COC2 Henry P. Manalo
COC2 Henry P. Manalo
COC2 Henry P. Manalo
Rev.No. 01 – 07/20/15
APPLICATION FORM
PICTURE
REFERENCE NUMBER : BPP 1 7 1 3 1 4 2 1 4 0 0 0 0 0 1 colored,
Qual – YY Region Province Number Series Number Series
passport size,
alpha
code Assigned to AC white
background
to be filled – out by the Processing Officer
Name of School/Training Center/Company: Asian College of Science and Technology Foundation Inc..
SURNAME F L O R E N T I N O
FIRSTNAME A D R I E N E
NAME EXTENSION
MIDDLE INITIAL M
MIDDLE NAME M A N A N S A L A (e.g. Jr., Sr.)
Female
Married
Mobile:093237419 High SchoolGraduate
Job Order
84
Widow/er E-mail:
TVET Graduate
Probationary
Separated Fax:
College Level
Permanent
College Graduate
Self - Employed
Others:
Others: ____________
OFW
2.1 Birth date D 2.1 Birth 2.12
M 1 M 2 D 1 Y 8 Y 1 MANILA Age: 336
0 (mm/dd/yy): 2 1 place: Age:
3. Work Experience (National Qualification-related)
3.1. 3.2. 3.3. 3.4. 3.5. 3.6
Monthly Status of No. of Yrs.
Name of Company Position Inclusive Dates
Salary Appointment Working Exp.
N/A N/A N/A N/A N/A N/A N/A
(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
N/A N/A N/A N/A N/A N/A
ADMISSION SLIP
REFERENCE NUMBER : BPP 1 7 1 3 1 4 2 1 4 0 0 0 0 0 1
Date: Date:
BPP 1 7 1 3 1 4 2 1 4 0 0 0 0 0 1
Reference No. Q alpha AC number
Year Region Province
code series Number series
To be filled out by the Competency Assessor
UNIQUE LEARNERS IDENTIFIER (ULI):
- - - - 0 0 1
Competency Assessment Results Summary (CARS)-TESDA copy
Candidate Name: Florentino, Adriene M.
Assessor Name: Manalo, Henry P.
Title of Qualification/ Cluster of
Units of Competency BREAD AND PASTRY PRODUCTION NCII
AssessmentCenter: Date of Assessment:
ACSAT
The performance of the candidate in the following unit(s) of competency and corresponding
assessment methods. Not
Satisfactory
Satisfactory
Unit of Competency Assessment Method
A. Observe/Demonstration with
1. Perform Bread and Pastry Production
Oral Questioning
Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competenciesidentified in the
above-named Qualification/Cluster of Units of Competency.
For submission of
Recommendation For issuance of NC/COC
Additional documents
For re-assessment (pls. specify)
(Indicate title/s of COC, if Full Qualification is not met) ______________________
Specify:___________
____________________________________ ______________________
_______________
____________________________________
Did the candidate overall performance meet the required evidences/standards? Yes No
OVERALL EVALUATION Competent Not Yet Competent
CANDIDATE’S COPY(Please present this form when you claim your NC/COC)
COMPETENCY ASSESSMENT RESULTS SUMMARY PICTURE for
Reference No. BPP 1 7 1 3 1 4 1 1 6 0 0 1 NC
(To be put in a packet)
(Do not staple or paste)
ATTENDANCE SHEET
AC Manager:
___________________________________________
Signature over Printed Name ____Carolyn M. De Chavez____
Signature over Printed Name
Accreditation Number:______________________
TESDA-OP-CO-05-F28
Rev.No.00-03/08/17
LETTER OF APPOINTMENT
HENRY P. MANALO
Competency Assessor
Bread and Pastry NC II
Dear Sir/Madam:
This letter officially appoints you as competency assessor on November 17, 2017 for Bread and
Pastry Production NC II at Asian College of Science and Technology Foundation, Inc. 1013
Aurora Boulevard, Quezon City. Please report to the Assessment Center as scheduled.
If you have any questions, please call Ms. Carolyn M. De Chavez at 9123238. We look forward
to your acceptance of this appointment.
CAROLYN M. DE CHAVEZ
AC Manager
Conforme:
HENRY P. MANALO
Signature of Assessor
EVIDENCE PLAN
and Questioning
Observation and
collected :
Demonstration
( select a column )
Questioning
Third party
The evidence must show that the
Portfolio
Written
trainee…
report
Demonstrates ability to produce a range
of specialist bakery products, both sweet
and savory according to establishment
standards and procedures
Demonstrates ability to produce a
quantity of bakery product according to
establishment standards and procedures
Demonstrates ability to store and package
bakery products according to
establishment standards and procedures
Demonstrates application of hygiene and
safety principles according to
establishment standards and procedures
Obtain materials, tools and equipment
needed to conform to requirements.
Plan and prepare work to ensure
occupational health and safety policies
and procedures are followed.
Date of Observation
Description of Assessment Activity
Date of Observation
Description of Assessment Activity
Feedback to candidates;
Give the necessary materials, tools and equipment, the candidate must be
able to perform the following tasks in one (1) hour:
1. Prepare the measurement of ingredients
2. Prepare the dinner roll
3. Present dinner roll
4. Store dinner roll
Materials and Equipment
Oven
Mixer
Materials / Ingredients
300g APF
30g Butter
7.5g Yeast
80g Sugar
1pc Egg
2 T. Oil
100 ml Milk
80 ml Water
½ t. Salt
Tools
Sheet pan
Sifter
Mixing Bowls
Measuring Cups / Measuring Spoons
Pastry Brush
Dough Cutter
Timer
Candidate’s Signature:
Date: 12/ 20 / 17
Assessor’s Signature
Date: 12/ 20 / 17
Performance Checklist for Preparing Candidate for Assessment
Trainee’s Name: Adriene M. Florentino Date: 12 / 20 / 17
During the performance of the task did you consider the following criteria?
CRITERIA YES NO
______________________________________
Trainer’s Signature Over Printed Name
PORTFOLIO RECORD SHEET
Certificate of
Certificate of
Certificate of
Employment
Recognition
Attendance
Certificate
Type of Evidence
Training
(Insert Information in the Column)
Diploma
The evidence shows that I…
select, measure and weight ingredients
according to recipe requirement
I declare that all evidence presented is my own work and accurately represents
my abilities.
During the gathering of assessment evidences did you consider the listed
criteria?
Criteria YES NO
Evidences are gathered in terms of validity, consistency,
currency, recency, authenticity and, sufficiency?
Comments:
______________________________________
Trainer’s Signature Over Printed Name
TESDA-OP-CO-05-F37
Rev.No.00-03/08/17
RECOMMENDATION:
YES
For re-accreditation For further review
NO