I.
D
BIO-DATA PHOTO
PERSONAL DATA:
Position Desired : ___________________________Date
VGD NC III APPLICANT : _________________
January 14, 2021
Name : ___________________________
HERBERT Q. REBLORA Sex MALE
: _________________
City Address : _______________________________________________________
DAVAO DEL SUR
Provincial Address : _______________________________________________________
Telephone N/A
: ___________________________Cell phone : _________________
09050772289
E-mail Address rebheart241@[Link]
: ___________________________
Date of Birth : ___________________________
OCTOBER 24, 1986 Place : _________________
MAGSAYSAY, DAVAO DEL SUR
Civil Status MARRIED
: ___________________________ FILIPINO
Citizenship : _________________
Height 5’4”
: ___________________________ Weight 60 KLS
: _________________
Religion ROMAN CATHOLIC
: ___________________________
Spouse LEIDAY CHISTENE JOY A. REBLORA
: ___________________________ Occupation : _________________
HOUSEKEEPING
ALIZANDER CHASE , ANEXA ZAM REBLORA
Name of Children : ___________________________ Date of Birth : _________________
DECEMBER 24, 1989
Father’s Name DECEASED
: ___________________________ Occupation : _________________ N/A
Mother’s Name DECEASED
: ___________________________ Occupation : _________________ N/A
Parent’s Address UPPER BALA, MAGSAYSAY, DAVAO DEL SUR
: ___________________________
Language/Dialect spoken & written: ____________________________________________
ENGLISH, TAGALOG AND BISAYA
Person to be contacted in case of emergency: ______________________________________
LEIDAY CHRISTENE JOY A. REBLORA
His/Her Address and Telephone: ______________________________________________
CHAPTER 8, TIENDA APLAYA, DIGOS CITY
EDUCATIONAL ATTAINMENT:
Elementary : ___________________________
UPPER BALA ELEMENTARY SCHOOL Year Graduated 2000
: ____________
LO. BALA NATIONAL HIGH SCHOOL 2004
High School : ___________________________ Year Graduated : ____________
College : ___________________________
SPAMAST Year Graduated 2009
: ____________
Degree received : _______________________________________________________
BSED MATHEMATICS
Special Skills : _______________________________________________________
COMPUTER LITERATE
EMPLOYMENT RECORDS:
Company Name : _______________________________________________________
DEPARTMENT OF EDUCATION- SALUD CAGAS TECHNICAL AND VOCATIONAL HIGH SCHOOL
Position : ___________________________
TEACHER III From: _________
2020 To: ___________
PRESENT
Company Name : _______________________________________________________
DEPARTMENT OF EDUCATION- SALUD CAGAS TECHNICAL AND VOCATIONAL HIGH SCHOOL
Position : ___________________________
TEACHER I From: _________
2013 To: ___________
2020
CHARACTER REFERENCE:
Name DAMIAN II A. ABAYON PhD
: ___________________________ Company : _________________
DEPED-SALUD CAGAS TVHS
Position HEAD TEACHER I
: ___________________________ Contact No. 09177163717
: _________________
Name LUZVIMINDA L. BATA-ANON
: ___________________________ Company DEPED-SALUD CAGAS TVHS
: _________________
Position TEACHER I
: ___________________________ Contact No. 09675389777
: _________________
Res. Cert. No. : __________________
11962786
Issued at : __________________
MAGSAYSAY DAVAO DEL SUR I hereby certify that the above information is true and
JANUARY 31, 2020 correct to the best of my knowledge and belief. I also
Issued on : __________________ understand that any misinterpretation will be considered
SSS N/A
: __________________ sufficient reason for withdrawal of an offer or subsequent
TIN 438-109-755-000
: __________________ dismissal if employed.
NBI No. : N/A
__________________
Passport No. : N/A
__________________
Applicant’s Signature