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 SILANG
NAME EXTENSION (JR., SR) N/A
FIRST NAME IVY MARIE

MIDDLE NAME MATIBAG

3. DATE OF BIRTH
(mm/dd/yyyy) 3/10/1999 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by
by naturalization
birth
4. PLACE OF BIRTH B. MANIGBAS ST. BOLO, BAUAN, BATANGAS If holder of dual citizenship, Pls. indicate country: N/A
please indicate the details.
5. SEX Male ✘ Female

6 CIVIL STATUS
✘ Single Married 17. RESIDENTIAL ADDRESS N/A B. MANIGBAS ST.
Widowed Separated House/Block/Lot No. Street
N/A BOLO
Other/s:
Subdivision/Village Barangay
BAUAN BATANGAS
7. HEIGHT (m) 5’0’’
City/Municipality Province
8. WEIGHT (kg) 35 KG ZIP CODE 4201

18. PERMANENT ADDRESS N/A B. MANIGBAS ST.

9. BLOOD TYPE TYPE O
House/Block/Lot No. Street
N/A BOLO
10. GSIS ID NO. N/A
Subdivision/Village Barangay
BAUAN BATANGAS
11. PAG-IBIG ID NO. N/A
City/Municipality Province

12. PHILHEALTH NO. 09-250274488-9 ZIP CODE 4201

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

14. TIN NO. 755-216-160-000 20. MOBILE NO. 0912 103 0110

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) silangivymariem@gmail.com

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) N/A N/A
FIRST NAME N/A 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 SILANG SILANG, IVY MARIE MATIBAG 3/10/1999

NAME EXTENSION (JR., SR) N/A
FIRST NAME ROMMEL SILANG, MARK IVAN MATIBAG 02/17/2010

MIDDLE NAME PAPA

25. MOTHER'S MAIDEN NAME

SURNAME MATIBAG

FIRST NAME ERLINDA

MIDDLE NAME MATIBAG

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

VALEDICTORIA
ELEMENTARY BOLO ELEMENTARY SCHOOL PRIMARY EDUCATION 2006 2012 N/A 2012 N

ANSELMO A. SANDOVAL MEMORIAL NATIONAL HIGH WITH HIGH

SECONDARY /
VOCATIONAL SCHOOL
SENIOR HIGH SCHOOL 2013 2018 N/A 2018 HONORS

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

TRADE
MAGNA CUM
COURSE
COLLEGE UNIVERSITY OF BATANGAS - BATANGAS CAMPUS BACHELOR OF ARTS IN POLITICAL SCIENCE 2018 2022 N/A 2022 LAUDE

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

SIGNATURE DATE 12/21/2022

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

PD 907 - HONOR GRADUATE N/A 2/12/2022 CSC REGIONAL OFFICE IV N/A N/A

CAREER SERVICE SUB-PROFESSIONAL 88.04 7/8/2022 BATANGAS CITY, BATANGAS N/A N/A

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
(Y/ N)

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

SIGNATURE DATE 12/21/2022

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
RAPPLER - UNIT B, 3/F, NORTH WING ESTANCIA OFFICES, CAPITOL COMMONS, ORTIGAS
08/23/2021 12/12/2021 200 INTERN AND FACT-CHECKER, PHVOTE UNIT
CENTER, PASIG CITY 1605

PADAYON PHILIPPINES - BUILDING NO. 094, DISTRICT 4, LIPA CITY, BATANGAS 1/5/2021 PRESENT N/A CO-FOUNDER AND CHIEF OPERATIONS OFFICER

NATIONAL SOCIETY OF PARLIAMENTARIANS, INC. (NSP) KAMARA PH - CYBER ONE

04/29/2021 03/23/2022 N/A CORPORATE RELATIONS OFFICER
BUILDING, 11 EASTWOOD AVENUE, BAGUMBAYAN , QUEZON CITY
KILOS KO YOUTH AND OFFICE OF THE FORMER SENATOR FRANCIS “KIKO” N.
11/16/2020 12/19/2020 125 INTERN, ADVOCACY ORGANIZING UNIT
PANGILINAN - GSIS BLDG., FINANCIAL CENTER, DIOKNO BLVD., PASAY CITY
ASSOCIATION OF POLITICAL SCIENCE ORGANIZATIONS OF THE PHILIPPINES, INC. - BLOCK 2 LOT
39, LA MONTANA ESTATES, BRGY. STA. CRUZ, ANTIPOLO CITY, RIZAL
06/19/2019 08/23/2020 N/A DEPUTY SECRETARY GENERAL AND CORPORATE SECRETARY

