MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This AGREEMENT made and entered into this _____________________ by and between:
Date
THE ___________________________________ which is tasked to
Name of TVIs
__________________________________________________________________________ a
TESDA Supervised School duly and organized and existing under the laws of the Republic of
the Philippines with official address at ___________________________________ represented
this instance by its School Administrator, _________________________ and herein after
referred to as ______________
and
The TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY
Camarines Sur Provincial Office, tasked to promote and strengthen the quality of technical
education and skills development program to attain international competitiveness and inculcate
desirable values among Filipino workers through the development of moral character with
emphasis on work ethics, self-discipline and self-reliance. a National Government Agency duly
and organized and existing under the laws of the Republic of the Philippines with official
business address located at Second Floor DOLE Bldg. Naga City Hall Compound, Naga City
represented by this instance by its duly appointed Regional Director RUTH E. DAYAWEN and
hereinafter referred to as TESDA- Camarines Sur
WITNESSETH That:
WHEREAS, TESDA is the agency of government mandated to enhance the
competitiveness and productivity of the Filipino middle-level manpower through the provision of
user-led and demand-driven technical education and skills development interventions;
WHEREAS, it is the policy of the state to provide relevant, accessible, high quality and
efficient education in support of the development of high quality Filipino manpower responsive
to and in accordance with the labor market;
WHEREAS, it is the common interest of _______________________ and TESDA to
facilitate access to education and training programs that match the requirements of the local
and international job market;
WHEREAS, there is a need to encourage the entrepreneurial spirit through more
responsive programs and services including technical assistance;
WHEREAS, it is imperative upon ______________________ to facilitate, develop and
conduct training programs that will provide a meaningful and gainful opportunities to the youths,
unemployed adults, Unpaid Family Workers for possible employment ;
NOW, THEREFORE for and in consideration of the foregoing premises and the mutual
covenants and stipulations hereinafter set forth, the parties hereby agree to cooperate and
enjoin others to jointly undertake the project with the following covenants:

Duties and Responsibilities of the Agreeing Parties:

.
I.
The ______________________ shall;

II.

Coordinate with concern parties;

Facilitate the reproduction of materials needed in the training;
Provide Trainers;
Assist the trainers in some administrative requirements;
Jointly monitor and evaluate the program with TESDA-PO
Document the conduct of training;
Assist in the conduct of competency assessment.
Issue training certificate

The TESDA-Camarines Sur shall:

Prepare draft Memorandum of Agreement (MOA) to be signed by representatives of

the agreeing parties;
Finalize agreed collaborative efforts in the implementation of the Project ;
Continuous monitoring of the quality of instructions and performance of the training;
Issue National certificates ;
Conduct entrepreneurial development program after skills training;
Prepare Registry of graduates;

This Memorandum of Agreement shall take effect upon signing by the parties concern
and shall continue to be valid unless terminated by mutual consent of all the parties.
IN WITNESS WHEREOF, the parties have affixed their signatures this______________
in ________________, Camarines Sur

TECHNICAL EDUCATION AND

SKILLS DEVELOPMENT
AUTHORITY (TESDA)

INSTITUTION / SCHOOL

BY:

BY:

RUTH E. DAYAWEN
Provincial Director

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

Naga City
) ss.
BEFORE ME, this _____________ day of _______________________, 2015 personally
appeared the following:
NAME

RUTH E. DAYAWEN

COMMUNITY TAX NO.

16953097

DATE & PLACE OF

ISSUE
March. 10, 2015
/Naga City

known to me to be the same persons who executed the foregoing instruments and
acknowledge that the same is their free and voluntary act as well as the free and voluntary act
of the entities they respectfully represent.
WITNESS MY HAND and Notary Seal on this _________day of ________2015 in the
place and jurisdiction herein above mentioned.

Doc. No. ______________

Page No. _____________
Book No. _____________
Series of 2015_________

AFFIDAVIT OF UNDERTAKING
Known All Men by these Present:
That
I
____________________________________,
a
resident
of
___________________________________________________as a student grantee by the Technical Education and
Skills Development Authority (TESDA) in the province of Camarines Sur and in consideration of the privileges
granted me, hereby accept said Scholarship and bind myself to the following conditions set forth by TESDA, to wit:
That I shall:

1.
2.
3.

