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 CASTRO-MUGOL
NAME EXTENSION (JR., SR)
FIRST NAME RACHEL ANNE

MIDDLE NAME TABILISMA

3. DATE OF BIRTH
02/26/1993 16. CITIZENSHIP
(mm/dd/yyyy) ✘ Filipino Dual Citizenship
by
✘ by birth
4. PLACE OF BIRTH TANZA, CAVITE If holder of dual citizenship, Pls. indicate country: naturalization
please indicate the details.
5. SEX
Male ✘ Female
#239 Purok 1
6 CIVIL STATUS Single ✘ Married 17. RESIDENTIAL ADDRESS
House/Block/Lot No. Street
Widowed Separat Gen. Trias Drive Brgy Tejero
Other/s: ed Subdivision/Village Barangay
7. HEIGHT (m) 1.65 m General Trias Cavite
City/Municipality Province
8. WEIGHT (kg) 64 kg ZIP CODE 4107

9. BLOOD TYPE O
18. PERMANENT ADDRESS #318 Purok 2
House/Block/Lot No. Street

10. GSIS ID NO. N/A Brgy. Tejero

Subdivision/Village Barangay

11. PAG-IBIG ID NO.

General Trias Cavite
City/Municipality Province

12. PHILHEALTH NO. 08-025738000-2 ZIP CODE 4107

13. SSS NO. 34-4439-3370 19. TELEPHONE NO. (046) 509-8410

14. TIN NO. 465-917-982 20. MOBILE NO. +63 9177141426

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) castrorach26@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME MUGOL 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) ARISTOTLE CHASE C. MUGOL
FIRST NAME ARIS 8/10/2021

MIDDLE NAME LUTERIA

OCCUPATION SEAFARER

EMPLOYER/BUSINESS NAME WILHELMSEN SMITH BELL MANNING INC.

BUSINESS ADDRESS
38th & 39th Floors Petro Mega Plaza Bldg. 358 Sen. Gil Puyat Ave.
Makati City 1200. Philippines.
TELEPHONE NO. 6388128888

24. FATHER'S SURNAME CASTRO

NAME EXTENSION (JR., SR)
FIRST NAME EDGARDO

MIDDLE NAME MEDIODIA

25. MOTHER'S MAIDEN NAME

SURNAME TABILISMA

FIRST NAME CYNTHIA

MIDDLE NAME ARCA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY Felipe Calderon Elementary School Elementary 1999 2005 2005 MC w/ honors

SSC w/
SECONDARY /
VOCATIONAL Tanza National Comprehensive High School Highschool 2005 2009 2009
honors

Microcadd Technologies Inc. Autocad, 3d Studiomax, Revit Archi, STAAD Pro 2013 2019 2019
TRADE
COURSE
COLLEGE Cavite State University Main Campus BS Architecture 2009 2014 2014

GRADUATE STUDIES

(Continue on separate sheet if necessary)

SIGNATURE DATE July 1, 2022

CS FORM 212 (Revised 2017), Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

ARCHITECTURE LICENSURE EXAMINATION 73.6 JUNE 24-26, 2016 UNIVERSITY OF THE EAST - MANILA 0037723 02-26-2025

(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.
GOV'T
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)
$13 /
4/2/2022 8/4/2022 3D MODELER 3D POP ARCHVIZ (BRAZIL) PROJECT
FREELANCER

MERALCO INDUSTRIAL ENGINEERING

10/1/2017 10/1/2020 ARCHITECT P25,000.00 REGULAR
SERVICES CORP.
CUDIAMAT DESIGN & ENGINEERING
11/24/2014 10/3/2016 ARCHITECTURAL DESIGNER P18,000.00 REGULAR
SERVICES (STRUCTURAL HAWAII)
VENICE 66 FASHIONS INC. (VANS OFF THE
4/14/2014 10/14/2014 STORE PLANNING ASSISTANT P12,000.00 CONTRACTUAL
WALL)
1/4/2013 1/5/2013 JR. ARCHITECT / SITE INSPECTOR CB MABITUIN DESIGN ARCHITECTS P4,500.00 OJT

P35,000.00 per
1/7/2016 PRESENT REGISTERED & LICENSED ARCHITECT project
FREELANCER

(Continue on separate sheet if necessary)

