CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person
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 not fill up. For CSC use only)

I. PERSONAL INFORMATION
2. SURNAME ABONG
NAME EXTENSION (JR., SR) N/A
FIRST NAME RAMONITO

MIDDLE NAME RANAS

3. DATE OF BIRTH
6/23/1979 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by
by naturalization
birth
4. PLACE OF BIRTH MERCEDES EASTERN SAMAR If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female

6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS N/A N/A

Widowed Separated House/Block/Lot No. Street
N/A BARANGAY BUABUA
Other/s:
Subdivision/Village Barangay
SALCEDO EASTERN SAMAR
7. HEIGHT (m) 1.65
City/Municipality Province
8. WEIGHT (kg) 79 ZIP CODE 6807

18. PERMANENT ADDRESS N/A N/A

9. BLOOD TYPE "O''
House/Block/Lot No. Street
N/A BARANGAY BUABUA
10. GSIS ID NO. N/A
Subdivision/Village Barangay

11. PAG-IBIG ID NO. 121181564774

SALCEDO EASTERN SAMAR
City/Municipality Province

12. PHILHEALTH NO. 13-000073145-6 ZIP CODE 6807

13. SSS NO. N/A 19. TELEPHONE NO. N/A

14. TIN NO. 225-503-231 20. MOBILE NO. 09362741765

15. AGENCY EMPLOYEE NO. 2003030027 21. E-MAIL ADDRESS (if any) [email protected]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ABONG 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A CHERIELYN B ABONG
FIRST NAME JOHNELYN 9/27/2001

MIDDLE NAME BAGON

OCCUPATION BUSSINESSWOMAN

EMPLOYER/BUSINESS NAME JRC MILITARY AND SECURITY SUPPLY ENTERPRISE

BUSINESS ADDRESS BARANGAY 06 GUIUAN EASTERN SAMAR

TELEPHONE NO. N/A

24. FATHER'S SURNAME ABONG

NAME EXTENSION ( SR)
FIRST NAME PEDRO

MIDDLE NAME DOCENA

25. MOTHER'S MAIDEN NAME

SURNAME RANAS

FIRST NAME LUCIA

MIDDLE NAME GARAPAN (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY MERCEDES ELEMENTARY SCHOOL PRIMARY EDUCATION 1987 1993 GRADUATED 1993 N/A

SECONDARY
VOCATIONAL / MERCEDES NATONAL HIGH SCHOOL HIGH SCHOOL 1993 1997 GRADUATED 1997 N/A

N/A N/A N/A N/A N/A N/A N/A

TRADE
COURSE
COLLEGE LEYTE COLLEGES BACHELOR OF SCIENCE OF CRIMINOLOGY 1997 2001 GRADUATED 2001 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 01/22/2020

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

BOARD OF CRIMINOLOGY 75.0 9/14/2001 TACLOBAN CITY 0012316 06-23-2019

DRIVERS LICENSE N/A 6/23/2017 BORONGAN CITY H04-15-000533 06-23-2022

(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
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
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
POLICE SENIOR MASTER SERGEANT /CHIEF (Y/ N)
INVISTIGATOR/MUNICIPAL EXECUTIVE SENIOR EASTERN SAMAR POLICE PROVINCIAL
01/17/2020 PRESENT OFFICE,QUINAPONDAN MUNICIPAL POLICE STATION
34,076.00 '17-3'' PERMANENT YES
POLICE OFFICER POLICE NON-COMMISSION
OFFICER
POLICE SENIOR MASTER SERGEANT /PUBLIC
PHILIPPINE PUBLIC SAFETY COLLEGE REGIONAL TRAINING
08/08/2019 11/29/2019 SAFETY SENIOR LEADERSHIP (SCHOOLING) POLICE CENTER 8
34,076.00 '17-3'' PERMANENT YES
NON-COMMISSIONED OFFICER

POLICE SENIOR MASTER SERGEANT/ OPERATION EASTERN SAMAR POLICE PROVINCIAL

01/05/2019 08/07/2019 34,076.00 '17-3'' PERMANENT YES
POLOICE NON-COMMISSION OFFICER OFFICE/GUIUAN MUNICIPAL POLICE STATION

