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 NARVAEZ
NAME EXTENSION (JR., SR) N/A
FIRST NAME DEXTER ALLAN

MIDDLE NAME CATALON

3. DATE OF BIRTH
(mm/dd/yyyy) 16. CITIZENSHIP
MAY 21, 1988

4. PLACE OF BIRTH KIAMBA, SARANGANI PROVINCE If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX

6 CIVIL STATUS
17. RESIDENTIAL ADDRESS BLOCK 10 LOT 13 CONEL ROAD
House/Block/Lot No. Street
BRIA HOMES SAN ISIDRO
MARRIED
Subdivision/Village Barangay

7. HEIGHT (m) 1.67 GENERAL SANTOS SOUTH COTABATO

City/Municipality Province
8. WEIGHT (kg) 71 KILOGRAM ZIP CODE 9500

9. BLOOD TYPE "A+"

18. PERMANENT ADDRESS BLOCK 10 LOT 13 CONEL ROAD
House/Block/Lot No. Street

10. GSIS ID NO. 2004430402

BRIA HOMES SAN ISIDRO
Subdivision/Village Barangay

11. PAG-IBIG ID NO. 121036335965 GENERAL SANTOS SOUTH COTABATO

City/Municipality Province

12. PHILHEALTH NO. 170502287446 ZIP CODE 9500

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

14. TIN NO. 948-458-281 20. MOBILE NO. 09463793197/09085508259

15. AGENCY EMPLOYEE NO. 21C0500347 21. E-MAIL ADDRESS (if any) dexterallannarvaez@yahoo.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME NARVAEZ 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME CHRISTYL N/A KRISTER FRELLE P. NARVAEZ 04/30/2009

MIDDLE NAME COMANIA 12/25/1989

OCCUPATION TEACHER
EMPLOYER/BUSINESS NAME DEPARTMENT OF EDUCATION
BUSINESS ADDRESS MATI CITY, DAVAO ORIENTAL

TELEPHONE NO. N/A

24. FATHER'S SURNAME NARVAEZ 11/29/1969

NAME EXTENSION (JR., SR)
FIRST NAME FELYNOR N/A

MIDDLE NAME GABUAT

25. MOTHER'S MAIDEN NAME

SURNAME CATALON 11/11/1972

FIRST NAME CHERRY ANN

MIDDLE NAME ARIZ (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY MALALAG CENTRAL ELEM. SCHOOL ELEMENTARY 1995 2001 Graduated 2001 N/A

SECONDARY MALALAG NATIONAL HIGH SCHOOL HIGH SCHOOL 2001 2005 Graduated 2005 N/A
VOCATIONAL /
N/A
TRADE COURSE
COLLEGE
RAMON MAGSAYSAY MEMORIAL BACHELOR OF SCIENCE IN 2005 2009 Graduated 2009 N/A
COLLEGES CRIMINOLOGY
GRADUATE STUDIES N/A
(Continue on separate sheet if necessary)

SIGNATURE DATE February 15, 2024 CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. LICENSE (if applicable)
CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER RATING DATE OF
SPECIAL LAWS/ CES/ CSEE (If Applicable) EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT NUMBER Date of
Validity
CRIMINOLOGY LICENSURE EXAMINATION , 75.15% 04/07/2010 UM, DAVAO CITY NONE NONE
REPUBLICT ACT 6506

SENIOR POLICE OFFICER (NAPOLCOM SPO) 74.80% 04/23/2017 KORONADAL CITY NONE NONE

POLICE OFFICERV(NAPOLCOM PO) 71.00% 10/16/2016 KORONADAL CITY NONE NONE

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
28. INCLUSIVE DATES GOV'T
(mm/dd/yyyy) SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY GRADE (if STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
abbreviate) full/Do not abbreviate) (Format "00-0")/
INCREMENT
(Y/ N)
From To