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED

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
LEGAL EDUCATION ADVANCEMENT PROGRAM (LEAP) - EDUCATING FOR JUSTICE WITH LEGAL EDUCATION BOARD (LEB) AND UNIVERSITY OF
12/11/2022 6/12/2022 N/A N/A
JUSTICE PROGRAM (EJJP) THE PHILIPPINES LAW CENTER
PHILIPPINE CENTER FOR INVESTIGATIVE
ONLINE TRAINING-WORKSHOP ON INVESTIGATING THE 2022 ELECTIONS 1/6/2022 06/16/2022 10.5 N/A
JOURNALISM (PCIJ) AND INTERNEWS
COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
CERTIFICATE COURSE ON PAGSUSULONG NG MGA KARAPATANG PANTAO 7/11/2022 11/11/2022 5 TECHNICAL
INSTITUTE
COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
CERTIFICATE COURSE ON MGA KARAPATANG SIBIL AT POLITIKAL 3/10/2022 7/10/2022 5 TECHNICAL
INSTITUTE
COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
CERTIFICATE COURSE ON RIGHT TO HEALTH 09/26/2022 09/30/2022 5 TECHNICAL
INSTITUTE
COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
CERTIFICATE COURSE ON PAGTATANGGOL NG MGA KARAPATAN 09/19/2022 09/23/2022 5 TECHNICAL
INSTITUTE
CERTIFICATE COURSE ON MGA KARAPATANG PANG-EKONOMIYA, PANLIPUNAN, AT COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
08/29/2022 2/9/2022 5 TECHNICAL
PANGKULTURA INSTITUTE
COMMISSION ON HUMAN RIGHTS - HUMAN RIGHTS
CERTIFICATE COURSE ON HUMAN RIGHTS 101 06/13/2022 06/17/2022 5 TECHNICAL
INSTITUTE
THREE-PART PARALEGAL TRAINING PROGRAM ON CIVIL AND POLITICAL RIGHTS,
08/22/2022 08/22/2022 3 N/A THE UP MANILA PRE-LAW SOCIETY
RIGHTS ON ARRESTS AND SEIZURES, AND LEGAL REMEDIES
OFFICE OF THE PRESS SECRETARY (FORMER PCOO)
FREEDOM OF INFORMATION: AN INTRODUCTION 1/9/2022 5/11/2022 10 N/A AND THE DEVELOPMENT ACADEMY OF THE PHILIPPINES
KAALAMAN PARA SA LAHAT: LEARNING THE BASICS OF LOCAL GOVERNANCE,
5/11/2022 11/19/2022 N/A N/A UNIVERSITY OF THE PHILIPPINES LAW CENTER
ADMINISTRATIVE LAW, AND PUBLIC-PRIVATE PARTNERSHIPS

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33. (Write in
(Write in full)
full)
SPECIAL CITATION FOR LEADERSHIP - GAWAD UBIAN 2022
LITERARY, LEGAL, AND TECHNICAL WRITING N/A
RECOGNITION FOR MOST ACTIVE PARTICIPATION IN EXTRA-CURRICULAR ACTIVITIES -
RESEARCH SKILLS
UB CAS RECOGNITION DAY
CITATION FOR LEADERSHIP EXCELLENCE AS THE STUDENT CONSULTANT OF THE UB
LEADERSHIP AND ORGANIZATIONAL SKILLS
POLITICAL SCIENCE CIRCLE FOR THE A.Y. 2021 – 2022
INTERPERSONAL AND COMMUNICATION CITATION FOR EXEMPLARY PERFORMANCE IN RECOGNITION OF MERITORIOUS SERVICE TO THE
SKILLS ASSOCIATION OF POLITICAL SCIENCE ORGANIZATIONS OF THE PHILIPPINES, INC.
OUTSTANDING WORK IMMERSION STUDENT - ANSELMO A. SANDOVAL MEMORIAL
MEDIA AND INFORMATION LITERATE
NATIONAL HIGH SCHOOL

SIGNATURE DATE 12/21/2022

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
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:

41. REFERENCES

NAME ADDRESS TEL. NO.

ID picture taken within
PULONG NIOGAN, MABINI, the last 6 months
GENER U. MAGBOO 0999-778-1299 4.5 cm. X 3.5 cm
BATANGAS (passport size)
PULONG NIOGAN, MABINI,
ANDREA M. AXALAN 0917-773-4421
BATANGAS Computer generated
or photocopied picture
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 PHOTO
administrative/criminal case/s against me.

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

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: TIN ID

ID/License/Passport No.: 265-056-693-000

Signature (Sign inside the box)
06/20/2023
Date/Place of Issuance: 01/08/2018
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