Maintain Good health, Good moral character and unquestioned integrity;

Strive to achieve the highest possible standard in my field of study;
Comply with all the rules and regulations promulgated by TESDA particularly the following:
a.
b.
c.
d.
e.

To enrol in a prescribed school and priority course listed under the Regional Priority courses.
To properly used the stipend/allowance granted in me and account for same as needed;
To enrol in registered program prescribed in the approved curriculum and competent in all
competencies;
To report to TESDA as often as may be necessary and to submit all pertinent papers required.
To undergo the mandatory assessment.

That I am fully aware that any of the following is a sufficient cause for the termination of my Scholarship.
a. Membership and/or participation in any subversive organizations;
b. In availability/exhaustion of scholarship funds;
c. Changing of qualifications and transferring to another school;
d. Falsification of official records;
e. Refund to the TBPs in full the Training Cost and all allowances granted to me in case of noncompliance with the eighty percent (80%) attendance and participation to qualify for completion of
the training program;
f. Conviction of any crime by court of justice or by any lawful competent administrative body.
_____ That I have not availed of any TESDA scholarship program form 2006-2013 (Pls. Check)
That I accept the foregoing conditions with the full knowledge that I shall be disqualified from this grant
for any willful violation of established rules, regulations and policies of TESDA under the PESFA program.
In testimony whereof, I hereunto affixed my signature this________ day of ___________2015 in
________________________________________
_______________________________________
Authorized Signature of Scholar

Subscribed and sworn to me this__________ day of __________2015 with affiant exhibiting his/her Residence
Certificate
No.___________________________
issued
on
_______________________
at
_____________________________________.

ROSENANTE S. POBAR
Administrative Officer V

Guide in Filling up forms to be attached in billing (PESFA )

I.

TRAINING

Memorandum of Agreement (MOA) between Institution and TESDA:

1.
2.
3.
4.
5.

Facilitate the Notarization of MOA after signing both the concerned parties.
Ensure that date of notarization must be ON or BEFORE the start of Training Duration.
Residential Certificate number, place and date of issuance must appear in the MOA.
Documents with erasures / alterations will not be accepted.
MOA shall be attached for every qualification upon billing (First billing-original / Authenticated xerox
copy for others)

Affidavit of Undertaking (AOU)

1.
2.
3.
4.
5.

Facilitate the filling up of AOU by the concerned scholar.

Ensure that date of filling up of AOU must be ON or BEFORE the start of Training Duration.
Residential Certificate number, place and date of issuance of scholar must appear in the AOU
No erasures / alterations.
TESDA Administrative Officer designate will do the signing of the AOU.

MIS 03-02 (MONET) Enrolment/terminal

1.
2.
3.
4.
5.
6.

Fill up / Provide correct data in the MIS 03-02 (enrolment) and submit electronic copy(soft) within five
(5) calendar days after the start of the training at tesda_camsur@yahoo.com.
Inform TESDA re submission through phone / let TESDA acknowledge the emailed report to ensure
report was been received.
Replacement of scholars will be accepted only IF the MIS 03-02 report was not yet been forwarded to
TESDA Regional Office.
Do not hide, omit or delete any column in the template and let the unfilled data remain. Follow the
prescribe font size / letter (10/Arial)
MIS 03-02 enrolment/terminal will be attached on the billing. (Hard copy w/ complete signature of
school head)
For MIS 03-02 terminal report, indicate result of assessment. E-mail electronic copy to TESDA ten (10)
calendar days after the training.

Scholarship Voucher:
1.
2.
3.
4.

Fill up blank data through computer generated and facilitate signing by the concern persons .
No alterations or erasures of SV
Must attach latest picture and follow the exact size and appearance
Indicate complete SV number in filling up the MIS 03-02. (ex. PESFA-5-xxxxxx)

Attendance Sheet:
1.
2.
3.

