Region : NCRDivision : Quezon City

School ID: 100000Name of Office / School : ABUYOG ES

0

0

Total no. of casual employees:0

To be Encoded Manually

Summary from I.Personal

Total no. of Authorized Positions (per PSI-POP):

Total no. of Filled-up Plantilla Positions:

Total no. of Personnel Re-assigned to:

Total no. of Personnel reassigned from:

Total no. of contractual employees:

Total no. of locally funded employees:

NAME OF PERSONNEL

GENDERLAST NAME FIRST NAME MIDDLE NAME NAME EXTENSION

UNIQUE ITEM NUMBER

POSITION TITLE PER PLANTILLA

PARENTHETICAL TITLE

SALARY GRADE

SALARY STEP

TIN FUNDING CIVIL STATUS GSIS BP No.DATE OF

BIRTH (MM-DD-YYYY)

DATE OF ORIGINAL

APPOINTMENT (AS NATIONAL) (MM-DD-YYYY)

DATE OF LAST PROMOTION / APPOINTMENT (MM-DD-YYYY)

EMPLOYMENT STATUS

PLACE OF BIRTH (TOWN, PROVINCE

OR CITY)

Height (m)

Weight (kg)

Blood Type

PAG-IBIG No. (Inc but not

required)

SSS No.

Residential Address (Inc but not required)

Region Province / District / City City/ Municipality Barangay Telephone No.

PHILHEALTH No. (Inc but

not required) Address (House No, Street Name, Village/Subd)

Permanent Address (Required)

Region Province / District / City City / Municipality Barangay Telephone No.

Email Address (preferably

@deped.gov.ph)

Cellphone No. (if any)Address (House No, Street

Name, Village/Subd)

Reassigned From

Reassigned From: School IDReassigned From: Region/ Division/

District

Languages/Dialect Spoken

NAMERELATIONSHIP LAST NAME FIRST NAME MIDDLE NAME

FOR CHILD ONLY FOR SPOUSE ONLY

(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION) DATE OF BIRTH (MM-DD-YYYY) OCCUPATION

FOR SPOUSE ONLYEMPLOYER/BUS. NAME BUSINESS ADDRESS TELEPHONE NO.

EDUCATIONAL BACKGROUNDNAME

Name of School

INCLUSIVE YEAR

(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION) LEVEL From To

LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1 ELEMENTARY

Year Graduated

EDUCATIONAL BACKGROUND

Course Major Minor

9

Highest Grade/Level/Units

Earned (if not graduated)

Honors Received

NAME

ELIGIBILITY RATING

LICENSE

(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION) NUMBER

LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1

DATE OF EXAM/ CONFERMENT (MM-DD-YYYY)

PLACE OF EXAM /

CONFERMENTISSUE DATE (MM-DD-YYYY)

WORK EXPERIENCESNAME INCLUSIVE DATE (MM/DD/YYYY)

POSITION TITLE DEPARTMENT / AGENCY / OFFICE(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION) FROM TO

LAST NAME 1, FIRST NAME 1 MIDDLE NAME 1 NAME EXTENSION 1

MONTHLY SALARY

WORK EXPERIENCES

STEP INCREMENTSALARY RANGE/GRADE

STATUS OF APPOINTMENT

Enter trainings within the last five years starting with the most recent

NAMETITLE OF SEMINAR AREA OF TRAINING

INCLUSIVE DATES (MM-DD-YYYY)(LAST NAME, FIRST NAME MIDDLE NAME NAME EXTENSION) FROM

INCLUSIVE DATES (MM-DD-YYYY)NO. OF HOURS CONDUCTED BY PLACE OF TRAINING

TO