New UTPRAS Forms April 30 2017
New UTPRAS Forms April 30 2017
New UTPRAS Forms April 30 2017
LETTER OF APPLICATION/INTENT
Date
Dear Sir/Madam:
We would like to express our intention to apply for program registration for the fol-
lowing qualification(s):
Qualification Training Duration
(No. of Hours)
1.
2.
3.
TESDA-OP-CO-01-F04
(Rev.No.00-03/08/17)
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
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 Resolu-
tion/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 pro-
gram. 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
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)
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
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
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
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 con-
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
tract 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)
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
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)
General Comments/Remarks:
(Rev.No.00-03/08/17)
Name of Company
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 Commis-
sion (SEC) Registration for Corpo-
ration.
For sole proprietorship, a DTI Reg-
istration 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)
Name of Company
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
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 ofInstruction
b) List of Equipment (TESDA-OP-
CO-01-F13), Tools (TESDA-OP-
CO-01-F14), and Consumables
(TESDA-OP-CO-01-F15) neces-
sary to deliverthe program
Name of Company
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
General Comments/Remarks:
(Rev.No.00-03/08/17)
COMPETENCY-BASED CURRICULUM
A. Course Design
Course Structure
Basic Competencies
No. of Hours: (_____)
Unit of Competency Module Title Learning Nominal
Outcomes
Duration
Common Competencies
No. of Hours: (_____)
Unit of Compe- Module Title Learning Nominal
tency Outcomes
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 . ____________________________________________________________
Assessment Contents Conditions Methodologies Assessment
Criteria Methods
(Note: Copy format for modules of instructions for Common and Core Competencies)
LIST OF EQUIPMENT
(As listed in the respective TR)
Program:
Name of Institution/Company:
Inspected by:
TESDA-OP-CO01-F14
(Rev.No.00-03/08/17)
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
Inspected by:
LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)
Program:
Name of TVI/Company:
Inspected by:
(Rev.No.00-03/08/17)
Program:
Name of TVI:
Columns 1-4 to be filled out by Institution/Company; Column 5to be filled out by PO/Expert
Inspected by:
TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)
Note: Columns 1-3 to be filled out by Institution/Company; Column 4 to be filled out by PO/Expert
Inspected by:
TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)
Program:
Name of TVI/Company:
(Rev.No.00-03/08/17)
LIST OF OFFICIALS
Program:
Name of Institution:
Contact Details
Inspected by:
TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)
LIST OF TRAINERS
Program:
Name of Institution/Company:
Inspected by:
PO UTPRAS Focal Person Expert
Date: Date:
TESDA-OP-CO-01-F21
(Rev.No.00-03/08/17)
Program:
Name of Institution:
Nature of Experience
Educational At-
Name Position Related
Appointment tainment
toPosition
Note: Columns 1-5 to be filled out by Institution
Continue in additional sheet
Inspected by: