Submitted By:
Name of Authorized Representative: ‘Signature:
RODEL P. PILLO AB
Position/Designation: Date of Submission:
TESDS II / Desig. AC MANAGER‘5.3. Work stations, tool
panels and equipment
‘Are appropriately grouped to
provide ease of movement
ASA. Fire extinguishers
Functionalivalid/current
Located in conspicuous and
highly accessible locations/
places
‘55. Equipment lay out
‘Arranged according to
‘sequence of operations to
allow maximum use of
resources
B. ADMINISTRATIVE
B.1.Documentary
Requirements
] 1. Latter of intent
|
2. SEC Registration or
‘equivalent (CDA-
registered, RA, except
Sole Proprietorship)
N/A
3. Financial Statement
‘* For New Company:
Paid up capital
required by the SEC
+ For Existing: Latest
Audited by a third party
“Business Permit (Current
and Valid)
NIA
5._ BIR Registration (Valid)
Company Profile
7._ Organizational structure
8. Staff complement and
profile
9. Building lay out/ Floor
plan
10. Self-assessment checklist,
Ti. List of equipment’ tools
and materials
12, Location map
13. Lease Contract/ Proof of
‘Ownership of the
location/premises of the
Assessment Center
\ INN IYS IS ARIS
14. Fire Safety Certificate
(Current and Valid)
B.2. Communication
Facilities
7__Telephone/mobile phone
2. Fax machine/ internet
connection
VAIN
|
|
|
3. Computer with
peripherals.
x
4. CCTV system
(Functional)
|“ Assessment Area (per
| auatification)
N
|
Staff Complement
B.3.1. TESDS II/ Desig. AC
Manager
Rodel P. Pillo
B.3.2. Senior TESDS / Design
Liason Officer
Romel B. Gonzaga
B.3.3. ADAS Ill/ Cashier
Joel A. Aldea
B.3.4, Support StaffiDesig.
Processing Officer/Computer
Encoder
“Arnold G. SundayonTESDA-OP-CO-03-F02
Rev. No.00-03/08/17
ACCREDITATION OF ASSESSMENT CENTER
SELF-ASSESSMENT CHECKLIST
marked and maintained
Name of Assessment |
Center-Applicant PROVINCIAL TRAINING rer SURALLAH |
Address Brgy. Centrala, Surallah, South Cotabato
09084254 | Email
Contact Number 243 adress picelralian@tesda toy) ph
Title of Qualification
Applied for MASONRY NC I
Date Accomplished
A. PHYSICAL STRUCTURE Rue
Quantity
en Required Existing enacts
A.1 Location and Area
AAA. Accessibility ‘Accessible to public transport rz
A1.2. Assessment area Minimum area provided to |
Permits ample workplace for ‘4 |
candidates
‘A.2. Lighting and Ventilation
‘2.1. Assessment room or ] Well lighted (30 — 40 Foot T
laboratories | Candie) 2
‘A.2.2. Air conditioning unit | Optional o
A23. Blowersifans | Quantity shall be according to |
| the size of the room Z
A.3 Auxiliary Room
3.1. Storeroom ‘Storeroom for tools, materials
(shelves properly labeled) |
Bins/racks for critical 2
materials
‘A3.2. Room for performance __| Must be able to
assessment accommodate at least 10 es
candidates! batch
‘A3.3 Orientation Room / Holding | Must be able to
Area accommodate at least 10 2
candidates! batch
‘A34. Chairs and tables z
‘A3.5. Comfort rooms Clean and functional =
‘Separate for male and fervale e
Located at convenient part of
| the building
‘A4. Assessment Equipment, Hand tools, Supplies, Materials
‘A4.1. Equipment Tn accordance with the list in 2
the Competency Assessment
ieee ‘Tools ofthe Quaifcaton 2
‘43. Supplies, materials applied for
AS. Safety Provisions ae
‘5.1. Medicine cabinet ‘With frst aid kit and other S
medical paraphernalia
‘5.2. Open floor spaces | Entrances and exits are