New PDS Format 2020
New PDS Format 2020
New PDS Format 2020
212
Revised 2017
I. PERSONAL INFORMATION
2. SURNAME ACORDON
NAME EXTENSION (JR., SR)
FIRST NAME KRISTEL
15. AGENCY EMPLOYEE NO. 025 21. E-MAIL ADDRESS (if any) kristel.acordon@deped.gov.ph
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ACORDON 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME JAN MICHAEL N/A
OCCUPATION CARPENTER
TELEPHONE NO.
SURNAME DABU
N/A N/A
TRADE
COURSE
COLLEGE BATAAN PENINSULA STATE UNIVERSITY TERTIARY 2005 2009 GRADUATED 2009 N/A
GRADUATE STUDIES BATAAN PENINSULA STATE UNIVERSITY GRADUATED STUDIES 2014 2018 GRADUATED 2018 N/A
(Continue on separate sheet if necessary)
LICENSURE EXAMINATION FOR TEACHERS 79.4 MARCH 13, 2013 PHILIPPINE WOMENS UNIVERSITY 1193329 9/28/2023
2011 2013 PRIVATE SCHOOL TEACHER MC'EWEN'S SCHOOL INCORPORATED 9000.00 N/A CONTRACTUAL N
FLORIDABLANCA NATIONAL SALARY
2014 2017 TEACHER I 25, 232.00 PERMANENT Y
AGRICULTURAL SCHOOL GRADE 12
FLORIDABLANCA NATIONAL SALARY
2017 PRESENT TEACHER III 28, 608.00 PERMANENT Y
AGRICULTURAL SCHOOL GRADE 13
SCHOOL BASED ORIENTATION ON RPMS FOR SCHOOL YEAR 2019-2020 5/31/2019 7/1/2019 32 SUPERVISORY FLORIDABLANCA NATIONAL AGRICULTURAL SCHOOL
SCHOOL ROLL-OUTON RESULTS- BASED PERFORMANCE MANAGEMENT SYSTEM FLORIDABLANCA NATIONAL AGRICULTURAL
7/13/2018 7/14/2018 32 SUPERVISORY
MANUAL FOR TEACHERS AND SCHOOL HEADS SCHOOL
FLORIDABLANCA NATIONAL AGRICULTURAL
AWARENESS ON HYDROPHONICS TECHNOLOGY 6/8/2018 6/8/2018 8 SUPERVISORY
SCHOOL
FLORIDABLANCA NATIONAL AGRICULTURAL
BUILDING ON ENHANCED INSTRUCTIONAL COMPETENCE FOR TEACHERS 10/24/2018 10/26/2018 24 SUPERVISORY
SCHOOL
TECHNICAL EDUCATION AND SKILLS
NATIONAL CERTIFICATE II COOKERY 7/20/2017 7/26/2017 60 TECHNICAL
DEVELOPMENT AUTHORITY
b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘
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:
JAN JAN C. LANSANGAN PABANLAG FLORIDABLANCA PAMPANGA With full and handwritten
name tag and signature over
printed name
GLENDA C. MAGNO DINALUPIHAN, BATAAN
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 MARCH 02, 2021 , affiant exhibiting his/her validly issued government ID as indicated above.