Categories
HTML/CSS

Login Form

I am sharing this simple Login form, responsive in all screen devices with bootstrap 4.4 that can be integrate in your projects and customize as you like I hope you’ll customize this template according to your individual project’s needs.

Let me know what you need just leave a message/comment  and I will do my very best to make that happen. Hopefully, these templates will help you. Enjoy Coding!

Categories
HTML/CSS

Signup Form

I am sharing this simple Signup form, responsive in all screen devices with bootstrap 4.4 that can be integrate in your projects and customize as you like I hope you’ll customize this template according to your individual project’s needs .

Let me know what you need just leave a message/comment  and I will do my very best to make that happen. Hopefully, these templates will help you. Enjoy Coding!

Categories
HTML/CSS

Minimal Login Form

I am sharing this simple login form, responsive in all screen devices with bootstrap 4.4 that can be integrate in your projects and customize as you like I hope you’ll customize this template according to your individual project’s needs .

<!DOCTYPE html>
<html lang="en">

<head>
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1.0">
  <meta http-equiv="X-UA-Compatible" content="ie=edge">
  <title>Site | Login</title>
  <link rel="shortcut icon" href="assets/images/logo.png" type="image/x-icon">
  <link rel="stylesheet" href="assets/bootstrap/css/bootstrap.min.css">
  <link rel="stylesheet" href="assets/custom-fonts/style.css">
  <link rel="stylesheet" href="assets/izitoast/dist/css/iziToast.min.css">
  <link rel="stylesheet" href="assets/css/fonts.css">
  <link rel="stylesheet" href="assets/css/responsive.css">
  <link rel="stylesheet" href="assets/css/custom.css">
  <style>
  body {
    min-height: 100vh;
    position: relative;
    overflow-x: hidden;
    background: #e65c00;
    background: -webkit-linear-gradient(45deg, #e0eafc, #cfdef3);
    background: linear-gradient(45deg, #e0eafc, #cfdef3);
  }

  .column-login {
    position: absolute;
    left: 50%;
    top: 50%;
    transform: translate(-50%, -50%);
  }

  .card {
    box-shadow: 0px 10px 30px -10px rgba(151, 163, 184, 0.5) !important;
    -webkit-box-shadow: 0px 10px 30px -10px rgba(151, 163, 184, 0.5) !important;
    -moz-box-shadow: 0px 10px 30px -10px rgba(151, 163, 184, 0.5) !important;
    -ms-box-shadow: 0px 10px 30px -10px rgba(151, 163, 184, 0.5) !important;
    -o-box-shadow: 0px 10px 30px -10px rgba(151, 163, 184, 0.5) !important;
  }

  .crd-theme {
    background: #00B4DB;
    background: -webkit-linear-gradient(45deg, #0083B0, #00B4DB);
    background: linear-gradient(45deg, #0083B0, #00B4DB);
  }

  .show-pass {
    cursor: pointer;
  }
  </style>
</head>

<body>
  <main class="py-5">
    <section id="login-area">
      <div class="container-fluid">
        <div class="row align-items-center">
          <div class="column-login col-lg-4 mx-auto">
            <div class="card border-0">
              <div class="card-header text-center crd-theme text-white">
                <h5 class="font-weight-regular"> Login Account</h5>
                <p class="card-text">This is a secure system and you will need <br />
                  to provide your login details to access the site.</p>
              </div>
              <div class="card-body">

                <div class="row">
                  <div class="col-12 my-2">
                    <div class="input-group">
                      <div class="input-group-prepend">
                        <span class="input-group-text"><i class="cf-user-o"></i></span>
                      </div>
                      <input class="form-control" type="text" name="" placeholder="Your Email or Username"
                        aria-label="Recipient's ">
                    </div>
                  </div>
                  <div class="col-12 my-2">
                    <div class="input-group">
                      <div class="input-group-prepend">
                        <span class="input-group-text"><i class=" cf-key  "></i></span>
                      </div>
                      <input class="form-control" type="password" name="" placeholder="Your Password"
                        aria-label="Recipient's ">
                      <div class="input-group-append">
                        <span class="input-group-text bg-transparent"><i class=" cf-eye-slash show-pass"></i></span>
                      </div>
                    </div>
                  </div>
                  <div class="col-12 my-2">
                    <div class="input-group">
                      <div class="input-group-prepend mr-2">
                        <span class="input-group-text"> <input type="checkbox" name="" id=""></span>
                      </div>
                      <label>Keep me logged in</label>
                    </div>
                  </div>
                  <div class="col-12 text-right">
                    <button class="btn btn-secondary" type="submit">Login</button>
                  </div>
                </div>
              </div>
              <div class="card-footer">
                <p class="m-0"> © <span class="badge badge-primary" id="copyrightYear"></span> Name of Site</p>
              </div>
            </div>
          </div>
        </div>
      </div>
    </section>
  </main>

