TESDA-OP-CO-01-F04

(Rev.No.00-03/08/17)
Program Registration Requirement Check list
(For Institution-based Programs)

Name of TVI: College of Business, Education, Science and Technology, Inc.

Address: Burgos St., Cauayan City, Isabela
Tel/Fax No.: 652-0279
Programs(s) Applied Food and Beverage and Services NC II Duration: (in hrs.) 356 hrs.
No. of Trainees per batch:
Training Capacity
No. of batches per year:
Compliant Remarks
Program Registration Requirements
Yes No
1. CORPORATE AND ADMINISTRATIVE DOCUMENTS
a) Letter of application/Intent (TESDA OP-CO-01-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 Resolution/Academic Council
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 applicationfor nesw program. For succeeding application
g) Current Fire Safety Certificate (training site)
h) For Institutions that will baranch out
The Articles of Incorporation & By laws must state reasons for opening
of the branch. The Articles of Incorporation signed by the majority of the
Board Resolution signed by majority of the Incorporators musat be notarized and received
Incorporators must be notarized and received SEC.
2. CURRICULAR REQUIREMENTS
a) Competency-based Curriculum (TESDA-OP-CO-01-F11) indicating the
qualification being addressed and the competencies to be developed
Curriculum Design
Modues of Instruction
b) List of Equipments (TESDA-OP-CO-01-F13), Tools (TESDA-OP-CO-01-F14)
and Consumables/Materials (TESDA OP-CO-01F15) necessary to
deliver the program.
c) List of instructional materials (TESDA-OP-CO-01-F16) (such as reference
meterials, slides, videotapes, internet access and library resources
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)
e) Shop layout of training facilities indicating the floor area
f) Institutional Assessment
Note: Actual Assessment Tools should be shown during ispection.
3. FACULTY AND PERSONNEL
a) List of Officials (TESDA-OP-CO-01-F19)
b) List of Trainers (TESDA-OP-CO-01-F20) with their qualifications, areas of
expertise, and courses/seminars attended and supporting evidences
available, such as relevant NTTC/trainer qualification certificates and
certification of employment. For NTR programs, copy of Training Certificate
on Trainers Methodology I or other Trainer Methodology Certificates and
of the trainer of the program. A certifed true copy of notarized contract of
employment by the applicant TVI if required.
c) List of Non-Teaching Staff (TESDA-OP-CO-01-F21) with their qualifications
with supporting evidences availables, such as copies of certificates/contract
of employment, etc.
Name of TVI: College of Business, Education, Science and Technology, Inc.
Address: Burgos St., Cauayan City, Isabela
Tel/Fax No.: 652-0279
Programs(s) Applied Food and Beverage and Services NC II Duration: (in hrs.) 356 hrs.
No. of Trainees per batch:
Training Capacity
No. of batches per year:
Compliant Remarks
Program Registration Requirements
Yes No
A. PROGRAM GUIDELINES
a) Program fees, with breakdawn of tuition and other fees and schedule of fee
payment duly signed by the school head indicating the effectivity of school
year.
b) Documented grading system, details of which are provided to
students/trainees at the start of their program.
c) Entry requirements for the program for the program comply with the relevant
training regulations if applicable.
d) Rules on attendance
5 SUPPORT SERVICES
a) Health services are available to the student/trainees (if these services are
contracted out or out-sourced, the contract of MOA or similar documents must
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.
h) Certification issued by the company designating the In-plant Trainer.
Forms- refer to the 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 Policies in the Registration
of Mobile Training Classrooms, Park and Training Programs (MBC-MTP) and TESDA
Order 28 Series of 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 Comment/Remarks:

Prepared By: Noted By:

PO UTPRAS Focal Person Provincial Director

Date: ______________ Date: ________________

 TESDA-OP-CO-01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Name of Equipment
Quantity Quantity on Inspector's Remarks
Specification Difference
Required Site

(1) (2) (3) (4) (5) (6)

