Program Registration Forms
Program Registration Forms
TESDA-OP-CO-01-F03
(Rev.No.00-03/08/17)
LETTER OF APPLICATION/INTENT
Dear Madam:
We would like to express our intention to apply for program registration for the
following qualification(s):
1.DRIVING NC II 118
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 QUICKLEARN TECHNICAL, INC
Sayre Hiway,North Poblacion, Maramag, Bukidnon
Address
Tel/Fax No.:
DRIVING NC II
Program Applied
Duration: (118 in hrs.)
No. of trainees per batch: 25
Training Capacity
No. of batches per year: 20
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
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:
COMPETENCY-BASED CURRICULUM
A. Course Design
Requirements:
For High School Graduate:
Form 138( Report Card) for High School Graduate;
Certificate of Good Moral;
Birth Certificate (NSO/LCR);
ID Picture and passport sizes
Common Competencies
No. of Hours: (_____)
Unit of Compe- Module Title Learning Out- Nominal
tency comes Duration
Core Competencies
No. of Hours:(_____)
Unit of Competency Module Title Learning Out- Nominal
comes Duration
Resources:
Facilities: _____________________________________________
_____________________________________________
_____________________________________________
Qualification of _____________________________________________
Instructors/Trainers: _____________________________________________
_____________________________________________
B. Modules of Instruction
LO2 . ____________________________________________________________
LO3 . ____________________________________________________________
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
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
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
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
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
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