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Personal Data Sheet: Republic of The Philippines

This document is a personal data sheet for an employee of the Department of Education Region 02. It collects information such as the employee's name, address, date of birth, civil status, age, sex, position, employment status, date of appointment, salary grade and step, basic salary, account numbers, and tax withholding information. The employee signs to certify the information provided is true and correct.

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Ballesteros National High School
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2K views1 page

Personal Data Sheet: Republic of The Philippines

This document is a personal data sheet for an employee of the Department of Education Region 02. It collects information such as the employee's name, address, date of birth, civil status, age, sex, position, employment status, date of appointment, salary grade and step, basic salary, account numbers, and tax withholding information. The employee signs to certify the information provided is true and correct.

Uploaded by

Ballesteros National High School
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
Regional Office No. 02
Regional Government Center, Carig Sur, Tuguegarao City

PSU FORMOl

PERSONAL DATA SHEET

Employee N o : - - - - - - - - - - - - - - -
(to be filled up by PSU Personnel)

Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~------
(First Name) (Middle Name) (Last Name)

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___

Date of Birth:--------------- Civil Status: _ _ _ Age: _ _ _ _ Sex: _ _ _ __

D i v i s i o n : - - - - - - - - - District: - - - - - - - - - - - - - - - - - - - - -
School: ______________________________________________________

P o s i t i o n : - - - - - - - - - - - - - - - - - - Item N o . - - - - - - - - - - - - - - - - -

Employment S t a t u s : - - - - - - - - - - - - - - - ( ) New ( ) Transferee


(In case of transferee please attach payslip or list of deductions from previous station)

Date of Appointment:----------- Salary Grade: _ _ __ Step: _ _ _ __

Basic Salary:

ATM No:

TIN No:

GSIS BPNo:

Philhealth No:

Pagibig ID No.

For withholding Tax Purposes please attached Xerox copy of BIR Form 2305/1902.

I HEREBY CERTIFY that above information are true and correct.

{Signature Over Printed Name}

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