Technical Education and Skills Development Authority

Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

APPLICATION FORM

Reference No.
Picture,
colored
passport size
To be filled-out by the Processing Officer
white
background
with collar
Applicant’s Signature Date

Name of School/Training Center/Company:

Address :
Title of Assessment applied for:
 Full Qualification  COC
1. Client Type
 TVET graduating student TVET graduate  Industry worker  SCEP
2. Profile
2.1. Name:
SURNAME

FIRSTNAME

MIDDLE NAME NAME EXTENSION

(e.g Jr., Sr.)
Mailing
2.2.
Address:
Number, Street Barangay District

City Province Region Zip Code

2.3. Mother’s Name: 2.4. Father’s Name:

2.6. Civil 2.7. Contact Number(s) 2.8. Highest Educational

2.5. Sex 2.9. Employment Status
Status Attainment

  Elementary  
 Male Single Tel: graduate Casual Probationary
 Cellular:
 HS graduate
 Contractu  Regular
 Female Married al
 e-mail :
 TVET graduate
 Job  Permanent
Window/er Order
  Self-
Separated
Fax::  College level If Student
employed

Others:  College graduate Trainee/OJT


 Post graduate Others, pls specify
Others:
 ___________
2.
1 2.1 2.1
0. Birth date: 1. Birth place: 2. Age:

3. Work Experience (National Qualification-related)

3.1. 3.2. 3.3. 3.4. 3.5. 3.6
Monthly Status of No. of Yrs.
Name of Company Position Inclusive Dates
Salary Appointment Working Exp.
(For more information, please use separate sheet)
 4. Other Training/Seminars Attended (National Qualification-related)
.
4.1. 4.2. 4.3. 4.4 4.5
Title Venue Inclusive Dates No. of Hours Conducted By

(For more information, please use separate sheet)

5. Licensure Examination(s) Passed

5.1. 5.2. 5.3. 5.4. 5.5. 5.6.
Year
Title Taken Examination Venue Rating Remarks Expiry Date

(For more information, please use separate sheet)

6. Competency Assessment(s) Passed

6.1. 6.2. 6.3 6.4. 6.5. 6.6.

Qualificati
Title on Level Industry Sector Certificate Number Date of Issuance Expiration Date

(For more information, , please use separate sheet)


ADMISSION SLIP
Reference No.

Name of Applicant: Tel. Number:

Assessment Applied for: PICTURE

OR Number & Date:
To be accomplished by the Processing Officer (Passport size)
Name of Assessment Center:
Check submitted requirements: Remarks:

 Accomplished Self-Assessment
 Bring own PPE
Guide
 Three (3) pieces colored passport size pictures
 Others. Pls. specify
Assessment Date: Assessment Time:

________________________________________ ____________________________________
Printed Name & Signature of Processing Officer Printed Name & Signature of Applicant

Date: Date:

Note: Please bring this Admission Slip on your assessment date.

 TESDA-OP-QSO-02-F07
Rev.No.00-03/01/17

Reference No.
to be filled out by the Processing Officer

SELF ASSESSMENT GUIDE

Qualification:

Units of Competency Covered:

Instruction:
 Read each of the questions in the left-hand column of the chart.
 Place a check in the appropriate box opposite each question to indicate your answer.
Can I? YES NO
All Assessment criteria of your chosen core competency

I agree to undertake assessment in the knowledge that information gathered will only
be used for professional development purposes and can only be accessed by
concerned assessment personnel and my manager/supervisor.

Candidate’s Name & Signature Date:

Evaluated by:
_______________________________  Qualified for Assessment
AC Manager
 Not yet Qualified for Assessment
Date:
 TESDA-OP-CO-05-F31
Rev.No.00-03/08/17

Technical Education and Skills Development Authority

ASSESSMENT AND CERTIFICATION PROGRAM

ATTENDANCE SHEET

(Title of Qualification)

Name of Competency Assessment

Center:
Date of Assessment:
No. CANDIDATE’S NAME Reference Number: Signature Assessment Results
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Assessor/s:
TESDA Representative:
_______________Your Name___________________
Signature over Printed Name ______________________________
Signature over Printed Name
Accreditation Number:_______________

AC Manager:
__________________________________
Signature over Printed Name ______________________________
Signature over Printed Name
Accreditation Number:_______________
SPECIFIC INSTRUCTIONS FOR THE CANDIDATE

Qualification

Unit of Competency:

PLEASE READ CAREFULLY:

1. Given necessary tools and equipment, you must be able to (Demonstration

Title) within (Allotted time) with the following specific tasks:

 (general description/objective of the demonstration)

2. The assessment shall be based on the units of competency in the Training

Regulations and the Evidence Plan and shall focus on the following evidence
gathering methods:

 Demonstration with Oral Questioning

 Written Test
 Interview

3. The final assessment shall be the responsibility of the accredited assessors.

4. At the end of the assessment, the accredited assessor shall give you feedback
on the result of assessment. The feedback shall indicate whether you are:

 COMPETENT
 NOT YET COMPETENT
ASSESSOR’S GUIDE
Evidence Plan

Qualification FOOD AND BEVERAGE SERVICES NCII

Unit of Competency PROVIDE ROOM SERVICE
Ways in which evidence will be collected:

Demonstration with
Oral Questioning
Written Exam
[tick the column]

