Documente Academic
Documente Profesional
Documente Cultură
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME ALAGANO
NAME EXTENSION (JR., SR
FIRST NAME MA. THERESA
15. AGENCY EMPLOYEE NO. 8100550 21. E-MAIL ADDRESS (if any) matheresa.alagano@deped.go
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ALAGANO 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR) KRISTEL FAYE P. ALAGANO
FIRST NAME ORLANDO
ELEMENTARY PANABO CENTRAL ELEMENTARY SCHOOL PRIMARY EDUCATION 6//1972 3//1978 GRADUATED
VOCATIONAL /
SECONDARY PANABO PROVINCIAL HIGH SCHOOL HIGH SCHOOL 6//1979 3//1983 GRADUATED
COLLEGE TRADE HOLY CROSS COLLEGE OF DAVAO BACHELOR OF SECONDARY EDUCATION 6//1986 3//1990 GRADUATED
COURSE
GRADUATE STUDIES N/A N/A N/A N/A GRADUATED
(Continue on separate sheet if necessary)
CS FORM
L DATA SHEET
erience Sheet shall cause the filing of administrative/criminal case/s against the person
Dual Citizenship
by naturalization
Pls. indicate country:
QUIRINO
Street
STO. NIÑO
Barangay
DAVAO DEL NORTE
Province
8105
QUIRINO
Street
STO . NIÑ O
Barangay
DAVAO DEL NORTE
Province
N/A
09308183345
matheresa.alagano@deped.gov.ph
10/8/1992
10/27/1993
6/3/2000
(Continue on separate sheet if necessary)
SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED
1978 N/A
1983 N/A
N/A N/A
1990 N/A
N/A N/A
parate sheet if necessary)
01/27/2020
***NOTHING FOLLOWS***
***NOTHING FOLLOWS***
Date of
Validity
09/27/1993
NG FOLLOWS***
GOV'T
SERVICE
(Y/
N)
Y
NG FOLLOWS***
SCHOOL BA
TECHNICAL
SEMINAR-WORKSHOP ON CONTEXTUALIZATION FOR SCIENCE LEARNING AREA 12/26/2016 12/27/2016 16
SCHOOL BA
GENDER AND DEVELOPMENT 12/22/2016 12/22/2016 8.0 TECHNICAL
SCHOOL BA
SIP ENHANCEMENT TRAINING 12/10/2016 12/10/2016 8.0 TECHNICAL
SCHOOL BA
10/27/2016 10/28/2016 16.0 TECHNICAL
PARTNERSHIP TRAINING ON DISASTER PREPAREDNESS AND AWARENESS
SCHOOL BA
ENHANCEMENT TRAINING/WORKSHOP ON READING PROGRAM 10/25/2016 10/26/2016 16.0 TECHNICAL
SCHOOL BA
INFORMATION TECHNOLOGY ENHANCEMENT TRAINING 10/24/2016 10/24/2016 8.0 TECHNICAL
SEMINAR WORKSHOP ON CHILD PROTECTION POLICY AND OTHER RELATED ISSUANCES 9/12/2015 9/12/2015 8.0 TECHNICAL AL
***NOTHING FOLLOWS***
(Continue on separate sheet if necessary)
BAKING/COOKING N/A
SEWING N/A
N/A
N/A
N/A
(Continue on separate sheet if necessary)
SIGNATURE DATE
/ PEOPLE / VOLUNTARY ORGANIZATION/S
N/A
N/A
N/A
N/A
N/A
N/A
N/A
eparate sheet if necessary)
ROGRAMS ATTENDED
five (5) years for Division Chief/Executive/Managerial positions)
CONDUCTED/ SPONSORED BY
(Write in full)
DEPARTMENT OF EDUCATION-DIVISION OF
DAVAO DEL NORTE
SCHOOL BASED MANAGEMENT/SCHOOL TO SCHOOL
PARTNERSHIP
NG FOLLOWS***
eparate sheet if necessary)
MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
eparate sheet if necessary)
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? ________________________________
________________________________
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:
DOMINADOR P. ALAGDON JR. CARMEN, DAVAO 9476922104 With full and handwritten
name tag and signature over
printed name
HAYDEE E. DINO PANABO CITY 9205613716
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.