  <script src="assets/jquery/jquery-3.3.1.js"></script>

  <script>
  let d = new Date();
  let y = d.getFullYear();
  document.getElementById("copyrightYear").innerHTML = y;

  $(".show-pass").on('click', function() {
    $(this).toggleClass('cf-eye');
    $(this).toggleClass('cf-eye-slash');
    $(this).parent().parent().parent().find('input').toggleAttr('type', 'text', 'password');
  });

  // jquery toggle just the attribute value
  $.fn.toggleAttr = function(attr, val1, val2) {
    var test = $(this).attr(attr);
    if (test === val1) {
      $(this).attr(attr, val2);
      return this;
    }
    if (test === val2) {
      $(this).attr(attr, val1);
      return this;
    }
    // default to val1 if neither
    $(this).attr(attr, val1);
    return this;
  };
  </script>

</body>

</html>

Let me know what you need just leave a message/comment  and I will do my very best to make that happen. Hopefully, these templates will help you. Enjoy Coding!

Categories
HTML/CSS

Online Shopping Store

I am sharing this Online Store with bootstrap 4.4 that can be integrate in your projects and customize as you like I hope you’ll customize this template according to your individual project’s needs.

See screenshot for Online Store, responsive in all screen devices.

Download the Complete Source Codes. For more information you can contact me @ Email – larrydaveemol@gmail.com

Let me know what you need just leave a message/comment and I will do my very best to make that happen. I hope this codes will help you. Enjoy Coding!

Categories
HTML/CSS

Personal Data Sheet

HTML/CSS Code for Personal Data Sheet Form with Bootstrap

Creating Personal Data Sheet

<!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<meta name="viewport" content="width=device-width, initial-scale=1.0">
	<meta http-equiv="X-UA-Compatible" content="ie=edge">
	<title>Personal Data Sheet</title>
	<link rel="stylesheet" href="bootstrap/css/bootstrap.min.css">
	<link rel="stylesheet" href="style.css">
</head>
<body>
	<div class="table-responsive p-3">
		<form action="">
			<table id="pds-table">

