Annex 8 Program Registration Forms 2
Annex 8 Program Registration Forms 2
TESDA-OP-CO-01-F03
(Rev.No.00-03/08/17)
LETTER OF APPLICATION/INTENT
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)
Organic Agriculture Production NC II 232 Hours
1.Basic Competencies 18
2.Common Competencies 6
3.Core Competencies
Allan M. Arnoco
Signature over Printed Name
(President JIKA FARM)
TESDA-OP-CO-01-F04
(Rev.No.00-03/08/17)
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
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 Jika Farm
Purok 4, Simpak Lala, lanao del Norte
Address
Tel/Fax No.:
Organic Agriculture Production NC II
Program Applied
Duration: (in hrs.) 232
No. of trainees per batch: 25
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
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 Polices 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:
General Comments/Remarks:
COMPETENCY-BASED CURRICULUM
A. Course Design
Course Structure
Basic Competencies
No. of Hours: (18 Hours)
Unit of Compe- Module Title Learning Nominal
tency Outcomes Duration
Participate in work- Participating in 1.1.1 Obtain and 2
place communi- workplace convey
cation communication workplace
information
1.1.2 Perform du-
ties follow-
ing work-
place com-
munication
1.1.3 Completer
relevant work-
related docu-
ments
Work in a team en- Working in a team 2.1.1 Describe 2
vironment environment team role
and scope
2.1.2 Identify
one’s role and
responsibility
with a team
2.1.3 Work as a
team member
3.1.3 Recom-
mend solu-
tions to
problems.
5.1.3 Integrate
ideas for change in
the workplace.
Present relevant Presenting relevant 6.1.1 Gather data 2
information information or information.
9.1.2 Communi-
cate entrepreneu-
ral workplace best
practices.
9.1.3 Implement
cost-effective oper-
ations
Common Competencies
No. of Hours: (64 Hours)
Unit of Compe- Module Title Learning Out- Nominal
tency comes Duration
Apply safety mea- Applying safety mea- 1.1.1 Apply 20
sures in farm sures in farm oper- appro-
operations ations priate
safety
mea-
sures
while
working
in farm
1.1.2 Safe
keep/dis-
pose tools,
materials
and outfit
Use farm tools Using farm tools and 2.1.1 Select 20
and equipment equipment and use
farm
tools
2.1.2 Select
and op-
erate
farm
equip-
ment
2.1.3 Perform
preventive
mainte-
nance
Perform estima- Performing estimation 3.1.1 Perform 18
tion and basic and basic calcula- estima-
calculation tion tion
3.1.2 Perform
basic work-
place calcu-
lations
4. Perform Performing Record 4.1.1Carry out 3
Records Keeping inventory activ-
Keeping ities
4.1.2 Maintain
Production
Record
4.1.3Prepare
Financial
Records
Core Competencies
No. of Hours:(96 Hours)
Unit of Competency Module Title Learning Out- Nominal
comes Duration
1.Raise Organic 1.1 Raising Or- 1.1.1 Select (30 HRS.)
Chicken ganic chicken healthy 3 hours
stocks
1.1.2 Deter- 6 hours
mine suit-
able
chicken
house re-
quire-
ments
1.1.3 Install 6 hours
cage
(housing)
equip-
ment
2.1.4 Perform
Harvest 5 hours
and Post
Harvest
Activities
4.1.3 Package
concoc-
tions
Elective Competencies ( if any)
No. of Hours: (54 hours)
Unit of Compe- Module Title Learning Nominal
tency Outcomes Duration
1. Raise Or- 1.1 Raising Or- 1.1.1 Choose/Select (24HRS)
ganic Hogs ganic Hogs healthy domes- 4 hours
tic hogs
1.1.2 Determine suit- 7 hours
able hog house
requirements
1.1.3 Feed hogs
1.1.4 Manage health 6 hours
and growth of
hogs 4 hours
1.1.5 Finish hogs
3 hours
2. Raise Or- 2.1 Raising Or- 2.1.1 Choose/Select (30HRS)
ganic Small Ru- ganic Small healthy breed- 2 hours
minants Ruminants ers
2.1.6 Harvest(Finish)
ruminants 2 hour
Assessment Methods: Direct Observation and questioning_______________
Oral Interview and Written test__________________
Practical Demonstration________________________
Course Delivery: Group Discussion, Self-Pace, Modular, Lecture _
Discussion, practical demonstration.
Resources:
Facilities: _____________________________________________
_____________________________________________
_____________________________________________
Qualification of: ORGANIC AGRICULTURE PRODUCTION NCII
Instructors/Trainers: MILBERT L. CANOPIN
Basic Competencies
1.6 Defined
workplace pro-
cedures for the
location and
storage of in-
formation are
used
2.6 Meetings
outcomes
are inter-
preted and
implemented
understanding
of team’s role
and objectives
Basic Competencies
Criteria Methods
2.1 Potential •Identifying poten- •Assessment will • Group Dis- • Case For-
solutions to tial solutions require access cussion mulation
problem are •Recommendations to a workplace • Case study • Oral In-
identified and Decision Mak- over an ex- • Lecture terview
2.2 Recommenda- ing tended period, • Standard-
tions about or a suitable ized test
possible solu- method of gath-
tions are de- ering evidence
veloped, doc- of operating
umented, ability over a
ranked and range of situa-
presented to tions.
appropriate
person for
decision
Basic Competencies
Basic Competencies
LO 1. Gather data/information
determine workplace or
whether operational or
data/ simulated envi-
information ronment.
falls within
project
scope
final reports
are analyzed
and outcomes
are compared
to the criteria
established at
the outset.
3.4 Findings are
presented to
stakeholders.
Basic Competencies
are con-
veyed to ap-
propriate
personnel
1.3 OSH
preventive
and control
requirements
are identified in
accordance
with OSH work
policies and
procedures
LO 2. Prepare OSH requirements for compliance
Basic Competencies
Basic Competencies
LIST OF EQUIPMENT
(As listed in the respective TR)
TESDA-OP-CO 01-F14
(Rev.No.00-03/08/17)
LIST OF TOOLS
(As listed in the respective TR)
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
TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)
LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)
TESDA-OP-CO -01-F16
(Rev.No.00-03/08/17)
Program:
Name of TVI:
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
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
Continue in additional sheet
TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)
LIST OF OFFICIALS
Program:
Name of Institution:
Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment
LIST OF TRAINERS
Program:
Name of Institution/Company:
Name Position Nature of Educational No. of No. of Years of Trainer’s
Appointment Attainment Years of Industry Experience Qualification
Teaching Relevant to the
Experience Qualification
(with Certificate of NTTC*
Validity
Employment), if Number
applicable
Program:
Name of Institution:
Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position