APPLICATION FOR TVET PROGRAM REGISTRATION

_______________________________(Date)

BUEN S. MONDEJARRegional DirectorTESDA VIZamora St., Iloilo City

Thru: LORENA T. YUNQUE Provincial DirectorTESDA-Iloilo

Sir:

The undersigned ____________________________________ of the _____________________ c (head of institution) (position/designation) (name of TVI) c a ______________________________ located at ___________________________________________ c (type of school/institution) (complete address) c hereby petition for registration of the following courses/program and offer under the laws of the Republic of the Philippines.

Courses/Programs Duration______________________________________ _____________________

______________________________________ _____________________

______________________________________ _____________________

To support this petition are the following documents duly certified/authenticated:

A. CORPORATE AND ADMINISTRATIVE DOCUMENTS1. Certified Board Resolution to offer program2. SEC Registration (for private institutions only)3. Articles of Incorporation (for private institutions only)4. Current Certificate of Ownership or Contract of Leases of at least five (5) years5. Current Fire Safety Certificate

B. CURRICULUM AND PROGRAM DELIVERY1. Curriculum document complies with the competency standards where they exist2. Course and subjects description3. Curriculum document specifies the equipment (Form U2A/0402), tools (Form U2B/0402)

and consumables (Form U2C/0402) necessary to deliver the program4. Curriculum document specifies the instructional materials (Form U3/0302, books at least 10

titles with 2 copies/title; videotapes, internet access, etc.)5. List of TIs physical facilities (Form U6A/0501, to include off-campus physical facilities –

Form U6B/0501)

C. FACULTY AND PERSONNEL1. Updated list of officials with their qualifications (Form U4A/0202)2. Updated list of faculty teaching on the program and their qualifications (Form U4/0202,

certificates attached)3. Updated list of non-teaching personnel and their qualifications (Form U5/1100)

RO6Form 1

D. ACADEMIC RULES1. Schedule and breakdown of tuition and other program cost2. Documented Grading System3. Entrance requirements4. Rules on Attendance

E. SUPPORT SERVICES1. Health services (MOA with private physician/dentist if no regular Medical personnel are

hired)2. Career Guidance/Placement Services3. Community Outreach Program4. Research programs that supports the operations of the schools

I, ____________________________________ as __________________________ promise to c (head of institution) (position/designation) maintain the standards required for the courses/programs and to follow faithfully all laws, the rules and regulations, and the requirements of the Technical Education and Skills Development Authority governing the operations of authorized technical-vocational institutions and to inform the Technical Education and Skills Development Authority of any action regarding closure or phasing out of the courses/programs or any changes in the prescribed requirements. I acknowledge that the violation of the laws, the rules and the regulations, and the requirements of the Technical Education and Skills Development Authority shall be deemed sufficient cause for revocation of the authority granted.

The institution will not conduct classes in the courses/programs applied for above until and unless this application is approved and the Technical Education and Skills Development Authority issue the corresponding Certificate.

Very truly yours,

_______________________________ (Signature over printed name)

NOTE: LETTER MUST BE NOTARIZED

To be filled up by the Applicant Institution

TI Contact Person: _________________________________ Position: _____________________

Telephone No/s.: __________________________________ Fax No.: ______________________

e-mail address: ______________________________________________________________________

To be filled-up by TESDA-PO UTPRAS Focal

Date/s of Submission of Requirements: ___________________________________________________

Date of Completion of Requirements: ____________________________________________________

Date of Inspection: ___________________________________________________________________