SIGNATURE DATE 07/01/2022

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

UNITED ARCHITECTS OF THE PHILIPPINES MAKATI CHAPTER 2018 PRESENT MEMBER

UNITED ARCHITECTS OF THE PHILIPPINES CAVITE CHAPTER 2016 2018 MEMBER

UNITED ARCHITECTS OF THE PHILIPPINES GRADUATE AUXILLARY 2014 2016 MEMBER

UNITED ARCHITECTS OF THE PHILIPPINES STUDENT AUXILLARY 2009 2014 NATIONAL BOARD OF DIRECTOR - COMMISIONER ON INTERNAL AFFAIRS

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

PHILIPPINE GREEN BUILDING CODE AND RATING SYSTEM 10/7/2017 10/7/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

21ST CENTURY RECREATIONAL SPACES IN URBAN LANDSCAPES 10/7/2017 10/7/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

INTRODUCTION TO LANDSCAPE ARCHITECTURE 10/7/2017 10/7/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

BUILT HERITAGE CONSERVATION IN THE PHILIPPINES 11/10/2017 11/10/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

GREEN BUILDING RESIDENTIAL METRICS 11/10/2017 11/10/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

LEED & SUSTAINABILITY: SITE SELECTION AND BUILDING ORIENTATION 11/10/2017 11/10/2017 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

ARCHITECTURAL HERITAGE CONSERVATION 2/16/2018 11/17/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

CONSTRUCTION MANAGEMENT 2/16/2018 2/17/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

ADDRESSING THE GENERATION GAP IN ARCHITECTURAL PRACTICE 2/16/2018 2/17/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

CLIMATE RESILIENT DESIGN ECO HOUSES IN THE PHILIPPINES 2/16/2018 2/17/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

DESIGN AND BUILD MASTER BUILDERS 2/16/2018 2/17/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

LEGAZPI CITY HERITAGE CITY TOUR 2/16/2018 2/17/2018 4.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

CORREGIDOR HERITAGE TOUR 3/18/2018 3/18/2018 4.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

TRAIN LAW AND ITS IMPLEMENTING RULES AND REGULATION 7/18/2018 7/18/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

ART+CHITECTURE DESIGNING EXPERIEMNTAL SPACE - NATIONAL MUSEUM 9/29/2018 9/29/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

ARCHITECTURE AS ART BY AR. DOMINIC GALICIA - NATIONAL MUSEUM 9/29/2018 9/29/2018 2.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

TRENDS THAT SHAPE THE FUTURE OF ARCHICTURE 10/27/2018 10/27/2018 6.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

DESIGNING FOR HUMANITY 9/12/2020 9/12/2020 2.5 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

THINK WELLNESS: DESIGN, MENTAL HEALTH AND PHYSICAL FITNESS DURING THE
10/31/2020 10/31/2020 1.2 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES
PANDEMIC

LET'S DO BAMBOO TALK 6/5/2021 6/5/2021 4.0 TECHNICAL UNITED ARCHITECTS OF THE PHILIPPINES

ONDULINE'S ROOFING READY 2022 2/9/2022 2/9/2022 1.0 TECHNICAL ONDULINE

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VIII. OTHER INFORMATION

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

2D DRAFTING UAP CYBER ARCHITECTS

3D DRAFTING UAP CYBER ARCHITECTS

3D WALK THROUGH PRESENTATION UAP CYBER ARCHITECTS

VIDEO EDITING UAP CYBER ARCHITECTS

PHOTOSHOP EDITING UAP CYBER ARCHITECTS

MANUAL SKETCH / CHARCOAL PORTRAIT &
GUHIT PINAS
MIXED MEDIA

(Continue on separate sheet if necessary)

SIGNATURE DATE 07/01/2022

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? YES ✘

YES
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details:
YES ________________________________
✘

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

________________________________
________________________________
b. Have you been criminally charged before any court?
YES If YES, give details:
✘

________________________________
Date Filed:
________________________________
Status of Case/s:

36. YES
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:
________________________________
YES
✘

________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, YES ✘

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? ________________________________
YES ________________________________
✘

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:
YES
✘

39. Have you acquired the status of an immigrant or permanent resident of another country?
YES
✘

If YES, give details (country):

YES
✘

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?
If YES, please specify ID No:

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

NAME ADDRESS TEL. NO.

42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
complete 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 PHOTO
administrative/criminal case/s against me.

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

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PRC LICENSE ID

ID/License/Passport No.: 0037723

Signature (Sign inside the box)
07/01/2022
Date/Place of Issuance: 07/11/2016 - MANILA
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