Interview
The evidence must show that the candidate……
Answers Telephone call promptly and courteously in accordance with customer
service standards. X
Checks and used Guests’ name throughout the interaction* X X X√
Clarifies, repeats and checks Details of orders with guests for accuracy X
Records and checks Relevant information in accordance with establishment policy X X
and procedures
Uses Suggestive selling techniques X
Transfers and relays orders promptly to appropriate location for
Preparation. X
Advises Guests of approximate time of delivery* X X X
Prepares Room service equipment and supplies in accordance with establishment
procedures. X X
Selects and checks Proper room service equipment and supplies for cleanliness and
condition. X X
Sets up Trays and trolleys keeping in mind balance, safety and attractiveness. X X
Sets up Room service trays or trolleys according to the food and beverage ordered X X
Checks Orders before leaving the kitchen for delivery. X
NOTE: *Critical aspects of competency

Prepared by: Date:

Checked by: Date:

RATING SHEET
 TESDA-SOP-CO-07-F30
Rev.No.01-07/20/15

Reference No.
to be filled-out by the Competency Assessor

RATING SHEET FOR DEMONSTRATION/OBSERVATION WITH ORAL QUESTIONING

Candidate’s name

Assessor’s name

Qualification
Units of Competency Covered
Date of assessment
Time of assessment
INSTRUCTION: Put a Tick () mark on the appropriate column. Write your observation/comments
on the REMARKS column
Part I.A. During the demonstration of skills, did Performance
REMARKS
the candidate: Satisfactory
Not
Satisfactory

Same as in evidence plan*

The candidate’s demonstration was:

Satisfactory  Not Satisfactory 

*Critical aspects of competency
DEMONSTRATION WITH ORAL QUESTIONING
PART II: INSTRUCTION:
1. Select at least 5 questions per unit of competency to be answered by the candidate
from the set of questions below. Additional questions may be added from the list,
when applicable.
2. Place a tick () mark on the column opposite the question selected.
3. Place a tick on the appropriate column based on the candidate’s response.
4. Complete the feedback portion of the form.

Tick Satisfactory
() Response
Number
Selected Yes No
1.  
2.
3.
4.
5.
6.
7.
8.
9.
10.
Feedback to candidate:

The candidate’s underpinning knowledge was:

 Satisfactory  Not Satisfactory
The candidate’s overall performance was:
 Satisfactory  Not Satisfactory
Candidate’s
Date:
Signature:
Assessor’s Signature: Date:
Oral Questions Acceptable answers are:

1. [insert suggested answers to questions]

2.

3.

4.

5.

6.

7.

8.

9.

10.

Assessor signature: Date:

Recording Sheet for Interview

Candidate name:
Unit of competency:
Qualification
Oral/interview questions Satisfactory
response
Yes No
1. [insert questions to be asked of candidate]  
Topics are based on the evidence plan

2.  

3.  

4.  

5.  

6.  

7.  

8.  

9.  

10.  

The candidate’s underpinning knowledge was:

Satisfactory  Not satisfactory 
Feedback to candidate:

The candidate’s overall performance was:

Satisfactory  Not Satisfactory 
Candidate Signature: Date:
Assessor signature: Date:
Interview Acceptable answers are:

1. [insert suggested answers to questions]

2.

3.

4.

5.

6.

7.

8.

9.

Assessor’s signature: Date:

WRITTEN TEST
Candidate name:
Qualification:
Unit of Competency :

WRITTEN TEST ANSWER KEY

 District Office 5
TESDA-SOP-CO-07-F28
Rev.No.01-07/20/15

Reference No.
To be filled up by the Competency Assessor
UNIQUE LEARNERS IDENTIFIER (ULI):
- - - -
Competency Assessment Results Summary (CARS)-TESDA copy
Candidate Name:
Assessor Name: Your Name
Title of Qualification/ Cluster of
Units of Competency
Assessment Center: Date of Assessment:

The performance of the candidate in the following unit(s) of competency and corresponding
assessment methods. Satisfactory Not Satisfactory
Unit of Competency Assessment Method
 Demonstration with Oral
Questioning
1. (Core Competency)
 Written Test
 Interview
 Demonstration with Oral
Questioning
2.  Written Test
 Interview
Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competencies identified in
the above-named Qualification/Cluster of Units of Competency.
 For submission of
 For issuance of NC/COC For re-assessment (pls. specify)
Recommendation Additional documents
(Indicate title/s of COC, if Full Qualification is not met)
____________________________________
Specify: ___________ ______________________
_______________ ______________________
____________________________________
Did the candidate overall performance meet the required evidences/standards?  Yes  No
OVERALL EVALUATION  Competent  Not Yet Competent

General Comments [Strengths/Improvements needed] packet

Candidate signature: Date:
Assessor signature: Your Signature Date:
Name & Signature of AC
Date:
Manager

CANDIDATE’S COPY (Please present this form when you claim your NC/COC) District Office 5 PICTURE for
TESDA-SOP-CO-07-F28
COMPETENCY ASSESSMENT RESULTS SUMMARY Rev.No.01-07/20/15
NC
(To be put in a
Reference No. packet)
(Do not staple or paste)
To be filled up by the Competency Assessor

UNIQUE LEARNERS IDENTIFIER (ULI):

- - - -
Name of Candidate: Date Issued:
Title of Qualification/ Cluster of
Units of Competency
Date of
Name of Assessment Center:
Assessment:
Assessment Results:  Competent  Not Yet Competent
 For issuance of NC/COC  For submission of Additional  For re-assessment
Recommendation: (Indicate title/s of COC, if Full Qualification is not met) documents. Specify: (pls. specify)

Assessed by: _________ Your Name ____ Attested by:

Name and Signature of
Name/s and Signature
Assessment Center Manager
Date: Date: