TESDA-OP-CO-05-F26
Rev. 00 – 03/01/17
TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY
Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan
APPLICATION FORM
REFERENCE NUMBER : CSS 1 8 0 3 4 9 1 1 7 0 0 0
Qual – YY Region Province Number Series Number Series
alpha
code
Assigned to AC PICTURE
UNIQUE LEARNERS IDENTIFIER (ULI): colored,
- - - -
to be filled – out by the Processing Officer passport size,
Applicant’s Signature Date of Application
Name of School/Training Center/Company:
Address:
Title of Assessment applied for:
Full Qualification COC Renewal
1. Client Type
TVET Graduating Student TVET graduate Industry worker K-12 OWF
2. Profile
2.1. Name:
MIDDLE INITIAL NAME EXTENSION
SURNAME
FIRSTNAME
MIDDLE
NAME (e.g. Jr., Sr.)
2.2. Mailing
Address:
Number, Street Barangay District
City Province Region Zip Code
2.3. Mother’s Name 2.4. Father’s Name
2.5. Sex 2.6. Civil Status 2.7. Contact Number(s) 2.8. Highest Educational 2.9. Employment Status
Attainment
Male Single Tel: Elementary Graduate Casual
Female Married Mobile:
High School Graduate Job Order
Widow/er E-mail: TVET Graduate Probationary
Separated Fax: College Level Permanent
Others:
College Graduate Self - Employed
Others: ____________ OFW
2.10 Birth date (mm/dd/yy): M M D D Y Y 2.11 Birth place: 2.12 Age:
3. Work Experience (National Qualification-related)
3.2. 3.3. 3.4. 3.5. 3.6
Name of Company Position Inclusive Dates Monthly Status of Appointment No. of Yrs. Working
Salary Exp.
(For more information, please use separate sheet)
4. Other Training/Seminars Attended (National Qualification-related)
4.1. 4.2. 4.3. 4.4 4.5
Title Venue Inclusive Dates No. of Hours Conducted By
(For more information, please use separate sheet)
5. Licensure Examination(s) Passed
5.1. 5.2. 5.3. 5.4. 5.5. 5.6.
Title Year Taken Examination Venue Rating Remarks Expiry Date
(For more information, please use separate sheet)
6. Competency Assessment(s) Passed
6.1. 6.2. 6.3 6.4. 6.5. 6.6.
Qualification
Title Level Industry Sector Certificate Number Date of Issuance Expiration Date
(For more information, , please use separate sheet)
ADMISSION SLIP
REFERENCE NUMBER : CSS 1 8 0 3 4 9 1 1 7 0 0 0 PICTURE
(Passport
Name of Applicant: Tel. Number: size)
Assessment Applied for: Official Receipt Number:
Date Issued:
To be accomplished by the Processing Officer
Name of Assessment Center:
Check submitted requirements: Remarks:
Accomplished Self-Assessment Guide Bring own Personal Protective Equipment
Three (3) pieces colored passport size pictures
Others. Pls. specify
Assessment Date: Assessment Time:
Printed Name & Signature of Processing Officer Printed Name & Signature of Applicant
Date: Date:
Note: Please bring this Admission Slip on your assessment date.
TESDA-OP-QSO-02-F07
Rev.No.00-03/01/17
Reference No. CSS 1 8 0 3 4 9 1 1 7 0 0 0
SELF ASSESSMENT GUIDE (PERFORMANCE ASSESSMENT)
Qualification Title COMPUTER SYSTEMS SERVICING NC II
COC 1 Title INSTALL AND CONFIGURE COMPUTER SYSTEMS
Instruction
• Read each question in the left-hand column of the chart.
• Mark a check opposite each question to indicate your answer.
Can I? YES NO
Assemble computer hardware*
- Plan and prepare unit assembly
- Identify and obtain the materials, tools and equipment in
accordance with job requirements
- Follow the OH & S policies and procedures to ensure
operation safety requirements
- Assemble computer hardware in accordance with job
and system requirements
- Configure Basic-Input-Output System (BIOS)
Prepare installer*
- Create portable bootable devices
- Customize installers
- Install portable applications
Install operating system and drivers/peripheral installation
work*
- Install operating system
- Install and configure peripherals/devices
- Access and install OS and drivers update/patches
- Undertake on-going checks to ensure quality of work
ELCCSS 213-0614
Computer Systems Servicing NC II
Install application software based on software *
- Install application software based on installation
guide and software license agreement
- Carry out variation to application software installation
- Access and install software updates
Conduct testing and documentation*
- Test devices/systems and/or installation
- Conduct stress test
- Follow 5S and 3Rs according to environmental policies
- Prepare and forward documentation to
appropriate personnel
I agree to undertake assessment in the knowledge that
information gathered will only be used for professional
development purposes and can only be accessed by concerned
assessment personnel and manager/supervisor.
__________________________________ Date:
Candidate’s Name & Signature
Evaluated by:
Qualified for Assessment
MARISSA F. VILLANUEVA
AC Manager
Not yet Qualified for
Assessment
Date:
NOTE:* Critical aspect of competency
ELCCSS 213-0614
Computer Systems Servicing NC II
TESDA-OP-QSO-02-F07
Rev.No.00-03/01/17
Reference No. CSS 1 8 0 3 4 9 1 1 7 0 0 0
SELF ASSESSMENT GUIDE (PERFORMANCE ASSESSMENT)
Qualification Title COMPUTER SYSTEMS SERVICING NC II
COC 2 Title SET UP COMPUTER NETWORKS
Instruction
• Read each question in the left-hand column of the chart.
• Mark a check opposite each question to indicate your
answer.
Can I? YES NO
Install network cables*
- Determine and plan the cable route
- Identify and obtain network materials necessary to
complete the work
- Obtain the needed tools, equipment and testing
devices
- Use appropriate personal protective equipment
- Perform cable splicing based on standards
- Install network cables and cable raceway
- Perform and check installation work
- Follow 5S and 3Rs
Set network configuration*
- Check network connectivity of terminals
- Diagnose and remedy fault or problem in the network
System
- Configure Network Interface Card settings
- Carry out communication checking between
Terminals
- Respond to unplanned events or conditions
Set router/Wi-Fi/wireless access point/repeater
configuration*
ELCCSS 213-0614
Computer Systems Servicing NC II
- Configure client device system settings
- Configure Local Area Network port
- Configure Wide Area Network port
- Configure wireless settings
- Configure security/firewall/advance settings
Inspect and test configured computer networks*
- Undertake final inspections
- Check computer networks
- Prepare complete reports
I agree to undertake assessment in the knowledge that
information gathered will only be used for professional development
purposes and can only be accessed by concerned assessment
personnel and manager/supervisor.
__________________________________ Date:
Candidate’s Name & Signature
Evaluated by:
Qualified for Assessment
MARISSA F. VILLANUEVA
AC Manager
Not yet Qualified for
Assessment
Date:
NOTE:* Critical aspect of competency
ELCCSS 213-0614
Computer Systems Servicing NC II
TESDA-OP-QSO-02-F07
Rev.No.00-03/01/17
Reference No. CSS 1 8 0 3 4 9 1 1 7 0 0 0
SELF ASSESSMENT GUIDE (PERFORMANCE ASSESSMENT)
Qualification Title COMPUTER SYSTEMS SERVICING
COC 3 Title SET UP COMPUTER SERVERS
Instruction
• Read each question in the left-hand column of the chart.
• Mark a check opposite each question to indicate your answer.
Can I? YES NO
Set up user access*
- Create user folder
- Configure user access level
- Perform security check
Configure network services*
- Check normal functions of server
- Install/update required modules/add-ons
- Confirm network services to be configured
- Check operation of network services
- Respond to unplanned events or conditions
Perform testing, documentation and pre-deployment
procedures*
- Undertake pre-deployment procedures
- Undertake and configure peripherals/devices
- Prepare and complete reports
ELCCSS 213-0614
Computer Systems Servicing NC II
I agree to undertake assessment in the knowledge that
information gathered will only be used for professional
development purposes and can only be accessed by concerned
assessment personnel and manager/supervisor.
__________________________________ Date:
Candidate’s Name & Signature
Evaluated by:
Qualified for Assessment
MARISSA F. VILLANUEVA
AC Manager
Not yet Qualified for
Assessment
Date:
NOTE:* Critical aspect of competency
ELCCSS 213-0614
Computer Systems Servicing NC II
TESDA-OP-QSO-02-F07
Rev.No.00-03/01/17
Reference No. CSS 1 8 0 3 4 9 1 1 7 0 0 0
SELF ASSESSMENT GUIDE (PERFORMANCE ASSESSMENT)
Qualification Title COMPUTER SYSTEMS SERVICING NC II
COC 4 Title MAINTAIN AND REPAIR COMPUTER SYSTEMS
AND NETWORKS
Instruction
• Read each question in the left-hand column of the chart.
• Mark a check opposite each question to indicate your answer.
Can I? YES NO
Plan and prepare for maintenance and repair*
- Plan and prepare maintenance and/or diagnosis of faults
- Obtain and check tools, equipment and testing devices
- Obtain materials necessary to complete the work
- Follow OHS policies and procedures
- Check computer systems and networks against
job/service order
Maintain computer systems and networks*
- Use appropriate personal protective equipment
- Check normal functions of computer systems
and networks
- Perform scheduled/periodic maintenance
- Perform needed repairs and replacements
- Respond to unplanned events or conditions
Diagnose faults of computer systems and networks*
- Manage and implement contingency measures
Rectify/correct defects in computer systems and networks*
- Replace defective components or parts without
damaging the surrounding environment or services
- Make adjustments, if necessary
ELCCSS 213-0614
Computer Systems Servicing NC II
Inspect and test the computer systems and networks*
- Undertake final inspections
- Check and test computer systems and networks
- Clear work site from all wastes
- Follow 5S and 4Rs according to environmental policies
- Prepare and complete reports
I agree to undertake assessment in the knowledge that
information gathered will only be used for professional development
purposes and can only be accessed by concerned assessment
personnel and manager/supervisor.
__________________________________ Date:
Candidate’s Name & Signature
Evaluated by:
Qualified for
MARISSA F. VILLANUEVA Assessment
AC Manager Not yet Qualified for
Date: Assessment
NOTE:* Critical aspect of competency
ELCCSS 213-0614
Computer Systems Servicing NC II
