FR-APL-01.

ASSESMENT APPLICATION

Section 1 : Details of Certification data

In this section ,include personal data,formal education and current employement data.

a. Personal Data
Name :

Date & Place Bith :

Gender : Men / Woman *

Nationality :

Address :

Pos Code :

Phone /E-mail : Residence : Office :

HP :

Education :

b. Current job data

Institution :

Position :

Address :

Pos Code :

No. Telp/Fax/E-mail : Telp : Fax :

E-mail :

c. Application Certification Data

Assesmen aims :  RPL  Training process  RCC V Certificati on  Other:

………………

Certification Scheme : Cluster/Occupation/KKNI*.

*)

LSP-SMK PARIWISATA METLAND FORM APL-01-2020

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Section 2 : Unit Competency

In section 2 , you will implemented the competency units that you propose to be assessed in order to get
recognition according to your aducational base,training and work experience .Competency units submitted
in accordance with the certification scheme .

Title
Certification Scheme : Laundry Linen and Guest Clothes
Number : D1.HHK.CL3.05

Competency Standard
(Industrial Standard/
No. Unit Code Unit Title
Internasional Standard
/Enterprise Standard)
D1.HOT.CL1.01 Work Efectively With Colleagues and Customers
1. ACCSTP
D1.HOT.CL1.03 Implement occupational safety and health ACCSTP
2. procedures
D1.HOT.CL1.04 Comply with workplace hygiene procedures ACCSTP
3.
D1.HOT.CL1.05 Perform Clerical Procedures ACCSTP
4.
D1.HOT.CL1.07 Communicate on the telephone ACCSTP
5.
D1 HOT CL1 09 Develop and update local knowledge ACCSTP
6.
D1 HHK CL3 05 Launder Linen and guest ACCSTP
7
D1 LAN CL10 01 Converse in English at a basic operational level ACCSTP
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Section 3 : a. Candidate requirement evidence

No. Meet requirements

Requirement Evidence
YES NO
1.
2.
3.
4.
5.
6.

LSP-SMK PARIWISATA METLAND FORM APL-01-2020

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Section 3 : b .Other Relevant Evidence

Evidence attached
No. Evidence education/training, Work experience, Curiculum Vitae
Yes No

1.

2.

3.

4.

5.

*) Filled by LSP
Recommendation ( by LSP ): Candidate :

Base candidate requirement : Name

Candidate :
Accepted /Not Accepted *) as an Assesee Signature/
Date

Note : Administration :
Name
No. Reg.

Signature/
Date

LSP-SMK PARIWISATA METLAND FORM APL-01-2020

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