				<tbody class="table-header">
					<tr>
						<td colspan="12" class="h5"><i><b>CS Form No. 212</b></i></td>
					</tr>
					<tr>
						<td colspan="12" class="align-top" style="max-height: 12px;">
							<i><b>Revised 2017</b></i>
						</td>
					</tr>
					<tr>
						<td colspan="12" class="text-center"><h1><b>PERSONAL DATA SHEET</b></h1></td>
					</tr>
					<tr>
						<td colspan="12"><i><b>WARNING: Any misrepresentation main in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administative/criminal case/s against the person concerned.</b></i></td>
					</tr>
					<tr>
						<td colspan="12"><i><b>READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM</b></i></td>
					</tr>
					<tr>
						<td colspan="9">Print legibly. Tick appropriate boxes ( <input type="checkbox" checked> ) ad use seperate sheet if necessary. Indicate N/A if not applicable. <b>DO NOT ABBREVIATE.</b></td>
						<td colspan="1" style="border:1px solid#000b;background:#757575;width:8%;"><small>1. CS ID No.</small></td>
						<td colspan="2" class="text-right" style="border:1px solid #000;width:20%;"><small>(Do not fill up. For CSC use only)</small></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">I. PERSONAL INFORMATION</td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">2.</span> SURNAME
						</td>
						<td colspan="11"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0"><span class="count"></span> FIRST NAME</td>
						<td colspan="9"></td>
						<td colspan="2" class="align-top"><small>NAME EXTENSION (JR.,SR)</small></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0"><span class="count"></span> MIDDLE NAME</td>
						<td colspan="11"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">3.</span> DATE OF BIRTH<br>
							<span class="count"></span> (mm/dd/yyyy)
						</td>
						<td colspan="5"></td>
						<td colspan="3" class="s-label align-top border-bottom-0">
							<span class="count">16.</span> CITIZENSHIP
						</td>
						<td colspan="3">
						</td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0"></td>
						<td colspan="5"></td>
						<td colspan="3" class="s-label align-top border-0 text-center small">
							If holder of dual citizenship,
						</td>
						<td colspan="3">
						</td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">4.</span> PLACE OR BIRTH</td>
						<td colspan="5"></td>
						<td colspan="3" class="s-label align-top border-0 text-center small"> please indicate the details.</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">5.</span> SEX</td>
						<td colspan="5"></td>
						<td colspan="3" class="s-label align-top border-0"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0"><span class="count">6.</span> CIVIL STATUS</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label align-top border-bottom-0 small">
							<span class="count">17.</span> RESIDENTIAL ADDRESS
						</td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-top-0"><span class="count"></span></td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label align-top border-0"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">7.</span> HEIGHT (m)</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label align-top border-0"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">8.</span> WEIGHT (kg)</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label border-0 text-center">
							ZIP CODE
						</td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">9.</span> BLOOD TYPE</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label border-bottom-0"><span class="count">18.</span> PERMANENT ADDRESS</td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">10.</span> GSIS ID NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label border-0"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">11.</span> PAG-IBIG NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label border-0"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">12.</span> PHILHEALTH NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label text-center border-0">ZIP CODE</td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">13.</span> SSS NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label"><span class="count">19.</span> TELEPHONE NO.</td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">14.</span> TIN NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label"><span class="count">20.</span> MOBILE NO.</td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label"><span class="count">15.</span> AGENCY EMPLOYEE NO.</td>
						<td colspan="5"></td>
						<td colspan="2" class="s-label"><span class="count">21.</span> EMAIL ADDRESS (if any)</td>
						<td colspan="4"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">II. FAMILY BACKGROUND</td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">22.</span> SPOUSE SURNAME
						</td>
						<td colspan="5"></td>
						<td colspan="3" class="s-label">
							<span class="count">23.</span> NAME of CHILDREN (Write full name and list all)
						</td>
						<td colspan="3" class="s-label text-center" style="width: 18%;">DATE OF BIRTH (mm/dd/yyyy)</td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> FIRST NAME
						</td>
						<td colspan="4"></td>
						<td colspan="1" class="align-top s-label">
							<small>
								NAME EXTENSION (JR.,SR)
							</small>
						</td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> MIDDLE NAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> OCCUPATION
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> EMPLOYER/BUSINESS NAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> BUSINESS ADDRESS
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> TELEPHONE NO.
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">24.</span> FATHER'S SURNAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> FIRST NAME
						</td>
						<td colspan="4"></td>
						<td colspan="1" class="align-top s-label">
							<small>
								NAME EXTENSION (JR.,SR)
							</small>
						</td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> MIDDLE NAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">25.</span> MOTHERS MAIDEN NAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> SURNAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> FIRST NAME
						</td>
						<td colspan="5"></td>
						<td colspan="3"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label border-0">
							<span class="count"></span> MIDDLE NAME
						</td>
						<td colspan="5"></td>
						<td colspan="6" class="s-label text-danger text-center"><i><b>(Continue on seperate sheet if necessary)</b></i></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">III. EDUCATIONAL BACKGROUND</td>
					</tr>
					<tr class="text-center">
						<td colspan="1" class="s-label border-bottom-0">
							<span class="count">26.</span>
							<span class="d-block text-center">LEVEL</span>
						</td>
						<td colspan="4" class="s-label border-bottom-0">
							NAME OF SCHOOL<br>(Write in full)
						</td>
						<td colspan="2" class="s-label border-bottom-0">
							BASIC EDUCATION/DEGREE/COURSE<br>
							(Write in full)
						</td>
						<td colspan="2" class="s-label border-bottom-0">
							PERIOD OF ATTENDANCE
						</td>
						<td colspan="1" class="s-label border-bottom-0">HIGHEST LEVEL/UNITS EARNED<br>(If not graduated)</td>
						<td colspan="1" class="s-label border-bottom-0">YEAR GRADUATED</td>
						<td colspan="1" class="s-label border-bottom-0">SCHOLARSHIP/<br>ACADEMIC<br>HONORS<br>RECEIVED</td>
					</tr>
					<tr class="text-center" style="margin-top: -20px;">
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="4" class="s-label border-top-0"></td>
						<td colspan="2" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label">From</td>
						<td colspan="1" class="s-label">To</td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> ELEMENTARY
						</td>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> SECONDARY
						</td>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> VOCATIONAL/<br>
							<span class="count"></span> TRADE COURSE
						</td>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> COLLEGE
						</td>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="s-label">
							<span class="count"></span> GRADUATE STUDIES
						</td>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
					<tr>
						<td colspan="1" class="text-center"><i><b>SIGNATURE</b></i></td>
						<td colspan="6"></td>
						<td colspan="2" class="text-center"><i><b>DATE</b></i></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- End of Page 1 -->

