New Program Registration Forms
New Program Registration Forms
(Rev.No.00-03/08/17)
LETTER OF APPLICATION/INTENT
January 9, 2023
EMELY Q. TESORO
Provincial Director
Technical Education and Skills Development Authority
Lingayen, Pangasinan
Dear Madam:
We would like to express our intention to apply for program registration for the
following qualification(s):
DANIEL G. MANANTAN
School Director
Name of TVI
Address Tel/Fax No.:
Program Applied Duration:
No. of trainees per batch:
Training Capacity
No. of batches per year:
Program Registration Requirements
Compliant
Remarks
Yes No
1. CORPORATE AND ADMINISTRATIVE
DOCUMENTS
a) Letter of Application/Intent (TESDA-
OP-CO-F03)
b) Board Resolution/Academic Council
Resolution to offer the program signed
by the Board Secretary and attested
by the Chairperson (SUCs, LCUs, and
private institutions) Board
Resolution/Academic Council
Resolution must specifically cover the
training delivery site)
c) Special law creating the institution
(for public institution) e.g. Republic
Act, Executive Order, Sangguniang
Resolutions)
d) Securities and Exchange Commission
(SEC) Registration for private
institutions
e) Articles of Incorporation (indicate main
address)
f) Proof of building Ownership or
contract of lease (covering at least two
years) upon application for new
program. For succeeding application
a valid contract of lease
g) Current Fire Safety Certificate
(training site)
h) For Institutions that will branch out
The Articles of Incorporation & Bylaws
must state reasons for opening of the
branch. The Articles of Incorporation
signed by majority of the Incorporators
must be notarized and received by
Name of TVI
Address Tel/Fax No.:
Program Applied Duration:
No. of trainees per batch:
Training Capacity
No. of batches per year:
Program Registration Requirements
Compliant
Remarks
Yes No
SEC
2. CURRICULAR REQUIREMENTS
a) Competency-based Curriculum
(TESDA-OP-CO-01-F11) indicating
the qualification being addressed
and the competencies to be
developed
a.1 Course Design
a.2 Modules of Instruction
b) List of Equipment (TESDA-OP-CO-01-
F13), Tools (TESDA-OP-CO-01-F14)
and Consumables/Materials (TESDA-
OP-CO-01-F15) necessary to deliver
the program
4. PROGRAM GUIDELINES
a) Program fees, with breakdown of
tuition and other fees and schedule of
fee payment duly signed by the school
head indicating the effectivity of school
year
d) Rules on attendance
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 Ser-
Name of TVI
Address Tel/Fax No.:
Program Applied Duration:
No. of trainees per batch:
Training Capacity
No. of batches per year:
Program Registration Requirements
Compliant
Remarks
Yes No
vices (JLNS) which include Career
Services and Employment Facilitation
available to students/trainees/TVET
graduates (reference: Section IV, let-
ter 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
General Comments/Remarks:
TESDA-OP-CO-00-F05
(Rev.No.00-03/08/17)
General Comments/Remarks:
TESDA-OP CO-01-F11
(Rev.No.00-03/08/17)
COMPETENCY-BASED CURRICULUM
A. Course Design
Course Description: This course is designed to enhance the knowledge, skills and
attitudes of an individual in the field of automotive servicing in
accordance with industry standards. It covers core competen-
cies such as; performance of basic engine servicing through
removal and reinstallation of components for gas and diesel
engines.
Additional Requirements:
1. Form 137/138
2. 2 copies 1x1 picture (white background)
3. 2 copies 2x2 picture (white background)
4. Birth certificate
5. Official Transcript of Record (OTR)
6. Marriage Certificate (if married)
Course Structure
Basic Competencies
No. of Hours: (47 Hours)
Common Competencies
No. of Hours: (24 Hours)
2. Observe Proce- 2.1 Observing Proce- 2.1 Identify and ac- 1 Hour
dure, specifi- dure, specification cess specifica-
cations & man- and manual of in- tion/manuals
ual instructions structions 2.2 Interpret manuals 2 Hours
Core Competencies
No. of Hours :( 154 Hours)
Resources:
B. Modules of Instruction
LO2 . ____________________________________________________________
LO3 . ____________________________________________________________
LIST OF EQUIPMENT
(As listed in the respective TR)
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-F13
(Rev.No.00-03/08/17)
LIST OF TOOLS
(As listed in the respective TR)
TESDA-OP-CO -01-F13
(Rev.No.00-03/08/17)
LIST OF MATERIALS
(As listed in the respective TR)
TESDA-OP-CO -01-F16
(Rev.No.00-03/08/17)
Note *Classify whether journal, book, magazine, electronic materials available on electronic media or in the inter-
net, etc.
Columns 1-4 to be filled out by Institution/Company; Column 5 to be filled out by PO/Expert
Continue in additional sheet
Submitted by: Attested by:
TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)
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-F17
(Rev.No.00-03/08/17)
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)
Note: Columns 1-4 to be filled out by Institution/Company; Column 4 to be filled out by PO/Expert
Continue in additional sheet
LIST OF OFFICIALS
TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)
LIST OF TRAINERS
Experi-
Nature of
Educational ence
Name Position Appoint-
Attainment Related to
ment
Position
Eddie G. Barrozo Environmental Permanent Technical Voca- 14 years
Service Techni- tional Graduate
cian