TESDA-OP-CO-01-F03

(Rev.No.00-
03/08/17)

Bagumbayan Technical Vocational School

LETTER OF APPLICATION/INTENT

Date

The Provincial Director

__________________
__________________
__________________

Dear Sir/Madam:

We would like to express our intention to apply for program registration for the
following qualification(s):
Qualification Training Duration
(No. of Hours)

1.Driving NC II 118 hours

2.
3.

Enclosed are the required documents.

We hope for your immediate action on this application.

Very truly yours,

Signature over Printed Name

(President/Head TVI/Company)

Attachments: (As indicated in the Program Registration Checklist)

1. Corporate Administrative Documents
2. Curricular Requirements
3. Faculty and Personnel
4. Program Guidelines
5. Support Services
 TESDA-OP-CO-01-F04
(Rev.No.0
0-03/08/17)

Program Registration Requirement Checklist

(For Institution-based Programs)

Name of TVI Bagumbayan Technical

Vocational School
Población Bagumbayan
Tel/Fax No.:
Address Sultan Kudarat

Duration: (in hrs.)

Program Applied

No. of trainees per batch:

Training Capacity
No. of batches per year:
Program Registration Requirements
Compliant
Remarks
Yes No
1. CORPORATE AND ADMINISTRATIVE
DOCUMENTS
A. Letter of Application/Intent (TESDA-OP-CO-
F03)
B. Board Resolution/Academic Council
Resolution to offer the program signed by the
Board Secretary and attested by the
Chairperson (SUCs, LCUs, and private
institutions) Board
Resolution/Academic Council
Resolution must specifically cover the training
delivery site)
C. Special law creating the institution (for
public institution) e.g. Republic Act,
Executive Order, Sanggunian
Resolutions)
D. Securities and Exchange Commission (SEC)
Registration for private institutions
E. Articles of Incorporation (indicate main
address)
F. Proof of building Ownership or contract
of lease (covering at least two years) upon
application for new program. For
succeeding application a valid contract of
lease
G. Current Fire Safety Certificate
(training site)
H. For Institutions that will branch out
Name of TVI Bagumbayan Technical Vocational School
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
access and library resource necessary
to deliver the program
d) List of Physical Facilities (TESDA-
OP-CO-01-F17) and List of Off-
Campus 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 Bagumbayan Technical Vocational School
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

Bagumbayan Technical Vocational School

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
Certificate on Trainers Methodology I
or other Trainer Methodology
Certificates, and evidence of
specialization of the trainer of the
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
 Bagumbayan Technical Vocational School
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
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 Bagumbayan Technical Vocational School

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
d) Rules on attendance

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
Name of TVI Bagumbayan Technical Vocational School
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 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 Bagumbayan Technical Vocational School

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
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
 Name of TVI Bagumbayan Technical Vocational School
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 MBC ( for delivered in a self
contained van)
d) Design/lay-out of the MBC
Reference: TESDA Circular No. 27 Series of
2009 Operational Policies 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:

Prepared by: Noted by:

PO UTPRAS Focal Person Provincial Director

Date: Date:
 TESDA-OP-CO-00-F05
(Rev.No.00-03/08/17)

Program Registration Requirement Checklist

(Company/Enterprise-based Programs)
Name of Company Bagumbayan Technical Vocational School
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
Program Registration Requirements Remarks
Yes No
1. CORPORATE AND
ADMINISTRATIVE DOCUMENTS
a) Letter of Application/Intent
(TESDA-OP-CO-F01)
b) Securities and Exchange
Commission (SEC) Registration for
Corporation.
For sole proprietorship, a DTI
Registration is required.
c) Proof of building ownership or
contract of lease (covering at least
two years) upon application for
new program. For succeeding
application a valid contract of
lease)
d) Current Fire Safety Certificate
(training site)
2. CURRICULAR
REQUIREMENTS
a) Competency-based Curriculum
(TESDA-OP- CO-01-F08)
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
(TESDA-OP-CO-01-F15)
necessary to deliver the program
 Name of Company Bagumbayan Technical Vocational School
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
supporting 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:

PO UTPRAS Focal Person Provincial Director

Date: Date:
 TESDA-OP-CO -01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program: Driving NC II
Name of Institution/Company: Bagumbayan Technical Vocational School

