PERSONAL DATA SHEET

I. PERSONAL INFORMATION
SURNAME PAMOTILLO
FIRST NAME PAM ANGELICA
MIDDLE NAME ENCARNADO NAME EXTENSION (e.g. Jr., Sr.) N/A
DATE OF BIRTH APRIL 22, 1997 RESIDENTIAL ADDRES PUROK RAMOS, BGY. STA. CRUZ
PLACE OF BIRTH GMA, CAVITE KORONADAL CITY
SEX FEMALE SOUTH COTABATO
CIVIL STATUS SINGLE ZIP CODE 9506
CITIZENSHIP FILIPINO TELEPHONE NO. NONE
HEIGHT (m) PERMANENT ADDRESS PUROK RAMOS, BGY. STA. CRUZ
WEIGHT (kg) 51 KORONADAL CITY
BLOOD TYPE - SOUTH COTABATO
UMID ID NO. NONE ZIP CODE 9506
PAG-IBIG ID NO. NONE TELEPHONE NO. NONE
PHILHEALTH ID NO. NONE CELLPHONE NO. 09100662958
SSS ID NO. NONE TIN NO. NONE
II. FAMILY BACKGROUND
SPOUSE'S SURNAME N/A NAME OF CHILDREN DATE

FIRST NAME N/A N/A N/A

MIDDLE NAME N/A N/A N/A
OCCUPATION N/A N/A N/A
EMPLOYER N/A ---NOTHING FOLLOWS---

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A
FATHER'S SURNAME PAMOTILLO
FIRST NAME RODOLFO
MIDDLE NAME LUMAWAG NAME EXTENSION JR.
MOTHER'S MAIDEN NAME

SURNAME ENCARNADO
FIRST NAME JOVY
MIDDLE NAME GRANFIEL
III. EDUCATIONAL BACKGROUND

YEAR HIGHEST GRADE/ INCLUSIVE DATES OF

LEVEL NAME OF SCHOOL DEGREE COURSE
GRADUATED LEVEL ATTENDANCE

ELEMENTARY SAN MATIAS ELEMENTARY SCHOOL PRIMARY 2009 GRADUATED 2003 - 2009

RUFINO G. PALABRICA SR. NATIONAL HIGH

SECONDARY SECONDARY 2009 GRADUATED 2009 - 2013
SCHOOL

BS BUSINESS
COLLEGE GREEN VALLEY COLLEGE FOUNDATION, INC. 2015 GRADUATED 2015 - 2019
ADMINISTRATION
IV. CIVIL SERVICE ELIGIBILITY

LICENSE (if applicable)

DATE OF
CAREER SERVICE/RA 1080 (BOARD/BAR), UNDER SPECIAL PLACE OF EXAMINATION/
RATING EXAMINATION/
LAWS/CES/CSEE CONFERMENT DATE OF
CONFERMENT NUMBER
RELEASE

NONE N/A N/A N/A N/A N/A

V. WORK EXPERIENCE (ON-THE-JOB TRAINING)

INCLUSIVE DATE
POSITION TITLE DEPARTMENT/AGENCY/OFFICE COMPANY STATUS OF APPOINTMENT

FROM TO

LANDBANK ACCOUNTING
11/13/18 03/15/19 STUDENT TRAINEE -
CENTER, KORONADAL CITY

---NOTHING FOLLOWS---

VI. TRAINING PROGRAMS

TITLE OF SEMINAR/WORKSHOPS DEPARTMENT/AGENCY/OFFICE COMPANY YEAR TAKEN

GREEN VALLEY COLLEGE

TEAM BUILDING 2017
FOUNDATION, INC.

GREEN VALLEY COLLEGE

EMPLOYER-EMPLOYEE RELATIONSHIP 2018
FOUNDATION, INC.

GREEN VALLEY COLLEGE

EMPLOYMENT READINESS SEMINAR 2019
FOUNDATION, INC.

---NOTHING FOLLOWS---

VII. OTHER INFORMATION

SPECIAL SKILLS/HOBBIES NON-ACADEMIC DISTINCTION/RECOGNITION MEMBERSHIP IN ASSOCIATION

BASKETBALL, VOLLEYBALL, DEAN'S LISTER JUNIOR FINANCIAL MARKETERS

COMPUTER LITERATE (EXCEL,
POWERPOINT, WORD), BEAUTY
PAGEANT

---NOTHING FOLLOWS---
Are you related by consanguinity or affinity to any of the following:

a. Within the 3rd degree (for National Government Employees): appointing authority, recommending authority, chief of
office/bureau/department or person who has immediate supervision over you in you Office, Bureau or Department where you
will be apoointed? NO.

b. Within the 4th degree (for Local Government Employees): appointing authority or recommending authority where you will be
appointed? NO.

Have you ever been formally charged? NO.

Have you ever been guilty of any administrative offense? NO.

Have you ever been convisted of any crime or violation of any law, decree, or ordinance or regulation by any court or tribunal?
NO.

Have you ever been separated from the service in any of the following modes: resignation, retirement, dopped from the rolls,
dismissal, termination, end of term, finished contract, AWOL or phased out, in the public or private sector? YES. Details:
Applicant retired and availed of the Special Incentive Program of Landbank effective January 5, 2015.

Have you ever been a candidate in a national or local election (except Barangay election)? NO.

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 indegenous group? NO.

b. Are you differently abled? NO.

c. Are you a solo parent? NO.

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

NAME ADDRESS CELLPHONE NO.
JANAH PAOLA JANCE KORONADAL CITY 0907-634-3301
MARY BEVERLY CABANG LANDBANK, KORONADAL CITY 0949-392-2277
MARLOU PONTE KORONADAL CITY 0998-511-6275
I declare under oath that this Personal Data sheet has been accomplished by me, and ia a
true, correct and complete statement pursuant to the provisions of perinent laws, rules and
regulations of the Republic of the Philippines.

I also authorize the company/agency head/authorized representatives to verify/validate the

contents stated herein. I trust that this information shall remain confidential.

NONE
TIN NO.

SIGNATURE
DATE ACCOMPLISHED 09 APRIL 2019 RIGHT THUMBMARK