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">IV.  CIVIL SERVICE ELIGIBILITY</td>
					</tr>
					<tr class="text-center">
						<td colspan="5" class="s-label border-bottom-0" style="width:30%">
							<span class="count float-left">27.</span>
							CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LAWS/ CES/ CSEE
							BARANGAY ELIGIBILITY / DRIVER'S LICENSE
						</td>
						<td colspan="1" class="s-label border-bottom-0">RATING<br>(If Applicable)</td>
						<td colspan="2" class="s-label border-bottom-0">DATE OF EXAMINATION / CONFERMENT</td>
						<td colspan="2" class="s-label border-bottom-0">PLACE OF EXAMINATION / CONFERMENT</td>
						<td colspan="2" class="s-label border-bottom-0">LICENSE<br>(if applicable)</td>
					</tr>
					<tr class="text-center">
						<td colspan="5" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="2" class="s-label border-top-0"></td>
						<td colspan="2" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label">NUMBER</td>
						<td colspan="1" class="s-label">Date of Validity</td>
					</tr>
					<tr>
						<td colspan="5"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="5"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="5"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="5"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">
							V.  WORK EXPERIENCE<br>
							<small><i>(Include private employment.  Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.</i></small>
						</td>
					</tr>
					<tr class="text-center">
						<td colspan="1" class="s-label border-bottom-0" style="width: 20%;">
							<span class="count float-left">28.</span>
							INCLUSIVE DATES<br>(mm/dd/yyyy)
							
						</td>
						<td colspan="5" class="s-label border-bottom-0">
							POSITION TITLE<br>
							Write in full/Do not abbreviate)
						</td>
						<td colspan="2" class="s-label border-bottom-0">
							DEPARTMENT/AGENCY/OFFICE/COMPANY<br>
							(Write in full/Do not abbreviate)
						</td>
						<td colspan="1" class="s-label border-bottom-0">MONTHLY<br>SALARY</td>
						<td colspan="1" class="s-label border-bottom-0"><small>SALARY/ JOB/ PAY<br>GRADE (if applicable)& STEP  (Format "00-0")/ INCREMENT</small></td>
						<td colspan="1" class="s-label border-bottom-0">STATUS OF<br>APPOINTMENT</td>
						<td colspan="1" class="s-label border-bottom-0">GOV'T SERVICE<br>
							<small>(Y/ N)</small></td>
					</tr>
					<tr>
						<td colspan="1" class="p-0">
						<table class="w-100 border-0">
							<tbody class="border-0">
								<tr class="text-center">
									<td class="s-label border-0 border-bottom-0" style="width: 50%;">From</td>
									<td class="s-label border-top-0 border-right-0 border-bottom-0" style="width: 50%;">To</td>
								</tr>
							</tbody>
						</table>
						</td>
						<td colspan="5" class="s-label border-top-0"></td>
						<td colspan="2" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
					</tr>
					<tr>
						<td colspan="1" class="p-0">
						<table class="w-100 border-0">
							<tbody class="border-0">
								<tr>
									<td class="border-0 border-bottom-0" style="width: 50%;"></td>
									<td class="border-top-0 border-right-0 border-bottom-0" style="width: 50%;"></td>
								</tr>
							</tbody>
						</table>
						</td>
						<td colspan="5"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="p-0">
						<table class="w-100 border-0">
							<tbody class="border-0">
								<tr>
									<td class="border-0 border-bottom-0" style="width: 50%;"></td>
									<td class="border-top-0 border-right-0 border-bottom-0" style="width: 50%;"></td>
								</tr>
							</tbody>
						</table>
						</td>
						<td colspan="5"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="p-0">
						<table class="w-100 border-0">
							<tbody class="border-0">
								<tr>
									<td class="border-0 border-bottom-0" style="width: 50%;"></td>
									<td class="border-top-0 border-right-0 border-bottom-0" style="width: 50%;"></td>
								</tr>
							</tbody>
						</table>
						</td>
						<td colspan="5"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
					<tr>
						<td colspan="1" class="p-0">
						<table class="w-100 border-0">
							<tbody class="border-0">
								<tr>
									<td class="border-0 border-bottom-0" style="width: 50%;"></td>
									<td class="border-top-0 border-right-0 border-bottom-0" style="width: 50%;"></td>
								</tr>
							</tbody>
						</table>
						</td>
						<td colspan="5"></td>
						<td colspan="2"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
					<tr>
						<td colspan="1" class="text-center"><i><b>SIGNATURE</b></i></td>
						<td colspan="6"></td>
						<td colspan="2" class="text-center"><i><b>DATE</b></i></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- End of Page 2 -->

