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 MATURA
NAME EXTENSION (JR., SR)
FIRST NAME CHRISTIAN
MIDDLE NAME SUNGAHID
3. DATE OF BIRTH
3/26/1998 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
✘
by by
birth naturalization
4. PLACE OF BIRTH DAVAO CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX ✘ Male Female
6 CIVIL STATUS ✘ Single Married 17. RESIDENTIAL ADDRESS BLOCK 2 TANCONTIAN ST.
House/Block/Lot No. Street
Widowe Separat
GOV. VICENTE DUTERTE
dOther/s: ed
Subdivision/Village Barangay
DAVAO CITY DAVAO DEL SUR
7. HEIGHT (m) 1.63
City/Municipality Province
8. WEIGHT (kg) 57 ZIP CODE 8000
18. PERMANENT ADDRESS BLOCK 2 TANCONTIAN ST.
9. BLOOD TYPE AB+
House/Block/Lot No. Street
GOV. VICENTE DUTERTE
10. GSIS ID NO. N/A
Subdivision/Village Barangay
11. PAG-IBIG ID NO. 121259816269 DAVAO CITY DAVAO DEL SUR
City/Municipality Province
12. PHILHEALTH NO. 160258575048 ZIP CODE 8000
13. SSS NO. 3516389393 19. TELEPHONE NO. N/A
14. TIN NO. 621921359 20. MOBILE NO. 09303332832
15. AGENCY EMPLOYEE NO. 4232090 21. E-MAIL ADDRESS (if any) maturachristian@[Link]
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME N/A
MIDDLE NAME N/A
OCCUPATION N/A
EMPLOYER/BUSINESS NAME N/A
BUSINESS ADDRESS N/A
TELEPHONE NO. N/A
24. FATHER'S SURNAME MATURA
NAME EXTENSION (JR., SR)
FIRST NAME MARIO
MIDDLE NAME RELLIN
25. MOTHER'S MAIDEN NAME
SURNAME MATURA
FIRST NAME GINA
MIDDLE NAME SUNGAHID (Continue on separate sheet if necessary)
III. EDUCATIONAL BACKGROUND
HIGHEST LEVEL/ SCHOLARSHIP/
26. NAME OF SCHOOL PERIOD OF ATTENDANCE YEAR
LEVEL (Write in BASIC EDUCATION/DEGREE/COURSE
(Write in full)
UNITS
GRADUATED
ACADEMIC
HONORS
full) EARNED
(if not graduated) RECEIVED
From To
ELEMENTARY DON JULIAN RODRIGUEZ ELEMENTARY SCHOOL 1/1/2005 1/1/2011 N/A
SECONDARY STA. ANA NATIONAL HIGH SCHOOL 1/1/2011 4/11/2015
VOCATIONAL /
TRADE
COURSE UNIVERSITY OF SOUTH EASTERN BACHELOR OF TECHINICAL TEACHING
COLLEGE PHILIPPINES(OBRERO) EDUCATION -CIVIL TECHNOLOGY 1/2/2015 6/21/2019 2019
UNIVERSITY OF SOUTH EASTERN
GRADUATE STUDIES PHILIPPINES(OBRERO) MASTER OF TECHNOLOGY EDUCATION 8/1/2023 PRESENT 27
(Continue on separate sheet if necessary)
SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. LICENSE (if applicable)
CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER RATING DATE OF
SPECIAL LAWS/ CES/ CSEE (If Applicable) EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT NUMBER Date of
Validity
Licensure Examination for Professional Teacher 82.0 9/22/2021 ATENEO DE DAVAO 1923680 3/26/2025
(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
(mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY GRADE (if STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
abbreviate) full/Do not abbreviate) (Format "00-0")/
INCREMENT
From To (Y/ N)
2/17/2022 2/24/2023 Customer representative VXI WITHHOLDING 21104.00 11 REGULAR N
2/14/2023 2/24/2025 TRAINING SPECIALIST VXI WITHHOLDING 21104.00 11 REGULAR N
(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 / NATURE OF WORK
From To
n/a
(Continue on separate sheet if necessary)
VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
INCLUSIVE DATES OF
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ATTENDANCE Type of LD
NUMBER OF HOURS
( Managerial/ CONDUCTED/ SPONSORED BY
(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To
PRIOR ART SEARCH AND ANALYSIS AND INVENTION SPOTTING 10/14/2023 10/28/2024 16.0 UNIVERSITY OF SOUTH EASTERN PHILIPPINES
NATIONAL CERTIFICATE II 3/16/2025 280.0
ONGOING
(Continue on separate sheet if necessary)
VIII. OTHER INFORMATION
MEMBERSHIP IN ASSOCIATION/ORGANIZATION
31. SPECIAL SKILLS and HOBBIES 32. NON-ACADEMIC DISTINCTIONS / RECOGNITION (Write in full) 33. (Write in
full)
(Continue on separate sheet if necessary)
SIGNATURE DATE
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 ✘
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘
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 court or tribunal? YES ✘ NO
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 YES ✘ NO
out (abolition) in the public or private sector? If YES, give details:
________________________________
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except
Barangay election)? YES ✘ NO
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
GINA S. MATURA [Link] [Link] ST. the last 6 months
DUTERTE AGDAO 9855027530 4.5 cm. X 3.5 cm
(passport size)
DOC. GLENN M. DIAZ COUNTRY HOMES CABANTIAN DAVAO
CITY 9092855511
Computer generated
or photocopied picture
BRYAN F. MAÑ CABANTIAN DAVAO CITY 9060524347 is not acceptable
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
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
administrative/criminal case/s against me. PHOTO
Government Issued ID ([Link], GSIS, SSS, PRC, Driver's License, etc.)
PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PRC
ID/License/Passport No.: 1923680
Signature (Sign inside the box)
Date/Place of Issuance: 06/06/2022 / DAVAO 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 4