Name of Specification Quantity Quantity Difference Inspector’s

Equipment Required on Site Remarks
(1) (2) (3) (4) (5) (6)

Car Mitsubishi PH 1 pcs 1 pcs

Vacuum BLACK+DECKER 1 pcs 1 pcs
pump wet & dry vacuum
cleaner
Air powerhouse oil-less 1 pcs 1 pcs
compressor air compressor

Steam 30L vacmaster wet 1 pcs 1 pcs

cleaner & dry
Jeepney sarao, alchris 1 pcs 1 pcs

Note: Columns 1-4 to be filled out by Institution/Company; Columns 5-6 are to be filled
out by PO/Expert

Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO 01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program: Driving NC II
Name of TVI/Company: Bagumbayan Technical Vocational School

Name of Specification Quantity Quantity Difference Inspector’s

Tools Required on Site Remarks
(1) (2) (3) (4) (5) (6)

Mop plastic 4pcs

Basket plastic 4pcs
Pail plastic 4pcs
Polisher plastic 4pcs
Broom Wood/plastic 4pcs
Cross Metal 4pcs
wrench
Mechanical Metal/plastic 4pcs
pliers
Long nose Metal/plastic 4pcs
pliers
Glove Plastic 25 pairs
Apron Plastic/clothes 25 pairs
goggles Plastic 25 pairs
Plastic boots Plastic 25 pairs
Combination Metal 4 sets
wrench
Screw driver Plastic/metal 4pcs
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:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:

TESDA-OP-CO-01-F15
 (Rev.No.00-03/08/17)

LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)

Program: Driving NC II
Name of TVI/Company: Bagumbayan Technical Vocational School

List of Specification Quantity Quantity Difference Inspectors

Consumables/ Required on Site (5) Remarks
Materials (2) (3) (4) (6)
(1)
soap liquid 5 Liters 5 Liters
shampoo Liquid 750ml 5 Liters 5 Liters
Gear oil Fluids 450ml 10 Liters 10 Liters
Air freshener Solid 2 pack 20 pcs 20 pcs
Polish Fluids 450ml 10 pcs 10 pcs
Distilled water Liquid 1Ltr 10 Liters 10 Liters
Fan belt Anti static 4 pcs 4 pcs
rubber v belt
Wheel cap Metal 1.5cm 8 pcs 8 pcs
Fuse Metal/glass 10 pcs 10 pcs
Electrical tape Rubber 2 pack 4 rolls 4 rolls
Brake fluid Fluids 450ml 2 Liters 2 Liters
A/C belt Rubber V belt 4 pcs 4 pcs
raw edge
P/S belt Rubber AVX10 4 pcs 4 pcs
Coolant Fluids 450ml 10 Liters 10 Liters
Additives powder 10 liters 10 Liters
Relay DC 4 pcs 4 pcs
T78withRoHS
Fender cover PVC 11x64 4pcs 4pcs
Note: Columns 1-4 to be filled out by Institution; Columns 5-6 to be filled out by
PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:

TESDA-OP-CO -01-F16
 (Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program: Driving NC II
Name of TVI: Bagumbayan Technical Vocational School

Title Classification* Date of No. of Inspector’s

Publication Copies Remarks
(where
applicable)
CBLM Books 2 pcs
Basic Driving Electronic - Videos
Videos Media
The driving Books 2 pcs
book
Driving manual Books - 5 Pcs
& road user
basic guide
Professional Books - 5 pcs
driving
technique
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

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01F17
(Rev.No.00-03/08/17)

LIST OF PHYSICAL FACILITIES

(As listed in the respective TR)

Program: Driving NC II
Name of TVI/Company: Bagumbayan Technical Vocational School

Facility Description Quantity Inspector’s Remarks

BUILDING 600.Sq.m. 1 area
(permanent) For Checking
Students/trainee
working space
Lecture room 54. Sq. m. 1 area
For Checking
Learning 24.Sq. m. 1 area
resource center For Checking
Facilities/
equipment
circulation area
Driving lane
Note: Columns 1-3 to be filled out by Institution/Company; Column 4 to be filled out by
PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)

LIST OF OFF-CAMPUS PHYSICAL FACILITIES

Program: Driving NC II
Name of TVI/Company:

Facility Description Quantity Inspector’s Remarks

Motor Single 1

Note: Columns 1-4 to be filled out by Institution/Company

Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F19
(Rev.No.00-03/08/17)

LIST OF OFFICIALS

Program:
Name of Institution: Bagumbayan Technical Vocational School
Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment
Hon. Jonalette E. De Pedro President LGU-Bagumbayan https://rb.gy/y8mx7e Municipal Mayor
Hon. Ernesto M. Segura Sr. Vice President LGU-Bagumbayan https://rb.gy/0linlk Municipal Vice Mayor
Jovencio D. Macarayan Registrar LGU-Bagumbayan https://rb.gy/3b2x7f Human Resources Master of Public
Management Office Administration
Corazon H. Aquino Cashier LGU-Bagumbayan https://rb.gy/y8mx7e Municipal Treasurer’s
Office
Nerissa C. Tuvear Career LGU-Bagumbayan https://rb.gy/y8mx7e Public Employment
Guidance Service Office
Advocate

Note: Columns 1-5 to be filled out by Institution

Continue in additional sheet

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:

Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F20
( Rev.No.00-03/08/17)

LIST OF TRAINERS

Program:
Name of Institution/Company: Bagumbayan Technical Vocational School
No. of Years of Trainer’s
Industry Experience Qualification
No. of
Relevant to the
Positio Nature of Educational Years of
Name Qualification
n Appointment Attainment Teaching NTTC*
(with Certificate of Validity
Experience Number
Employment), if
applicable
24128000 May 09, 2024 -
Christopher D. Galve Trainer Contractual College None None 010016 May 08, 2029

Note: For NTR Title of Trainers Training or other licenses/certificates

Columns 1-8 to be filled out by Institution/Company
Continue in additional sheet
Submitted by: Attested by:

TVI/Company Representative TVI/Head Representative

Date: Date:
Inspected by:
PO UTPRAS Focal Person Expert
Date: Date:
 TESDA-OP-CO-01-F21
(Rev.No.00-03/08/17)

LIST OF NON-TEACHING STAFF

Program:
Name of Institution: Bagumbayan Technical Vocational
School

Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position
Kelvin Rey F. Processing
Garcia officer
Data encoder
Accounting
Officer
Budget officer
Casher
Admin/
Technical
Support
Tools and
equipment in-
charge
Nurse
Utility

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
Provincial Office - SULTAN KUDARAT
AMOR B. PENDALIDAY
Provincial Director
Address: CYC Bldg., National Highway, Tacurong City, Sultan Kudarat
Tel. No: TF (064) 200-4121 TF (064) 200-5856
Fax No.: (064) 200-4121 / (064) 200-5856
Email: region12.sultankudarat@tesda.gov.ph
 (REGULAR SCHEDULES - WITH ASSESSMENT FEE!)

Ready to accelerate your career and become TESDA Certified? Our

Competency Assessment in Driving NCII is now open for scheduling!
Check out the available dates and secure your spot today
.

Upcoming Assessment Dates:

Why Take the Assessment?

Recognized Certification: Gain a nationally recognized certification
that boosts your employability.
Career Advancement: Open up new career opportunities in various
industries.
Skill Validation: Demonstrate your expertise and competence in
driving and vehicle maintenance.

How to Register:
1. Visit: Head over to the office of Philippine National Driving Academy Inc. located
at Areza Town Center, LTO Compound, Barangay Canlalay, Biñan City, Laguna.
2. Prepare: Ensure you have the necessary knowledge, skills, attitude and have all
required documents.
Requirements:
Valid Driver’s License
2 pcs. Passport Size Picture
Photocopy of Birth Certificate
Certificate of Completion of "Practicing Covid-19 preventive measures in the
Workplace"
 Filled out application form (available at Pnda Laguna office or online at h
 ttps://docs.google.com/forms/d/e/
1FAIpQLSc1KOfc8wWxpXvEp6joVo74jPmMsqMjU3bOhS6JeMda99jMGA/viewform
 )
3. Book: Choose your preferred assessment date and complete the booking process.
Don’t miss this chance to validate your skills and boost your career!
Register for the Competency Assessment in Driving NC II now!
For more information, contact us at 0932 401 0738 / 0919 686 7027.
Be TESDA Certified. Drive Your Success.