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S</td>
					</tr>
					<tr class="text-center">
						<td colspan="6" class="s-label border-bottom-0">
							<span class="count float-left">29.</span> NAME & ADDRESS OF ORGANIZATION<br>
							(Write in full)
						</td>
						<td colspan="2" class="s-label border-bottom-0">INCLUSIVE DATES</td>
						<td colspan="1" class="s-label border-bottom-0">NUMBER OF HOURS</td>
						<td colspan="3" class="s-label border-bottom-0">POSITION / NATURE OF WORK</td>
					</tr>
					<tr class="text-center">
						<td colspan="6" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label">From</td>
						<td colspan="1" class="s-label">To</td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="3" class="s-label border-top-0"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S<br>
							<small><i>(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)</i></small>
						</td>
					</tr>
					<tr class="text-center">
						<td colspan="6" class="s-label border-bottom-0">
							<span class="count float-left">30.</span> TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS<br>
							(Write in full)
						</td>
						<td colspan="2" class="s-label border-bottom-0">INCLUSIVE DATES</td>
						<td colspan="1" class="s-label border-bottom-0">NUMBER OF HOURS</td>
						<td colspan="1" class="s-label border-bottom-0">Type of LD ( Managerial/ Supervisory/Technical/etc)</td>
						<td colspan="2" class="s-label border-bottom-0">CONDUCTED/ SPONSORED BY<br>(Write in full)</td>
					</tr>
					<tr class="text-center">
						<td colspan="6" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label">From</td>
						<td colspan="1" class="s-label">To</td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="1" class="s-label border-top-0"></td>
						<td colspan="2" class="s-label border-top-0"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="6"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="1"></td>
						<td colspan="2"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
				</tbody>
				
				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator">VIII.  OTHER INFORMATION</td>
					</tr>
					<tr class="text-center">
						<td colspan="4" class="s-label">
							<span class="count float-left">31.</span> SPECIAL SKILLS and HOBBIES
						</td>
						<td colspan="4" class="s-label">
							<span class="count float-left">32.</span> NON-ACADEMIC DISTINCTIONS / RECOGNITION<br>(Write in full)
						</td>
						<td colspan="4" class="s-label">
							<span class="count float-left">33.</span> MEMBERSHIP IN ASSOCIATION/ORGANIZATION<br>(Write in full)
						</td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="4"></td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="4"></td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="4"></td>
						<td colspan="4"></td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="4"></td>
						<td colspan="4"></td>
					</tr>
				</tbody>

				<tbody class="table-body">
					<tr>
						<td colspan="12" class="text-white separator bg-transparent text-danger text-center">
							<i>(Continue on seperate sheet if necessary)</i>
						</td>
					</tr>
					<tr>
						<td colspan="4" class="text-center"><i><b>SIGNATURE</b></i></td>
						<td colspan="3"></td>
						<td colspan="1" class="text-center"><i><b>DATE</b></i></td>
						<td colspan="4"></td>
					</tr>
				</tbody>

				<!-- End of Page 3 -->

				<!-- Q1 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="12" class="separator"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">34.</span> Are you related by consanguinity or affinity to the appointing or recommending authority, or to the<br>
							<span class="count"></span>chief of bureau or office or to the person who has immediate supervision over you in the Office,<br>
							<span class="count"></span>Bureau or Department where you will beapppointed,<br>
						</td>
						<td colspan="2">
							
						</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span>a. within the third degree?<br>
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span>b. within the fourth degree (for Local Government Unit - Career Employees)?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
						</td>
						<td colspan="2">If YES, give details:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5"></td>
					</tr>
				</tbody>

				<!-- Q2 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">35.</span> a. Have you ever been found guilty of any administrative offense?
						</td>
						<td colspan="2">
							
						</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5">If YES, give details:</td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span> b. within the fourth degree (for Local Government Unit - Career Employees)?
						</td>
						<td colspan="2" style="border-top-width: 1px !important;"></td>
						<td colspan="3" style="border-top-width: 1px !important;"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5">If YES, give details:</td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="2">Date Filed:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="2">Status of Case/s:</td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- Q3 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">36.</span> Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5">If YES, give details:</td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="5"></td>
					</tr>
				</tbody>

				<!-- Q4 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">37.</span> Have you ever been separated from the service in any of the following modes: resignation,<br>
							
							
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span> retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased<br>
						</td>
						<td colspan="5">If YES, give details:</td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span> out (abolition) in the public or private sector?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- Q5 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">38.</span> a. Have you ever been a candidate in a national or local election held within the last year (except Barangay election)?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span><br>
						</td>
						<td colspan="2">If YES, give details:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span> b. Have you resigned from the government service during the three (3)-month period before the last
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span> election to promote/actively campaign for a national or local candidate?
						</td>
						<td colspan="2">If YES, give details:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- Q6 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">39.</span> Have you acquired the status of an immigrant or permanent resident of another country?
						</td>
						<td colspan="2">
							
						</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
						</td>
						<td colspan="2">if YES, give details (country):</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- Q7 -->
				<tbody class="table-body question-block">
					<tr>
						<td colspan="7" class="s-label border-bottom-0">
							<span class="count">40.</span> Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for Disabled Persons (RA<br>
							<span class="count"></span> 7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following items:
						</td>
						<td colspan="2">
							
						</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span>a. Are you a member of any indigenous group?<br>
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span><br>
						</td>
						<td colspan="2">If YES, please specify:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span>b. Are you a person with disability?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
						</td>
						<td colspan="2">If YES, please specify:</td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label">
							<span class="count"></span>c. Are you a solo parent?
						</td>
						<td colspan="2"></td>
						<td colspan="3"></td>
					</tr>
					<tr>
						<td colspan="7" class="s-label"></td>
						<td colspan="2">If YES, please specify:</td>
						<td colspan="3"></td>
					</tr>
				</tbody>