SENIOR POLICE OFFICER 2/CHIEF INVESTIGATOR EASTERN SAMAR POLICE PROVINCIAL OFFICE,GUIUAN
3/13/2018 01/04/2019 MUNICIPALM POLICE STATION 34,076.00 '17-3'' PERMANENT YES
POLICE NON-COMMISSIONED OFFICER

SENIOR POLICE OFFICER 2/ CHIEF POLICE COMMUNITY EASTERN SAMAR POLICE PROVINCIAL OFFICE, GUIUAN
4/1/2017 03/31/2017 RELATION POLICE NON-COMMISSIONED OFFICER MUNICIPAL POLICE STATION
21,711.00 '16-3'' PERMANENT YES

SENIOR POLICE OFFICER 1/CHEF POLICE

EASTERN SAMAR POLICE PROVINCIAL OFFICE, LLORENTE
09/04/2016 03/31/2017 COMMUNITY RELATION POLICE NON- MUNICIPAL POLICE STATION
21,711.00 '16-3'' PERMANENT YES
COMMISSIONED OFFICER
SENIOR POLICE OFFICER 1/CHEF POLICE
EASTERN SAMAR POLICE PROVINCIAL OFFICE, ARTECHE
12/05/2014 09/03/2016 COMMUNITY RELATION POLICE NON- MUNICIPAL POLICE STATION
18,665.00 '14-2'' PERMANENT YES
COMMISSIONED OFFICER

POLICE OFFICER 3/CHIEF COMMUNITY RELATION EASTERN SAMAR POLICE PROVINCIAL OFFICE, MERCEDES
9/14/2012 12/04/2014 MUNICIPAL POLICE STATION 18,665.00 '14-2'' PERMANENT YES
POLICE NON-COMMISSIONED OFFICER

PHILIPPINE NATIONAL POLICE, EASTERN SAMAR POLICE

POLICE OFFICER 2/ASSISTANT INTILLEGENCE/
10/9/2010 9/13/2012 PROVINCIAL OFFICE,QUINAPONDAN MUNICIPAL POLICE 10,635.00 '12-1'' PERMANENT YES
POLICE NON-COMMISSIONED OFFICER STATION

POLICE OFFICER 2/PROVINCIAL ANTI ILLEGAL PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 8,
10/23/2007 10/8/2010 EASTERN SAMAR POLICE PROVINCIAL OFFICE
9,668.00 '12-1'' PERMANENT YES
DRUGS SPECIAL OPERATION TASK FORCE

PHILIPPINE NATIONAL POLICE, EASTERN SAMAR POLICE

4/6/2006 10/22/2007 POLICE OFFICER 1/SENTINEL PROVINCIAL OFFICE,GUIUAN MUNICIPAL POLICE STATION
8,605.00 '10-1'' PERMANENT YES

PHILIPPINE NATIONAL POLICE, EASTERN SAMAR POLICE

POLICE OFFICER 1/RADIO OPERATOR POLICE NON-
06/24/2003 04/05/2006 PROVINCIAL OFFICE, MERCEDES MUNICIPAL POLICE 8,605.00 '10-0'' PERMANENT YES
COMMISSIONED OFFICER STATION

POLICE OFFICER 1/TRAINEE SPECIAL COUNTER PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 8,
05/09/2003 06/23/2003 SPECIAL TRAINING UNIT 8 8,605.00 '10-0'' PERMANENT YES
INSURGENCY OPERATION UNIT TACTICS

PHILIPPINE PUBLIC SAFETY COLLEGE, REGIONAL TRAINING

12/30/2002 05/09/2003 POLICE OFFICER 1/POLICE TRAINEE SCHOOL 8,PHILIPPINE NATIONAL POLICE 7,164.00 '10-0'' PERMANENT YES

(Continue on separate sheet if necessary)

SIGNATURE DATE 01/22/2020

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 / NATURE OF WORK
From To

N/A N/A N/A N/A N/A

(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/ SPONSORED BY
NUMBER OF HOURS
(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To

PHILIPPINE PUBLIC SAFETY COLLEGE REGIONAL

PUBLIC SAFETY SENIOR LEADERSHIP COURSE 08/08/2019 11/29/2019 560 MANDATORY
TRAINING SCHOOL 8

CRIMINAL INVESTIGATION COURSE 11/07/2018 02/02/2019 560 TECHNICAL REGIONAL SPECIAL TRAINING UNIT 8

FIELD TRAINING OFFICER COURSE 10/08/2018 11/05/2018 136 SUPERVISORY REGIONAL SPECIAL TRAINING UNIT 8

SEMINAR ON THE GUIDELINES ON PLEA BARGAINING IN DRUG CASES 7/19/2018 7/19/2018 8 TECHNICAL EASTERN SAMAR POLICE PROVINCIAL OFFICE