Bed Ordinary Steel 1 pc 1 pc

Complete with mattresss
and bed table RX Dr.
Bed Surgical Care 1 pc 1 pc

Blender/Juicer Kyowa 2 unit 2 unit

Bp apparatus sneroid Baxtel and aneroid 2 pcs 2 pcs

Coffe maker American Home 2 pcs 2 pcs

Fiber plastic bassinet with
Crib troley and wheels 1 unit 1 unit

Dish washer with drier Standard 1 pc 1 pc

Food processor kyowa 1 unit 1 unit

Flat iron with ironing board kyowa 2 pcs 2 pcs

Microwave oven digital Magic chef 1 unit 1 unit

oven (electric gas) la germania 1 unit 1 unit

Chairs with arm plastic 25 pcs 25 pcs

Dinning set stell 1 unit 1 unit

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head

Date: January 7, 2020 Date: January 7, 2020

Inspected By:
JULIET R. RAMOS ___________________________________
PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________
 TESDA-OP-CO-01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Name of Equipment
Quantity Quantity on Inspector's Remarks
Specification Difference
Required Site
(1) (2) (3) (4) (5) (6)

White board Glass 2 pcs 2 pcs

OHP/LCD Epson 1 unit 1 unit
Computer with Printer Brother/acer 1 unit 1 unit
Refrigerator GE 1 unit 1 unit
Sphygmomnometer Baxtel 1 pc 1 pc
Multipurpose Rapid
Bottle sterilizer electric Steam Sterilizer 1 pc 1 pc
Stove Standard 1 unit 1 unit
Operational telephone unit Wireless phone 1 unit 1 unit
Thermometer(Oral, rectal, axilla,
Tympanic) Advan, digital 10 sets 10 sets
Bread toaster Union, Pop-up toaste 1 unit 1 unit
Washing machine American 1 unit 1 unit
Drier American 1 unit 1 unit
Weighing skale Camry 1 pc 1 pc
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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL

TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________
 TESDA-OP-CO-01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Name of Equipment
Quantity Quantity on Inspector's Remarks
Specification Difference
Required Site

(1) (2) (3) (4) (5) (6)

Wheel chair Sure Guard- Blue 1 pc 1 pc

Vacuum cleaner - Heavy Duty Dry and Wet Vacuum 1 unit 1 unit

Commmode Sure Guard 1 pc 1 pc

aluminum (bronze)/trusty
Cane and walker care (folded) 1 pc 1 pc
high chair/booster seat/portable
wood 1 pc 1 pc
seat
Dressing troley with: cabinet and wheels 1 unit 1 unit

cotton balls 1 canister

medicine glass 1 plastic
thermometer digital
wound dressing set betadine, gauze, plas
First aid kit cabinet type 1 set 1 set

Dummy(baby & adult) for bathing Prestan 1 set 1 set

Dummy for CPR (infant, child & adult) Prestan, half body adult 1 set 1 set
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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL

TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________
 TESDA-OP-CO-01-F14
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
Name of Equipment Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Fax Machine Panasonic 1 unit

Television Skyworth 1 unit

VHS/CD/DVD/ Player Sony 1 unit

Sofa set Foam 1 set

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________
 TESDA-OP-CO-01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
Name of Tools Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Airpot (hot water) kyowa 2 pcs 2 pcs

Skillet Stainless 1 pc 1 pc
Garbage bin(biodegradable and
nonbiodegradable Plastic 5 sets 5 sets

Urinal plastic for male and 2 pcs 2 pcs

Basin (small) plastic 10 green and 12 pcs 12 pcs

Baby bath tub plastic (pink) 1 pc 1 pc

Flat sheet Cotton 12 pcs 12 pcs

Gloves-houssehold 10 red (S) 2 yellow 12 pcs 12 pcs

Gloves-surgical 1 box Indoplus 1 box 1 box

Face towel/towelette white 12 pcs 12 pcs

Bath towel/towelette Cream 12 pcs 12 pcs

Blanket Cotton 4 pcs 4 pcs

Comforter Quilted 4 pcs 4 pcs

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
 Date: ______________ Date: _____________

TESDA-OP-CO-01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
Name of Tools Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Bedpan plastic (green) 2 pcs 2 pcs

