Forms Program Registration 2018 Downloadable Forms
Forms Program Registration 2018 Downloadable Forms
(Rev.No.00-03/08/17)
CERTIFICATION OF CONCURRENCE
Date
_______________________
Signature
_______________________
Position
Noted by:
Provincial Director
Date:
TESDA-OP-CO-01-F03
(Rev.No.00-
03/08/17)
Dear Sir/Madam:
We want to express our intention to apply for program registration for the
following qualification(s):
Qualification Training Duration
(No. of Hours)
_________________
Reynaldo C. Tadifa
Chairman
TESDA-OP-CO-01-F04
(Rev.No.00-03/08/17)
Name of TVI
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
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
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
c) List of instructional materials (TESDA-
OP-CO-01-F16) (such as reference
materials, slides, video tapes, internet
Name of TVI
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
access and library resource necessary
to deliver the program
d) List of Physical Facilities (TESDA-
OP-CO-01-F17) and List of Off-Cam-
pus Physical Facilities TESDA-OP-CO-
01-F18)
e) Shop layout of training facilities
indicating the floor area
f) Institutional Assessment
Note: Actual Assessment Tools should
be shown during inspection
3. FACULTY AND PERSONNEL
a) List of Officials (TESDA-OP-CO-01-
F19)
Name of TVI
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
b) List of Trainers (TESDA-OP-CO-01-
F20) with their qualifications, areas of
expertise, and courses/seminars
attended with supporting evidence
available, such as relevant NTTC/
trainer qualification certificates and
certification of employment. For NTR
programs, copy of Training Certifi-
cate on Trainers Methodology I or
other Trainer Methodology Certifi-
cates, and evidence of spe-
cialization of the trainer of the
Name of TVI
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
program. A certified true copy of
notarized contract of employment by
the applicant TVI is required.
c) List of Non-Teaching Staff
(TESDA-OP-CO-01-F21) with their
qualifications with supporting
evidences available, such as copies of
certificates/contracts of employment,
etc.
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
b) Documented grading system, details
of which are provided to students/
trainees at the start of their program
c) Entry requirements for the program
comply with the relevant training
regulations if applicable
Name of TVI TECHNOLOGY AND BEYOND TRAINING CENTER INC.
CALLE PILAR ZONE 8, AYALA ZAMBOANGA CITY
Address
Tel/Fax No.:
ELECTRICAL INSTALLATION AND MAINTENANCE NC II
Program Applied
Duration: (in hrs.)
No. of trainees per batch: 25
Training Capacity
No. of batches per year: 5
Program Registration Requirements
Compliant Remarks
d) Rules on attendance
5. SUPPORT SERVICES
a) Health services are available to the stu-
dents/trainees. If these services are
contracted out or outsourced, the con-
tract 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)
Name of Company
Address Tel/Fax No.:
Program Applied Duration: (in hrs.)
No. of Trainees per batch:
Training Capacity
No. of Batches per year:
Program Registration Requirements
Program Registration Requirements Compliant Remarks
c) List of Physical Facilities
(TESDA-OP-CO-01-F17) and List
of Off-Campus Physical Facilities
TESDA-OP-CO-01-F18) indicating
floor area
d) Shop layout of training facilities
indicating the floor area
3. Trainer/HRD Personnel
a) List of Trainers (TESDA-OP-CO-
01-F20) with their qualifications,
areas of expertise, and courses/
seminars attended with sup-
porting evidence available,
such as relevant NTTC/trainer
qualification certificates and
certification of employment.)
(Note: Erasure is not allowed on the submitted checklist of requirements)
General Comments/Remarks:
Prepared by: Noted by:
TESDA-OP-CO-01-F06
(Rev.No.00-03/08/17)
REGION: PROVINCE:
NAME OF TVI/COMPANY: PROGRAM Applied for:
COPY FOR THE APPLICANT. Please bring this every time you transact with
the TESDA Provincial Office regarding your Program Application.
ACTION TAKEN:
1. REVIEW OF COMPLETENESS of APPLICATION DOCUMENTS:
nature
2.a. EVALUATION of APPLICATION DOCUMENTS:
________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
_________________________ __________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
__________________________ _________________________
Name and Signature Name and Signature
PO UTPRAS Focal Person TVI/Company Representative
Noted by:
Provincial Director
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 Description:
Basic Competencies
No. of hours: 18hrs
3.3
Recommend
solutions to
problems
4. Develop Career 4.1 Manage 1.32 hour
and Life Decisions one’s
emotion
4.2 Develop
reflective
practice
5.2 Discuss
and develop
ideas with
others
6.3 Record
and present
information
7.2 Prepare
OSH
requirements
for compliance
7.3 Perform 1.32hrs
tasks in
accordance
with relevant
OSH policies
and
procedures
8.2 Determine
causes of
inefficiency
and/or
ineffectiveness
of resource
utilization
9.2 1.32hrs
Communicate
entrepreneurial
workplace best
practices
9.3 Implement
cost- effective
operations
Common Competencies
No. of Hours: (24hrs_)
Unit of Compe- Module Title Learning Nominal
tency Outcomes Duration
1. Use Hand Tools Maintaining Electrical 1.1 Plan and 1 hours
Installation prepare for
tasks to be
undertaken
1.2 Prepare 1 hours
hand tools
1.3 Use appro- 2 hours
priate hand
tools and
test equip-
ment.
1.4 Maintain 1 hours
hand tools
2. Perform Mensura- 2.1 Select mea- 1 hours
tions and Calcu- suring in-
lation struments;
Resources:
Facilities: _____________________________________________
_____________________________________________
_____________________________________________
Qualification of _____________________________________________
Instructors/Trainers: _____________________________________________
_____________________________________________
B. Modules of Instruction
LO2 . ____________________________________________________________
LO3 . ____________________________________________________________
(Note: Copy format for modules of instructions for Common and Core Competencies)
TESDA-OP-CO -01-F13
(Rev.No.00-03/08/17)
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
LIST OF TOOLS
(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
Submitted by: Attested by:
Marites B. Tadifa TVI/Company Head:
Reynaldo C. Tadifa
Date: July 2025 Date: July 2025
Inspected by:
TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)
LIST OF CONSUMABLES/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 internet, etc.
Columns 1-4 to be filled out by Institution/Company; Column 5 to be filled out by PO/Expert
Continue in the additional sheet
TESDA-OP-CO-01-F
(Rev.No.00-03/08/17)
Date: Date:
TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)
NONE
LIST OF OFFICIALS
Program: Electrical Installation and Maintenance
Name of Institution: Technology and Beyond Training Center Inc.
Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment
Reynaldo C. chairman Talisayan ZC 09265429789 Reynaldotadifa08 Appointed College gradu-
Tadifa @gmail.com ate
Marites B. BOD Talisayan ZC 09357434711 Tadifamarites0@ Appointed College gradu-
Tadifa gmail.com ate
Tita L. Fran- BOD Ayala ZC 09659828585 Appointed College level
cisco’s
Alexis Naomi BOD Talisayan ZC 09058035149 Alexistadifa1414 Appointed College gradu-
B. Tadifa @gmail.com ate
Mary Nim- BOD Talisayan ZC 09061998530 Tadifa.mary98@ Appointed College gradu-
rhode B. tadifa gmail.com ate
Note: Columns 1-5 to be filled out by Institution
Continue in the additional sheet
TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)
LIST OF TRAINERS
Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position
Marites Tadifa Processing Appointed College graduate 2 years
officer