12/16/2020 PRESENT POLICE STAFF SARGENT PHILIPPINE NATIONAL POLICE 32,114.00 13 PERMANENT YES

07/31/2018 12/16/2020 POLICE CORPORAL PHILIPPINE NATIONAL POLICE 30,867.00 12 PERMANENT YES

1/1/2018 07/31/2018 POLICE OFFICER 1 PHILIPPINE NATIONAL POLICE 29,668.00 12 PERMANENT YES

06/15/2012 12/30/2017 POLICE OFFICER 1 PHILIPPINE NATIONAL POLICE 14,834.00 10 PERMANENT YES

06/15/2011 06/15/2012 POLICE OFFICER 1 PHILIPPINE NATIONAL POLICE 13,492.00 10 TEMPORARY YES

(Continue on separate sheet if necessary)

SIGNATURE DATE February 15, 2024 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

N/A

(Continue on separate sheet if necessary)

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

(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)

INCLUSIVE DATES OF
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ATTENDANCE Type of LD
NUMBER OF HOURS
( Managerial/ CONDUCTED/ SPONSORED BY
(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To

CRIME SCENE FIRST RESPONDERS COURSE 7/10/2015 7/10/2015 48HRS TECHNICAL REGIONAL SPECIAL TRAINING UNIT -12

CRIMIANAL INVESTIGATION COURSE (CIC) 07/15/2017 10/10/2015 45 DAYS TECHNICAL POLICE REGIONAL OFFICE 12

MODIFIED PNP SPECIAL COUNTER INSURGENCY OPERATION UNIT TRAINING 11/28/2012 01/20/2013 384 HRS TECHNICAL REGIONAL SPECIAL TRAINING UNIT -12

PUBLIC SAFETY FIELD TRAINING PROGRAM (PSFTP) CL 2011-01 06/15/2012 06/15/2012 365 DAYS TECHNICAL REGIONAL TRAINING SCHOOL 12

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
31. SPECIAL SKILLS and HOBBIES 32. NON-ACADEMIC DISTINCTIONS / RECOGNITION (Write in full) 33. (Write
in full)

Computer Leterate MEDALYA NG PAPURI - 82 N/A

Motor Cycle Mechanic (Experience Only) MEDALYA NG PAGTULONG SA NASALANTA -6

Driving MEDALYA NG UGNAYANG PANGPULISYA -2

Cooking MEDALYA NG KAGALINGAN-7

Welding MEDALYA NG PAGLABAN SA MANLILIGALIG -5

Carpentry MEDALYA NG PAGLILINGKOD SA MINDANAO -5

MEDALYA NG PAGKILALA-1

MEDALYA NG MABUTING ASAL-2

PNP BADGE OF HONOR-1

MEDALYA NG KASANAYAN-7

MEDALYA NG PAGLILINKOD LABAN SA KRIMINALIDAD-2

TSAPA SA NATATANGING YUNIT-1

MEDALYA NG KADAKILAAN-1

SIGNATURE DATE February 15, 2024 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?
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense?
If YES, give details:
________________________________
________________________________

b. Have you been criminally charged before any court?

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
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,
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
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last
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?
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?
If YES, please specify:
b. Are you a person with disability?
If YES, please specify ID No:
c. Are you a solo parent? 444
444 If YES, please specify ID No:
444
41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO. ID picture taken within

the last 6 months
3.5 cm. X 4.5 cm
MAYOR GEORGE "JONG " F. FALGUI POBLACION KIAMBA, SARANGANI (passport size)

KIAMBA MPS-KIAMBA SARANGANI With full and handwritten

POLICE MAJOR LUDOVICO VILLA RENDAJE, JR PROVINCE 09566749228 name tag and signature over
printed name

POLICE CAPTAIN ROLAN GOCOTANO CATOBURAN KIAMBA MPS-KIAMBA SARANGANI

PROVINCE 09995698648 Computer generated
or photocopied picture
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and complete is not acceptable
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 administrative/criminal case/s
against me. PHOTO

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

PLEASE INDICATE ID Number and Date of Issuance

Government Issued ID:

PNP ID
ID/License/Passport No.: 21C0500347 Signature (Sign inside the box)
Frbruary 15, 2023
Date/Place of Issuance: 03/05/2021/DPRM,QC 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