ATTENDANCE SHEET

# NAME TIME-IN TIME- OUT SIGNATURE

10
PRE- TEST
Self Assessment Guide
Learner's Characteristic Form
 Technical Education and Skills Development Authority

Vitali Technical Vocational School

TRAINEES RECORD BOOK

Trainees No. 2016-1003

NAME: QUIBOLOY, JUNIE

QUALIFICATION: COMPUTER SYSTEMS SERVICING NC II

TRAINING DURATION: 280 hrs

TRAINER: ROGELIO P. ALVAREZ

Practical Work
Area
Learning Resource
Center
Institutional

Assessment Area
 Contextual

Learning Laboratory
Quality Control
Trainers Resource Area
Distance Learning Area
Computer Laboratory
POST- TEST
Trainer's Evaluation
Program Evaluation
Certificate of

Achievement
Progress Chart
Activity Matrix
Admission Slip
Rating Sheet
 CARS

Competency Assessment Result Summary

Specific Instruction

TESDA-SOP-CO-07-F21
 TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

APPLICATION FORM
RE
FE PICTURE
RE
NC
colored,
E 1 6 0 9 7 3
NU
MB
passport size,
ER
:
Applicants Signature
Qual alpha
Date of Application
YY Region Province Number Series Number Series
Assigned to AC
code

to be filled out by the Processing Officer

Name of School/Training Center/Company:

Address:

Title of Assessment applied for:

Full Qualification COC

1. Client Type

TVET Graduating Student TVET graduate Industry worker K-12 Onsite (Abroad)
2. Profile
2.
Name:
1.
 SURNAME

FIRSTNAME

MIDDLE NAME EXTENSION (e.g. Jr., Sr.)

NAME

Mailing
2.
2.
Address:

Number, Street Barangay District

City Province Region Zip Code

2.3. Mothers Name : 2.4. Fathers 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

Mobil
Female Married High School Graduate Job Order
e:

E-
Widow/er TVET Graduate Probationary
mail:

Separated Fax: College Level Permanent

Other
College Graduate Self Employed
s:

Others: ___________ OFW

2.1 Birth 2.1 Ag

2.10 Birth date:
1 place: 2 e:

3. Work Experience (National Qualification-related)

3.1 3.2. 3.3. 3.4. 3.5. 3.6

Monthly
Status of
Name of Company Position Inclusive Dates No. of Yrs. Working Exp.
Appointment
Salary
ASSESSORS I.D
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PHILIPPINE TVET QUALIFICATION AND

CERTIFICATION SYSTEM (PTQCS)

JOEY E. SERVAN
(Competency Assessor)

COMPUTER HARDWARE SERVICING NC-II

(Title of Qualification)
Accreditation No. CP-BPPQR750034
LORENZO G. MACAPIL
Valid From JANUARY 10. 2016 to JANUARY 10, 2020
OIC-TESDA IX Regional Director
 # 1-
CANDIDATE I.D

#10
 TESDA-SOP-CO-07-F23

Rev. No. 01-07/20/16

Technical Education and Skills Development Authority

ASSESSMENT AND CERTIFICATION PROGRAM

ATTENDANCE SHEET

BREAD AND PASTRY PRODUCTION NCII (REGULAR)

(Title of Qualification)

Name of CompetencyAssessmentCenter:

Z.C. Skills Academy, Inc.

Date of Assessment: December 5, 2016

No. CANDIDATES NAME Signature Assessment Results

1. Abdula, Asriefaden I.

2. Alpasaini, Ayesha A.

3. Atih, Sitti Fatma P.

4. Aton, Riza Jane A.

5. Bade, Arthur John D.

6. Bayhonan, Cyrus L.
7. Dulla, Kharwina A.

8. Maestre, Mysty Clyde A.

9. Sariego, Belyn K.

10. Sumagaysay, Liezel A.

Assessor/s: TESDA Representative:

______CLARISSA V. ALVAREZ ________ ________________________________

Signature over Printed Name Signature over Printed Name

Accreditation Number:

CA-BPP0209041517027

AC Manager:

_________________________________

Signature over Printed Name ______LEELIN A. GERVACIO __________

Signature over Printed Name

Accreditation Number: ____________________