HR FORM1

PERSONAL DATA SHEET

Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary. 1. ID No. (to be filled up by HR)

I. PERSONAL INFORMATION
2. SURNAME MENDOZA
FIRST NAME ANALYN
MIDDLE NAME RUBIO 3. NAME EXTENSION (e.g. Jr., Sr.)

4. DATE OF BIRTH (mm/dd/yyyy) MARCH 14,1985 16. RESIDENTIAL ADDRESS

B4 L48 P1Sampaguita St. Garden Villas III Malusak, City of Santa

5. PLACE OF BIRTH NEGROS ORIENTAL
Rosa, Laguna
6. SEX Male Fem ale
7. CIVIL STATUS ZIP CODE 4026
Single Widowed
Married Separated 17. TELEPHONE NO. N/A
Annulled Others, specify ___________ 18. PERMANENT ADDRESS

B4 L48 P1Sampaguita St. Garden Villas III Malusak, City of Santa

8. CITIZENSHIP FILIPINO
Rosa, Laguna
9. HEIGHT (m) 5'1"
10. WEIGHT (kg) 45 ZIP CODE 4026
11. BLOOD TYPE A 19. TELEPHONE NO. N/A
12. GSIS ID NO. N/A 20. E-MAIL ADDRESS (if any) analynrubiomendoza@gmail.com
13. PAG-IBIG ID NO. 12-112845537-6 21. CELLPHONE NO. (if any) +63 943 709 7037
14. PHILHEALTH NO. 08-025838576-8 22. AGENCY EMPLOYEE NO.

15. SSS NO. 04-2347640-2 23. TIN 498-600-842-000

II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME 25. NAME OF CHILD (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

FIRST NAME

MIDDLE NAME

OCCUPATION

EMPLOYER/BUS. NAME

BUSINESS ADDRESS

TELEPHONE NO. N/A

(Continue on separate sheet if necessary)

26. FATHER'S SURNAME MENDOZA

FIRST NAME CLAUDIO

MIDDLE NAME ALSADO

27. MOTHER'S MAIDEN NAME

SURNAME RUBIO

FIRST NAME PROFELIA

MIDDLE NAME ANOG (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND YEAR

GRADUATED
HIGHEST GRADE/ INCLUSIVE DATES OF
28. NAME OF SCHOOL DEGREE COURSE SCHOLARSHIP/
LEVEL/ ATTENDANCE
LEVEL (Write in (Write in full) ACADEMIC HONORS
UNITS EARNED
full) From To RECEIVED
(if not graduated)

(if graduated) 4RTH HONORABLE

ELEMENTARY MOLOBO ELEMENTARY SCHOOL ELEMENTARY 1996 1995 1996 MENTION

VALLEHERMOSO PROVINCIAL
SECONDARY HIGH SCHOL 2005 2004 2005 SERVICE AWARD
COMMUNITY HIGH SCHOOL
TRIMEX INSTITUTE OF SCIENCE AND INFORMATION Best in Research
COLLEGE 2014 2013 2014
TECHNOLOGY TECHNOLOGY Documentation
COLLEGE BEST IN
TRIMEX COLLEGES BSIT 2018 2017 2018
CAPSTONE

GRADUATE STUDIES FIRST ASIA INSTITUTE TECHNOLOGY AND

MIT ON-GOING 9 UNITS 2018 -
HUMANITIES

(Continue on separate sheet if necessary)

9 HR FORM 1, Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
29. DATE OF LICENSE (if applicable)
CAREER SERVICE/ RA 1080 (BOARD/ BAR)
RATING EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
UNDER SPECIAL LAWS/ CES/ CSEE NUMBER DATE OF
CONFERMENT
RELEASE

NOT APPLICABLE

NOT APPLICABLE

NOT APPLICABLE

NOT APPLICABLE

NOT APPLICABLE

NOT APPLICABLE

NOT APPLICABLE
(Continue on separate sheet if necessary)

V. WORK EXPERIENCE (Include private employment. Start from your current work) GOV'T
SERVICE
30. INCLUSIVE DATES POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY SALARY GRADE
(mm/dd/yyyy) MONTHLY & STEP STATUS OF
SALARY INCREMENT APPOINTMENT
(Write in full) (Write in full) (Format "00-0")
From To
(Yes / No)
2018 PRESENT FACULTY TRIMEX COLLEGES - - - -

INDUSTRY EXPERIENCE
2017 2018 IT STAFF CODEPENDA SERVICES - - - -

2016 PRESENT IT STAFF TALEO SYSTEM SOLUTIONS - - - -

FREELANCE ONLINE JOBS & CUSTOMIZED SOFTWARE DEVELOPMENT

THUMBNAIL MAKER FOR
2019 PRESENT BECKY THAMES - - - -
YOUTUBE

(Continue on separate sheet if necessary)