TRAINING ON PERCEPTION MANAGEMENT 11/9/2017 11/9/2017 8 TECHNICAL TACLOBAN CITY

PHILIPPINE PUBLIC SAFETY COLLEGE REGIONAL

PUBLIC SAFETY JUNIOR LEADERSHIP COURSE 7/8/2013 12/2/2013 720 MANDATORY
TRAINING SCHOOL 8

LTO, BORONGAN DISTRICT OFFICE, BORONGAN

THE VALUE ENHANCEMENT SEMINAR 2/24/2012 2/24/2012 8 TECHNICAL
CITY

BARANGAY PEACEKEEPING ACTION TEAM (BPAT) TRAINERS TRAINING 1/24/2011 1/22/2011 16 TECHNICAL EASTERN SAMAR POLICE PROVINCIAL OFFICE

DIRECTORATE FOR INVESTIGATION AND

PHILIPPINE NATIONAL POLICE TRAINNG ON THE INVESTIGATION OF CRIMES INVOLVING
10/27/2004 10/30/2004 24 TECHNICAL DETECTIVE MANAGEMENT AND UNITED NATION
WOMEN AND CHILDREN
CHILDREN'S FUND

POLICE RESPONDERS COURSE 10/7/2003 10/30/2003 160 TECHNICAL REGIONAL SPECIAL TRAINING UNIT 8

PHILIPPINE NATIONAL POLICE-SPECIAL COUNTER-INSURGENCY OPERATI0N UNIT

5/10/2003 6/18/2003 392 TECHNICAL REGIONAL SPECIAL TRAINING UNIT 8
TRAINING
PHILIPPINE PUBLIC SAFETY COLLEGE REGIONAL
PUBLIC SAFETY BASIC RECRUIT COURSE 12/30/2002 5/9/2003 1,056 MANDATORY
TRAINING SCHOOL 8

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. (Write
(Write in full)
in full)

PHLIPPINE CRIMINOLOGIST ASSO0CIATION OF THE

SELF DEFENSE/KARATE TSAPA NG NATATANGING YUNIT-1
PHILIPPINES
PUBLIC SAFETY MUTUAL BENEFITS AND FUNDS
BASKETBALL MEDALYA NG PAGTULONG SA NASALANTA-1
INCORPORATED
PUBLIC SAFETY SAVINGS AND LOAN ASSOCIATION
MEDALYA NG PAGLILINGKOD SA VISAYAS-1
INCORPORATED

MEDALYA NG PAGLABAN SA MANLILIGALIG-1

MEDALYA NG KAGALINGAN-2

MEDALYA NG KASANAYAN-6

MEDALYA NG PAPURI-14

LETTER OF COMMENDATION-21

(Continue on separate sheet if necessary)

SIGNATURE DATE 01/20/2020

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? YES ✘ NO
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘ NO
If YES, give details:
________________________________

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 by any
YES ✘ NO
court or tribunal?
If YES, give details:
________________________________
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, retirement, YES ✘ NO
dropped from the rolls, dismissal, termination, end of term, finished contract or phased out (abolition) in the If YES, give details:
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:

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

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
PLT ROBIN G MACAWILE QUINAPONDAN MPS 09186407214 3.5 cm. X 4.5 cmR

With full and handwritten

MERLY B AGDA MERCEDES EASTERN SAMAR 09292818178 name tag and signature over
printed name

LEAH A PUNO GUIUAN EASTERN SAMAR 09154953126 Computer generated

or photocopied picture
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and complete is not acceptable

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 administrative/criminal case/s against me. PHOTO

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of Issuance

Government Issued ID: PHILIPPINE NATIONAL POLICE

ID/License/Passport No.: 17L270036

Signature (Sign inside the box)
01/22/2020
Date/Place of Issuance: 12/27/2017/ CAMP CRAME, QUEZON CITY
Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this 5th day of August 2019 , affiant exhibiting his/her validly issued government ID as indicated above.

PCPT GWEN ALISON C CORREGIDOR

Chief, PPHRDB
Person Administering Oath

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