continue on separate sheet if necessary)

SIGNATURE DATE CS FORM 212 (Re


L DATA SHEET
rience Sheet shall cause the filing of administrative/criminal case/s against the person

EFORE ACCOMPLISHING THE PDS FORM.


(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

Pls. indicate country:

KM4
Street
BALILI
Barangay
BENGUET
Province

BAAC
Street
BULANAO NORTE
Barangay
KALINGA
Province

N/A

0907-510-8432

galeysmael@gmail.com

DATE OF BIRTH (mm/dd/yyyy)


(Continue on separate sheet if necessary)

SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED

FIRST
2001 HONORABLE
MENTION

2005

2012

parate sheet if necessary)

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

CERTIFIED PUBLIC ACCOUNTANT 76.29 OCTOBER 2013 BAGUIO CITY 0154947 7/9/2019

(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)
GENERAL MOTORS-GLOBAL BUSINESS
2/16/2017 PRESENT FINANCIAL ANALYST 38,400.00 REGULAR N
SOLUTIONS PHILIPPINES INC.
GENERAL ACCOUNTING OPERATIONS
1/20/2014 1/20/2017 ACCENTURE INC. 24,000.00 REGULAR N
ASSOCIATE

(Continue on separate sheet if necessary)

SIGNATURE DATE 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 / N
From To

HUNGRY BELLS 10/4/2014 PRESENT FEEDING PROGRAM AND G

(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/ SP
NUMBER OF HOURS
(Write in full) Supervisory/
(mm/dd/yyyy)
Technical/etc)
From To
Philippine Inst
Analyze and Present FS for Meaningful Decision Making 10/13/2018 8.0
Accountant
Philippine Inst
FULL IFRS/IFRS 09/24/2018 8.0
Accountant

Lean General Training 07/14/2017 8.0 GENERAL MO

INFORMATION LIFECYCLE MANAGEMENT 02/22/2017 2.0 GENERAL MO

CYBERSECURITY NEWS 02/21/2017 1.0 GENERAL MO

GLOBAL ANTI-CORRUPTION COMPLIANCE-INTEGRITY: GIFTS, ENTERTAINMENT


02/21/2017 2.0 GENERAL MO
AND ANTI-CORRUPTION

RISKY BUSINESS 12/23/2016 2.0 ACCENTURE

CONSUMER GOODS AND SERVICES PROCESS OVERVIEW 11/18/2016 2.0 ACCENTURE

INFORMATION SECURITY, DEFECT AND PROTECT 8/3/2016 3.0 ACCENTURE

ISO 14001: 2004 ENVIRONMENTAL MANAGEMENT SYSTEM 01/26/2016 2.0 ACCENTURE

SPOT THE SCAM 5/11/2015 1.0 ACCENTURE

WRITING WITH PRECISION 3/6/2015 8.0 ACCENTURE

PREVENTING MONEY LAUNDERING AND TERRORIST FINANCING 5/3/2015 2.0 ACCENTURE

ANTI-LAUNDERING: COMPLIANCE PROGRAM FOR REGULATED COMPANIES 10/1/2015 4.0 ACCENTURE

CODE OF BUSINESS ETHICS: CONDUCT COUNTS 12/29/2014 2.0 ACCENTURE

ISO 14001: 2004 ENVIRONMENTAL MANAGEMENT SYSTEM GENERAL AARENESS


4/2/2014 2.0 ACCENTURE
TRAINING

CLIENT DATA PROTECTION: YOUR RESPONSIBILITY 3/2/2014 3.0 ACCENTURE

INFORMATION SECURITY 01/30/2014 2.0 ACCENTURE


DATA PRIVACY - WHAT IT MEANS AND WHY IT MATTERS 01/30/2014 3.0 ACCENTURE

RESPECTING THE CONFIDENTIAL AND INTELLECTUAL PROPERTIES OF OTHERS 01/30/2014 3.0 ACCENTURE

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION


MEMBERSH
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)

Customer Service Award, Q3 2015 J&J Philippines


TRAVELLING
Business Operator Award, Q3 2015 Accenture Inc.
PLAYING INSTRUMENTS
Customer Service Award, Q1 2015 J&J Philippines
TREKKING

READING BOOKS 3 Great Job Awards from GM GBS

(Continue on separate sheet if necessary)

SIGNATURE DATE
EOPLE / VOLUNTARY ORGANIZATION/S

POSITION / NATURE OF WORK

FEEDING PROGRAM AND GIFT GIVING

te sheet if necessary)

GRAMS ATTENDED
(5) years for Division Chief/Executive/Managerial positions)

CONDUCTED/ SPONSORED BY
(Write in full)

Philippine Institute of Certified Public


Accountant
Philippine Institute of Certified Public
Accountant

GENERAL MOTORS-GBS PH INC.

GENERAL MOTORS-GBS PH INC.

GENERAL MOTORS-GBS PH INC.

GENERAL MOTORS-GBS PH INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.

ACCENTURE INC.
ACCENTURE INC.

ACCENTURE INC.

te sheet if necessary)

MEMBERSHIP IN ASSOCIATION/ORGANIZATION

(Write in full)

te sheet if necessary)

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?
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense?
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court?
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
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,
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? ________________________________
RESIGNATION
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last
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?
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?
If YES, please specify:
b. Are you a person with disability?
If YES, please specify ID No:
c. Are you a solo parent?
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
7F CYBERGATE 1, PIONEER ST., the last 6 months
NERISSA TAN MANDALUYONG CITY
09178134459 3.5 cm. X 4.5 cm
(passport size)
7F CYBERGATE 1, PIONEER ST.,
AMOR LASAGA MANDALUYONG CITY
09235348589 With full and handwritten
name tag and signature over
PHILAM LIFE BUILDING UPPER printed name
ANNIE GRACE DONGLA SESSION ROAD, BAGUIO CITY
09189062949
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.
Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)
PLEASE INDICATE ID Number and Date of Issuance
Government Issued ID: PRC

ID/License/Passport No.: 0154947


Signature (Sign inside the box)

Date/Place of Issuance: 11/05/2013 BAGUIP CITY


Date Accomplished Right Thumbmark

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

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of


If YES, give details (country):
, affiant exhibiting his/her validly issued government ID as indicated above.

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

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