Bottle brush(cleaning feeding

bottles) pink and green 2 pcs 2 pcs

Burping cloth Cotton 2 pcs 2 pcs

Baby clothes 5 sets (white) 5 pcs 5 pcs

Baby blanket Cpranela 5 pcs 5 pcs

Carpet red 1 pc 1 pc

Clothes brush green 1 pc 1 pc

Clothes humper red (folded) 1 pc 1 pc

Clothes, linen and fabrics for
laundry Assosrted 2 each 2 each

Clothesd rack Narra 1 pc 1 pc

China ware ceramics 1 set 1 set

Cooking utensils Stainless 1 set 1 set

Cutting board Color Coded 5 pcs 5 pcs

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

 PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
Name of Tools Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Cutllery Ceramic 1 set 1 set

Electric knife Standars 1 pc 1 pc

Electric opener Standard 1 pc 1 pc

Gown (hospital) green/blue/navyblue 10 pcs 10 pcs

Hot water bag rubber (red) 1 pc 1 pc

Ice cap large 1 pc 1 pc

Kettle Stainless 1 pc 1 pc

Pot & Pans Stainless Steel 1 set 1 set

Pot holder Cloth 10 pcs 10 pcs

Apron cotton 2 pcs 2 pcs

Crutches (adjustable) aluminum(adjustable) 1 set 1 set

Grooming kit (hairbrush, comb,
nail cutter, nail brush) Plastic 1 set 1 set

Hand towel Cloth 5 pieces 5 pieces

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:
 JULIET R. RAMOS ___________________________________
PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
Name of Tools Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Feeding utensils (child & adult) Stainless 1 set 1 set

Measuring cup Plastic (Red) 1 set 1 set

Medical tray Plastic 1 unit 1 unit

Mixing bowl Stainless 1 set 1 set

Pail Plastic 4 pcs 4 pcs

Peeler plastic(3pink/1orange 5 pcs 5 pcs

Pick up forcep Straight Kelly 1 pc 1 pc

Pillow case Cotton 12 pcs 12 pcs

Pillow Soft 8 pcs 8 pcs

Portable mixer Kyowa 1 unit 1 unit

Potato masher Stainless 1 unit 1 unit

Record book Record book 2 pcs 2 pcs

Rubber sheet Rubber 6 pcd 6 pcd

Silver ware Silver platter 1 set 1 set

Soap dish green(plastic) 10 pcs 10 pcs

Tong (plastic/rubber) Plastic 1 piece 1 piece

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

Submitted By: Attested By:

 CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)

LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)

Program : Caregiving NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Quantity Quantity on
List of Consumables/Materials Specification Difference Inspector's Remarks
Required Site

(1) (2) (3) (4) (5) (6)

Garbage bags Plastic 1 pack
Bathing paraphernalia (adult &
2 sets/each
child)

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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
 Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F16
(Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

No. of Copies (where

Title Description Quantity Inspectors Remarks
applicable)

TRAINING MATERIALS/REFERENCES

Mother & care Baby Book 3 3

Infant care feeding Book 3 3
Story books e.g Cinderela, snow
white, etc Book
3 3

Geriatics a study of maturity Book 3 3

Baby play Magazine 3 3

Fundamentals of Nursing Book 3 3

Cookbook Book 3 3

Toodler play Book 3 3

Care of the adult Book 3 3
First aid book Book 3 3
Cleaning of difference areas of the
house Book 3 3

Note *Classify whether journal, book, magazine, electronic materials aveilable 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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
 Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F16
(Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

No. of Copies (where

Title Description Quantity Inspectors Remarks
applicable)
TOYS

Crayons Crayon 1 1
Play dough Crayon 1 1
Shape sorter Plastic 1 1
Coloring book Book 1 1

Musical mobile Plastic 1 1

Push & pull toys Cars 1 1

Toys (assorted), games and accessories Building Books/Lego 1 1

Note *Classify whether journal, book, magazine, electronic materials aveilable 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

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
 TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F16
(Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

No. of Copies (where

Title Description Quantity Inspectors Remarks
applicable)

TAPES/DISC
CPR (infant, child and adult) Video Clips 1 1

Artificial Resp. (Infant, child & adult) Video Clips 1 1

CPR (infant, child & adult) Video Clips 1 1

Artificial Resp. ( Infant, child and 1 1
adult) Video Clips
Fracture Video Clips 1 1
Sprained Ankle Video Clips 1 1

Burns Video Clips 1 1

Child safety: film about playing
and safe Video Clips
1 1

Multiple casualty Management Video Clips 1 1

Note *Classify whether journal, book, magazine, electronic materials aveilable 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
Submitted By: Attested By:
CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)