Number of training hours required must reflect in the attendance sheet. (Annex B)
Required 80% out of the total number of training hours attendance and participation to complete the
course.
Attendance sheet must completely signed by the scholars and trainer noted by the Head of Institution,
one (1) page par day. No alteration/erasure

Billing Statement
1.
2.
3.

Use the required template. (Annex A)

Signed by the Institution.head.
With cover letter states the list of documents submitted address to the Provincial Director and (Annex
C)

II.

ASSESSMENT (submit this documents upon billing in yellow plastic folder)

1.

Admission slip properly filled up with picture

2.

Attendance sheet properly filled up and signed by the candidates, assessor, TESDA
Representative and CAC Manager using the required CAC Form ***

3.

Billing statement-use the required template (same with Annex B) ***

4.

With cover letter states the list of documents submitted address to the Provincial Director and
Attention: District Focal (Annex C)

5.

RWAC shall be provided by the Assessment Center /TESDA Provincial Office

6.

Mandatory assessment is a requirement for payment.

*** 2 copies each

TRAINING:

Note: Use

A4

Prepare 2 sets of documents for submission together with the Assessment

a.

Accounting- COA Copy, all original (Red plastic folder)

-Cover letter
-Billing statement
-Monet (MIS 03-02) Enrolment / Terminal
-Memorandum of Agreement MOA
-Affidavit of Undertaking AOU
-Attendance Sheet
-Scholars Voucher (TVIs copy-To be surrendered to TESDA upon billing)

b.

TESDA Copy (Green plastic folder)

-Billing Statement
-MONET (MIS 03-02)
-MOA
-Scholars Voucher (TESDA Copy)

bond paper in preparing all documents (ISO requirements)

Seal and Name of the Institution

Address of the Institution
Contact No. of Institution
BILLING STATEMENT
Qualification Title: _______________________________
Training Duration: _______________________________

Date: ___________________

of Training Hours:________________________
Scholarship:

No.

PESFA

SV Number

District : _______________

Surname

Name

Middle
Initial

Amount

TOTAL

Prepared by:

Noted by:

________________________
Name and Signature

________________________________
Name and Signature

________________________
Position/Designation

________________________________
Position/.Designation

Seal and Name of the Institution

Address of the Institution
Contact No. of Institution
ATTENDANCE SHEET
Qualification Title: _______________________________
Training Duration: ______________________________
Scholarship:

No.

SV Number

No. of Training Hrs.__________

PESFA

Surname

Name

Middle
Initial

Date:
AM
IN

OUT

PM
SIG

IN

Prepared by:

Noted by:

________________________
Name and Signature

________________________________
Name and Signature

Trainer
Position/Designation

________________________________
Position/.Designation

OUT

SIG

Seal and Name of the Institution

Address of the Institution
Contact No. of Institution
TRANSMITTAL
Date:___________________
Dir. RUTH E. DAYAWEN
Provincial Director
TESDA V, Camarines Sur
Dear Sir:
Attached are the pertinent documents in Qualification Title for processing and payment under
the 2015 PESFA scholarship program, to wit:
1.
2.
3.
4.
5.
6.

Billing Statement
MIS 03-02 MONET (Enrolment and Terminal)
MOA (TVIs and TESDA)
AOU (Scholars)
Attendance Sheet
Scholarship Vouchers

Prepared by:

Noted by:

________________________
________________________________
Name and Signature
Name and Signature
Position/Designation
Position/.Designation
____________________________________________________________________________________
For PO Use only: (Tracking of Documents)
Date Received

Action Taken

Pebbie Yanto/
Shanda Badilla

Received and
Check documents

ViFSiocson

Reviewed/validate
d Documents;
attached QM,
scholars list
Obligate / Prepare
DV

LBMayuga
RSPobar

VS Dalanon

Certifies funds,
available and
completeness,
correctness of
documents
Approved DV
Prepare cheque
/advice for
payment
Signed cheque and
Advice
Release Cheque

Evaluated by:

ROSENANTE S. POBAR

PD Ruth
VS Dalanon
PD Ruth

Findings/Remarks

Date
Completed

Initials

Administrative Officer V