HR FORM 1, Page 2 of 4
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
31. NAME & ADDRESS OF ORGANIZATION NUMBER OF
(Write in full) (mm/dd/yyyy) POSITION / NATURE OF WORK
HOURS
From To

YOUNG SINGLE ADULT 2007 2008 - PRESIDENT

(Continue on separate sheet if necessary)

VII. TRAINING PROGRAMS (Start from the most recent training.)

32. TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORT COURSES (Write INCLUSIVE DATES OF ATTENDANCE NUMBER OF CONDUCTED/ SPONSORED BY
in full) HOURS (Write in full)
(mm/dd/yyyy)

Javascript with the Introduction to REACT (Regional) February 10, 2019 8HRS Ground Gurus, Edsa, Manila

Osmeña Avenue, University of the

The 16th Youth Congress on Information Technology (National) September 25, 2018 8HRS
Phils. Campus, Diliman, Quezon City

SAP Business One February – March, 2018 3 Days FASTTRACK SOLUTIONS INC.

Ubuntu Linux Basic Operation, OBE Syllabus Making Workshop,

May 17-19, 2018 3 Days Trimex Colleges Biñan, Laguna
& Quantitative & Quantitative Research Workshop (Institutional)
John Alren Mesias/Taleo System
PHP Phalcon Frameworks April 20 – 22, 2017 5 Days
Solution

SPEAKING ENGAGEMENT

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN
NON-ACADEMIC DISTINCTIONS / RECOGNITION: ASSOCIATION/ORGANIZATION
33. SPECIAL SKILLS / HOBBIES: 34. 35.
(Write in full)
(Write in full)

COMPUTER GRAPHICS Service Award Professional Windows Group

MULTIMEDIA VIDEO EDITING Best in Research Documentation

Best in Capstone

(Continue on separate sheet if necessary)

HR FORM 1, Page 3 of 4
VII. TRAINING PROGRAMS / RESEARCH / JOURNAL / PUBLICATIONS

32. B
PUBLISHED INTERNATIONAL RESEARCH JOURNAL

TITLE OF RESEARCH MONTH & YEAR PUBLISHED LINK REFERENCES

Predictive Analytics Implementing Genetic

Algorithm on Class Scheduling System December 20, 2018 https://doi.org/10.26483/ijarcs.v9i6.6333

C-Language Instructional Tool: A Mobile Volume 9 Issue 6 Nov.-Dec. 2018

Assisted System for Trimex Students https://doi.org/10.26483/ijarcs.v9i6.6332

Captive Portal for Trimex Colleges in Volume 9, No. 11, Nov. 2018 issue of JGRCS jgrcs.info/index.php/jgrcs/article/download/1084/683
Biñan Laguna

Student Monitoring System With Rfid &

Sms Notification For Student Of Enhanced March 20, 2019 https://www.ijarcs.info/index.php/Ijarcs/article/view/6381
Curriculum In The Arts Program
Electronic Document Management
System Implementing Internet Of Things March 20, 2019 https://www.ijarcs.info/index.php/Ijarcs/article/view/6377
(Iot)
Point Of Sale System With Inventory For
March 20, 2019 https://www.ijarcs.info/index.php/Ijarcs/article/view/6378
Arm’s Food And Delicacies

32. B PAPER PRESENTATION LOCAL AND INTERNATIONAL

FACULTY COURSE LOADING AND ROOM ASSIGNMENT SYSTEM IMPLEMENTING DEPTH-FIRST SEARCH ALGORITHM
2nd International Conference on Challenges & Opportunities in Economics, Management and Multidisciplinary Social Sciences Perspective (OMMSP-MARCH-2019) March
11-12, 2019 Held at Novotel Bangkok Ploenchit Sukhumvit, Thailand
(Continue on separate sheet if necessary)
 34 a. Have you ever been formally charged? YES NO
If YES, give details:
________________________________
________________________________
b. Have you ever been guilty of any administrative offense? YES NO
If YES, give details:
________________________________
________________________________
35. Have you ever been convicted of any crime or violation of any law, decree, ordinance or YES NO
regulation by any court or tribunal? If YES, give details:
________________________________
________________________________
36. 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, AWOL or
phased out, in the public or private sector? If YES, give details:
________________________________
________________________________

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

NAME ADDRESS TEL. NO.

+63
LOUIE F. AGUSTIN TRIMEX COLLEGES 9338615395 ID picture taken within
+63 the last 6 months
CARLO A. BATITIS TRIMEX COLLEGES 9955071280 3.5 cm. X 4.5 cm
(passport size)

Computer generated
48. I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and or xerox copy of picture
is not acceptable
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines.

I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust
that this information shall remain confidential. PHOTO

COMMUNITY TAX CERTIFICATE NO.

ISSUED AT SIGNATURE (Sign inside the box)

/ / 2019 06/07/2019
ISSUED ON (mm/dd/yyyy) DATE ACCOMPLISHED RIGHT THUMBMARK

HR FORM 1, Page 4 of 4