LIST OF PHYSICAL FACILITIES

(As listed in the respective TR)

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Facility Description Quantity Inspector's Remark

Administration Office 8x4 1
Demonstration Room
- Child care 5x6 1
- Home Management 10 x 16 1
- Elderly Care 5x6 1
- Care for people with special needs 5x6 1

Academic room 9x6 1

Study room/Learning Resource Center 10 x 6 1

Clinic 4x4 1

Separate restrooms for female and male 2 x3 (male) / 2 x4 (female) 1

Note: Columns 1-3 to be filled out by Institution/Company; Columns 4 to be filled out by PO/Expert
Continue in additional sheet

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________

TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)

LIST OF OFF-CAMPUS PHYSICAL FACILITIES

Program : CAREGIVING NC II
Name of Institution/Company: College of Business, Education, Science and Technology, Inc.

Title Description Quantity Inspector's Remark

Multi-purpose sports area 12 x 20 1

Note: Columns 1-3 to be filled out by Institution/Company; Columns 4 to be filled out by PO/Expert
Continue in additional sheet
Submitted By:
CECILLE N. UMAYAM
TVI/Company Representative
Date: January 7, 2020
Inspected By:
Attested By:
AGNES F. RAMIL
TVI/Company Head
Date: January 7, 2020

JULIET R. RAMOS ___________________________________

PO UTPRAS Focal Person Expert
Date: ______________ Date: _____________
 TESDA-OP-CO-01-F19
(Rev.No.00-03/08/17)

LIST OF OFFICIALS
Program : CAREGIVING NC II
Name of Institution: College of Business, Education, Science and Technology, Inc.

Contact Details
Educational
NAME POSITION (Address) Contact No. Email Address
Nature of Appointment Attainment
Sherwin Fredrick Y. Uy President F.L. Dy St., Cauayan City, Isa. Full Time College Graduate
Agnes F. Ramil Treasurer Centro 1, Luna, Isabela 09179432015 Full Time College Graduate
Cecille N. Umayam Secretary Diamantina, Cabatuan, Isabela 09179591960 Full Time College Graduate

Note: Columns 1-7 to be filled out by Institution/Company

Continue in additional sheet

Submitted By: Attested By:

CECILLE N. UMAYAM AGNES F. RAMIL

TVI/Company Representative TVI/Company Head
Date : January 7, 2020 Date: January 7, 2020
Inspected By:

JULIET R. RAMOS ________________________________________

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)

LIST OF TRAINERS
Program : CAREGIVING NC II
Name of Institution: College of Business, Education, Science and Technology, Inc.

Name Position Nature of Educational No. of No. of Years of

Trainer's Qualification
Appointment Attainment Years of Industry
Teaching Relevant to the
NTTC* Number Validity
Experience Qualification
(with Certificate of
Employment, if
applicable
katrina Amore M. Madarang Trainer Part Time College Graduate 8 yrs. 5 yrs. 171202311200287 November 4, 2021

Note: For NTR Title of Trainer Training or other licences/Certificates.

Columns 1-8 to be filled out by Institution/Company
Continue in additional sheet
Submitted By: Attested By:
CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: ________________________ Date: ________________________
Inspected By:

JULIET R. RAMOS ________________________________

PO UTPRAS Focal Person Expert
Date: __________________ Date: _______________
 TESDA-OP-CO-01-F21
(Rev.No.00-03/08/17)

LIST OF NON- TEACHING STAFF

Program : Caregiving NC II
Name of Institution: College of Business, Education, Science and Technology, Inc.

NAME POSITION Nature of Appointment Educational Attainment Experience Related to Position

Mona Liza C. Eda School Cashier Full Time College Graduate 4 yrs.
Lee N. Acosta Records Full Time College Graduate 1 yr.
Janet C. Paggao Marketing Coordinator Full Time College Graduate 2 yrs

Note: Columns 1-5 to be filled out by Institution/Company

Continue in additional sheet
Submitted By: Attested By:
CECILLE N. UMAYAM AGNES F. RAMIL
TVI/Company Representative TVI/Company Head
Date: January 7, 2020 Date: January 7, 2020
Inspected By:
JULIET R. RAMOS ________________________
PO UTPRAS Focal Person Expert
Date:________________ Date: ______________