Forms Program Registration 2018
Forms Program Registration 2018
Date
_______________________
Signature
_______President_____
Position
Noted by:
Provincial Director
Date:
LETTER OF APPLICATION/INTENT
Date
Dear Sir/Madam:
We would like to express our intention to apply for program registration for the
following qualification(s):
Qualification Training Duration
(No. of Hours)
MILAGROS A SERRANO
Signature over Printed Name
(President/Head TVI/Company)
5. SUPPORT SERVICES
a) Health services are available to the
students/trainees. If these services are
contracted out or out-sourced, the
contract or MOA or similar documents
must be submitted.
b) Job Linkaging and Networking Services
(JLNS) which include Career Services
and Employment Facilitation available
to students/trainees/TVET graduates
(reference: Section IV, letter A –
Delivery Platforms of JLNS Nos. 1-4 of
the TESDA Circular No. 38, series of
2016)
c) Community outreach program –
optional
d) Research program, activities that will
support continuing development of the
program of the school – optional
6. Additional Requirements for DTS/DTP Applicants
a) Application Letter of the TVI and the
Establishment
b) Accomplished Application form for TVI
and for Establishment
c) Photocopy of TVI’s CTPR
d) Photocopy of Establishment SEC
Registration
e) Memorandum of Agreement with
partner Establishment/s
f) Training Plan (DTS Form 5)
g) Certification issued by the TVI
designating the Industrial Coordinator
Name of TVI MILESTONE 888 CONSTRUCTION INC. TRAINING CENTER
Address Tel/Fax No.:
Program Applied Duration: (in hrs.)
No. of trainees per batch:
Training Capacity
No. of batches per year:
Program Registration Requirements
Compliant Remarks
h) Certification issued by the company
designating the In-plant Trainer
Forms – refer to TESDA Circular No. 31
Series 2012 - Guidelines in Implementing the
Dual Training System (DTS) Programs and
Dualized Training Programs (DTP)
7. Requirements for Mobile Training Application (Additional)
a) Copy of CTPR of the registered
institution-based program
b) Copy of the approved program
registration documents
c) LTO Registration of the prime mover of
the MBC ( for delivered in a self
contained van)
d) Design/lay-out of the MBC
Reference: TESDA Circular No. 27 Series of
2009 Operational Polices in the Registration
of Mobile Training Classrooms, Park and
Training Programs (MBC-MTP) and TESDA
Order 28 Series in 2012 – Addendum and
Amendments to the Guidelines and
Registration of Mobile Training Program
(MTP)
(Note: Erasure is not allowed on the submitted checklist of requirements)
General Comments/Remarks:
General Comments/Remarks:
nature
2.a. EVALUATION of APPLICATION DOCUMENTS:
________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
2.b. EVALUATION of APPLICATION DOCUMENTS:
_________________________ __________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
Date:
Issued by: Received by
__________________________ _________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
Noted by:
Provincial Director
4. ISSUES OF APPROVED CERTIFICATE OF TVET PROGRAM
REGISTRATION
I hereby agree to the Affidavit of Undertaking of the TESDA Program
Registration as provided in the Certificate of TVET Program Registration.
Received by:
________________________
Name and Signature
TVI/Company Representative
--------------------------------------------------------------------------------------------------------
(Please detach and drop in the Customer Satisfaction Box)
CUSTOMER SATISFACTION RATING: From 1 (Needs Improvement) to 5 (Excellent)
Measures 1 2 3 4 5
________________________________
Name and Signature
COMPETENCY-BASED CURRICULUM
A. Course Design
Course Structure
Basic Competencies
No. of Hours: (_____)
Unit of Competency Module Title Learning Nominal
Outcomes Duration
Common Competencies
No. of Hours: (_____)
Unit of Module Title Learning Nominal
Competency Outcomes Duration
Core Competencies
No. of Hours:(_____)
Unit of Competency Module Title Learning Nominal
Outcomes Duration
Resources:
Facilities: _____________________________________________
_____________________________________________
_____________________________________________
Qualification of _____________________________________________
Instructors/Trainers: _____________________________________________
_____________________________________________
B. Modules of Instruction
LO3 . ____________________________________________________________
(Note: Copy format for modules of instructions for Common and Core Competencies)
LIST OF EQUIPMENT
(As listed in the respective TR)
Program:
Name of Institution/Company:
Note: Columns 1-4 to be filled out by Institution/Company; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet
TESDA-OP-
CO 01-F14 (Rev.No.00-03/08/17)
LIST OF TOOLS
(As listed in the respective TR)
Program:
Name of TVI/Company:
Note: Columns 1-4 to be filled out by Institution/Company; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet
TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)
LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)
Program:
Name of TVI/Company:
Note: Columns 1-4 to be filled out by Institution; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet
TESDA-OP-CO -01-F16
(Rev.No.00-03/08/17)
Program:
Name of TVI:
Note *Classify whether journal, book, magazine, electronic materials available on electronic media
or in the internet, etc.
Columns 1-4 to be filled out by Institution/Company; Column 5 to be filled out by PO/Expert
Continue in additional sheet
TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)
Program:
Name of TVI/Company:
Note: Columns 1-3 to be filled out by Institution/Company; Column 4 to be filled out by PO/Expert
Continue in additional sheet
TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)
Program:
Name of TVI/Company:
LIST OF OFFICIALS
Program:
Name of Institution:
Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment
LIST OF TRAINERS
Program:
Name of Institution/Company:
Name Position Nature of Educational No. of No. of Years of Trainer’s
Appointment Attainment Years of Industry Experience Qualification
Teaching Relevant to the
Experience Qualification
(with Certificate of NTTC*
Validity
Employment), if Number
applicable
Program:
Name of Institution:
Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position