				<!-- End of Page 4 -->

				<tbody class="table-body">
					<tr>
						<td colspan="8" class="s-label">
							<span class="count">41.</span> REFERENCES <span class="text-danger">(Person not related by consanguinity or affinity to applicant /appointee)</span>
						</td>
						<td colspan="4" rowspan="5" class="p-5">
							<table class="w-75 mx-auto border-0">
								<tbody class="border-0">
									<tr>
										<td class="text-center p-3">ID picture taken within the last  6 months3.5 cm. X 4.5 cm(passport size)With full and handwrittenname tag and signature overprinted nameComputer generated or photocopied picture is not acceptable</td>
									</tr>
									<tr>
										<td class="border-0 text-muted lead text-center">PHOTO</td>
									</tr>
								</tbody>
							</table>
						</td>
					</tr>
					<tr class="text-center">
						<td colspan="4" class="s-label">NAME</td>
						<td colspan="2" class="s-label">ADDRESS</td>
						<td colspan="2" class="s-label">TEL. NO.</td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="4"></td>
						<td colspan="2"></td>
						<td colspan="2"></td>
					</tr>
					<tr>
						<td colspan="8">
							<span class="count">42.</span> I declare under oath that I have personally accomplished this Personal Data Sheet which is a true correct and<br><span class="count"></span> complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the<br><span class="count"></span> Philippines. I authorize the agency head / authorized representative t verify validate the contents stated herein.<br><span class="count"></span> I agree that any misrepresentation made in this document and its attachments shall cause the filing of<br><span class="count"></span> administrative/criminal case/s against me.
						</td>
					</tr>
					<tr>
						<td colspan="12" class="border-0 p-0">
							<table class="border-0 w-100">
								<tbody class="border-0">
									<tr>
										<td colspan="4" class="border-0 p-3" style="width: 38.5%;">
											<table class="border-0 w-100">
												<tbody>
													<tr>
														<td class="s-label py-2">Government Issued ID(i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)<br>                               PLEASE INDICATE ID Number and Date of Issuance</td>
													</tr>
													<tr>
														<td style="width: 30%;">Government Issued ID:</td>
													</tr>
													<tr>
														<td style="width: 30%;">ID/License/Passport No.:</td>
													</tr>
													<tr>
														<td style="width: 30%;">Date/Place of Issuance:</td>
													</tr>
												</tbody>
											</table>
										</td>
										<td colspan="4" class="border-0 p-3" style="width: 38.5%;">
											<table class="border-0 w-100">
												<tbody class="border-0 text-center">
													<tr>
														<td class="py-4"></td>
													</tr>
													<tr>
														<td class="s-label"><small>Signature (Sign inside the box)</small></td>
													</tr>
													<tr>
														<td></td>
													</tr>
													<tr>
														<td class="s-label"><small>Date Accomplished</small></td>
													</tr>
												</tbody>
											</table>
										</td>
										<td colspan="4" class="border-0 p-3">
											<table class="border-0 w-100">
												<tbody class="border-0">
													<tr>
														<td class="py-5"></td>
													</tr>
													<tr>
														<td class="s-label text-center">Right Thumbmark</td>
													</tr>
												</tbody>
											</table>
										</td>
									</tr>
								</tbody>

								<tbody class="table-body">
									<tr>
										<td colspan="12" class="text-center py-2">
											SUBSCRIBED AND SWORN to before me this <input type="text" class="border-top-0 border-left-0 border-right-0" style="width: 25%;"> , affiant exhibiting his/her validly issued government ID as indicated above.
										</td>
									</tr>
									<tr>
										<td colspan="12" class="py-5">
											<table class="w-25 mx-auto">
												<tbody>
													<tr>
														<td class="py-5"></td>
													</tr>
													<tr>
														<td class="s-label text-center">Person Administering Oath</td>
													</tr>
												</tbody>
											</table>
										</td>
									</tr>
								</tbody>

							</table>
						</td>
					</tr>
				</tbody>

				<!-- End of References -->

			</table>
		</form>
	</div>
</body>
</html>

Customize The Style

#pds-table {
    width: 100%;
    max-width: 9in;
    margin: 0 auto;
    border: 2px solid #000;
}
#pds-table td:not(.separator) {
    font-size: 10px;
    border-color: #000;
    height: 20px; /* For Visual Purposes */
}
#pds-table tbody {
    border: 1px solid #000;
}
#pds-table tbody:not(.table-header) td {
    border: 1px solid #000;
}
#pds-table .separator {
    font-size: 12px;
    font-style: italic;
    font-weight: 600;
    background-color: #757575;
    border-top-width: 2px !important;
    border-bottom-width: 2px !important;
}
#pds-table td.s-label {
    background-color: #dddddd;
    width: 20%;
}
#pds-table td .count {
    display: inline-block;
    width: 1.32em;
    text-align: center;
}
.table-body.question-block td {
    font-size: 13px !important;
}
.table-body.question-block tr td:first-child {
    border-bottom-width: 0px !important;
    border-top-width: 0px !important;
}
.table-body.question-block tr td:not(:first-child) {
    border-width: 0px !important;
}
.table-body.question-block tr td:nth-child(2) {
    padding-left: 15px;
}

Download the Complete Source Codes. For more information you can contact me @ Email – larrydaveemol@gmail.com

Let me know what you need just leave a message/comment and I will do my very best to make that happen. I hope this codes will help you. Enjoy Coding!

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Get the latest version of bootstrap i used it for enhancing layout design.

Let me know what you need just leave a message/comment  and I will do my very best to make that happen. Hopefully, these templates will help you. Enjoy Coding!

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Get the latest version of bootstrap i used it for enhancing layout design.

Let me know what you need just leave a message/comment  and I will do my very best to make that happen. I hope this simple codes will help you. Enjoy Coding!