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Technical Education and

REGISTRY OF WORKER
Date of Assessment:

Reference Middle Date of


Region Province Learner ID Last Name First Name MI Ext name Modality Client Type Address Contact No Sex
Number Name Birth

Total Number Assessed: 10

Prepared by: Prepared by:

Signature over Printed Name Competency Assessor


Assessment Center Manager
Technical Education and Skills Development Authority
REGISTRY OF WORKERS ASSESSED AND CERTIFIED
Date of Assessment: ______________________

Assessor's
Educational Training Institution/Sc Date Of Assessor's Type Of
Company Date Of Application Assessment Center Accreditation Sector NC Title
Attainment Completed hool Assessment Name' Certificate
Numner'

Approved by:

ARLYN S. BANDONG
Provincial Director
TESDA-OP-CO-05-F33
Rev.No.00-03/08/17

Assessment Date Of
COC Title Certificate_Number Valid Until
Result Certificate