RO6 Form 01

APPLICATION FOR TVET PROGRAM REGISTRATION

January , 2020

Regional Director
TESDA VI
Zamora St., Iloilo City

Thru: JOEL M. VILLAGRACIA

Provincial Director
TESDA Aklan. Provincial Office

Sir:

The undersigned Cielo T. Nadal , INSTITUTION HEAD of the Nabas Aklan

Institute of Technology Inc.,a technical-vocational institution located at Brgy Gibon ,
Nabas, Aklan hereby apply for registration of the following qualification/s /program/s
and offer the same under the laws of the Republic of the Philippines:

TVET Course/s / Program/s / Qualification/s Duration (in hours)

ORGANIC AGRICULTURE PRODUCTION NC II 232 Hours

To support this application are the following documents:

A. CORPORATE AND ADMINISTRATIVE DOCUMENTS

1. Board Resolution to offer program (signed by the Board Secretary and

attested by the Chairperson: SUCs, LCUs, and Private Institutions);
2. Special Law creating the Institution (for public institution, e.g., Republic Act,
Executive Order, Sanggunian Resolutions);
3. Securities and Exchange Commission (SEC) Registration must specifically
cover the training delivery site (for private institutions only);
4. Articles of Incorporation (for private institutions only). For institution that will
branch out, the Articles of Incorporation & Bylaws must state reasons for
opening of the branch. The Board Resolution signed by majority of the
Incorporators must be notarized, received and noted by SEC;
5. Current Certificate of Ownership of building/Contract of Lease (covering at
least two years);
6. Current Fire Safety Certificate.

B. CURRICULUM AND PROGRAM DELIVERY

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1. Competency-based Curriculum (Curriculum Design (TESDA-SOP-TSDO-01-

F02) & Course Design/Module of Instruction);
2. List of equipment (TESDA-SOP-TSDO-01-F03), tools (TESDA-SOP-TSDO-
01-F04) and consumables (TESDA-SOP-TSDO-01-F05) necessary to deliver
the program;
3. List of instructional materials (such as reference materials, slides, videotapes,
internet access and library resources) necessary to deliver the program
(TESDA-SOP-TSDO01-F06);
4. List of physical facilities (TESDA-SOP-TSDO-01-F07) and off-campus
physical facilities (TESDA-SOP-TSDO-01-F08) indicating floor area
(Memorandum of Agreement to be attached if rented or leased (Firing Range,
Driving Range, etc.);
5. Shop layout of training facilities indicating the floor area.

C. FACULTY AND PERSONNEL

1. List of officials with their qualifications supporting evidences available, such as

copies of certificates, etc. (TESDA-SOP-TSDO-01-F09);
2. List of faculty teaching on the program, with their qualifications, areas of
expertise, and courses/seminars attended. Supporting evidences available,
such as TQ/AQ Certificates, copies of contracts of employment, etc. (TESDA-
SOP-TSDO-01-F10).

D. ACADEMIC RULES

1. Schedule and breakdown of tuition and other fees (duly signed by the school
head indicating the effectivity of the school year);
2. Documented Grading System, details of which are provided to
students/trainees at the start of their program;
3. Entry requirements for the program comply with the relevant training
regulations;
4. Rules on Attendance.

E. SUPPORT SERVICES

1. 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);
2. Career guidance services are available to the students/trainees;
3. Community Outreach Program (documented evidences available) – optional;
4. Research that supports the operation of the school is carried-out (e.g.
surveys, consultations, meetings with local industry and community
representatives; technical research) – optional.

I, CIELO T. NADAL as INSTITUTION HEAD promise to maintain the

standards required for the qualification/s / program/s and to follow faithfully all laws,
the rules and regulations, and the requirements of the Technical Education and Skills
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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 qualification/s /program/s or any
changes in the prescribed requirements.

The institution will not conduct classes in the qualification/s / program/s

applied for above until and unless this application is approved and the Technical
Education and Skills Development Authority issue the Certificate of Program
Registration (CoPR).

Very truly yours,

CIELO T. NADAL
INSTITUTION HEAD

AFFIDAVIT

Republic of the Philippines) s.s.

City/Municipality ) s.s.
Province of Iloilo ) s.s.

I, CIELO T. NADAL Institution Head of Nabas Aklan Institute of technology Inc.

Filipino of legal age and a resident of the Philippines, after having been sworn to in
accordance with laws, depose and say that the information in this application and in
the supporting documents are true and correct.

SUBSCRIBED AND SWORN to before me this ____ day of

_______________. The Affiant exhibited his/her Community Tax Certificate No.
________________ issued at _______________ on _________________.

Notary Public
Until December 31, ______
PTR No. _______________

Doc. No. _____

Page No. ____
Book No. ____
Series of ____