TESDA-OP-CO-01-F03

(Rev.No.00-03/08/17)

SDMF SKILLS DEVELOPMENT FOR MAINTENANCE AND FABRICATION AND

TECHNICAL SERVICES, INC.
Nat’l Rd Sitio Katipunan, Cayag-ang, Brgy. San Pedro, Albuera, Leyte
Cel no. 0909-0707090, 0917-4561297, 0917-3009143

February 28, 2020

Dir. Loreta D. Banario

Provincial Director
TESDA Leyte Provincial Director

Dear Sir/Madam:

We would like to express our intention to apply for program re-registration

for the following qualification(s):

Qualification Training Duration

(No. of Hours)

1. Pipefitting (Metallic) NC II 221 hours

Enclosed are the required documents.

We hope for your immediate action on this application.

Very truly yours,

Jeremiah C. Ferrer
(President/Head TVI/Company)

Attachments: (As indicated in the Program Registration Checklist)

1. Corporate Administrative Documents
2. Curricular Requirements
3. Faculty and Personnel
4. Program Guidelines
5. Support Services

1
 TESDA-OP-CO-01-F03
(Rev.No.00-03/08/17)

Program Registration Requirement Checklist

(For Institution-based Programs)

Name of TVI SDMF Skills Development for Maintenance and Fabrication

and Technical Services, Inc.
National Road, Sitio Katipunan, Cayag-ang, Brgy. San Pedro,
Address Albuera, Leyte
Tel/Fax No.:
Pipefitting (Metallic) NC II
Program Applied
Duration: (221 hours)
No. of trainees per batch: 25
Training Capacity
No. of batches per year: 10
Program Registration Requirements
Compliant
Remarks
Yes No
1. CORPORATE AND ADMINISTRATIVE
DOCUMENTS
a) Letter of Application/Intent (TESDA-
OP-CO-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
Resolution 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 application for new
program. For succeeding application
a valid contract of lease
g) Current Fire Safety Certificate
(training site)
For Institutions that will branch out
h) The Articles of Incorporation & Bylaws
must state reasons for opening of the
branch. The Articles of Incorporation
signed by majority of the Incorporators
must be notarized and received by

2
2. CURRICULAR REQUIREMENTS
a) Competency-based Curriculum
(TESDA-OP-CO-01-F11) indicating
the qualification being addressed
and the competencies to be developed
a.1 Course Design
a.2 Modules of Instruction
b) List of Equipment (TESDA-OP-CO-01-
F13), Tools (TESDA-OP-CO-01-F14)
and Consumables/Materials (TESDA-
OP-CO-01-F15) necessary to deliver
the program
c) List of instructional materials (TESDA-
OP-CO-01-F16) (such as reference ma-
terials, slides, video tapes, internet ac-
cess and library resource 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 inspection
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 with supporting evidence
available, such as relevant
NTTC/trainer qualification certifi-
cates and certification of employment.
For NTR programs, copy of Training
Certificate on Trainers Methodology I
or other Trainer Methodology
Certificates, and evidence of
specialization of the trainer of the
program. A certified true copy of
notarized contract of employment by
the applicant TVI is required.
c) List of Non-Teaching Staff
(TESDA-OP-CO-01-F21) with their
qualifications with supporting
evidences available, such as copies of
certificates/contracts of employment,
etc.

3
4. PROGRAM GUIDELINES
a) Program fees, with breakdown 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
comply with the relevant training
regulations if applicable

d) Rules on attendance

5. SUPPORT SERVICES

a) 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.
b) Job Linkaging and Networking Ser-
vices (JLNS) which include Career Ser-
vices 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

4
 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 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 Polices in the Registration
of Mobile Training Classrooms, Park and
Training Programs (MBC-MTP) and TESDA
Order 28 Series in 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 Comments/Remarks:

Prepared by: Noted by:

Amabelle G. Baul Loreta D. Banario

PO UTPRAS Focal Person Provincial Director
Date: Date:

5
 TESDA-OP-CO -01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program: Pipefitting (Metallic) NC II

Name of Institution/Company: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Name of Specifica- Quantity Quantity Difference Inspector’s

Equipment tion Required on Site Remarks
(1) (3) (4) (5) (6)
(2)

Arc welding 200 amps 5 units 3 units

machine (150 arcweld arcweld
– 500 amps) brand
brand in- 7 units
verter yamato
200 amperes brand
yamato
brand in-
verter
300 amperes
yamato
brand
Speed saw/ Makita 2 pcs. 2 pcs
cut-off saw,
2000W 2000W
Cobra 2 units 2 units
Electric Drill,
brand/hoyo
600W
ma brand
220 volts
Pipe threading Manual pipe 1 unit each 1 unit
machine and threader ¼- each
beveling ma-
chine(2-6 2 inches
inches)
Dry rod port- Yamato 1 unit 1 unit
able welding portable
oven, 20lbs,
300 ºC, welding ma-
120V/230V chine
Welding gaugeStainless 5 units 5 units
steel welding
gauge
Hi-lo welding Ruler Metric
gauge 5 units 5 units
Size N19
Dropship
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:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/Company Representative TVI/Company Head
Date: Date:

Inspected by:

Amabelle G. Baul
PO UTPRAS Focal Person Expert
Date: Date:

6
 TESDA-OP-CO 01-F14
(Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program: Pipefitting (Metallic) NC II

Name of TVI/Company: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Name of Specification Quanti- Quanti- Differ- Inspector’s

Tools ty ty on ence Remarks
(1) (2) Re- Site (6)
quired (4) (5)
(3)
Ballpeen 16 ounce 5 pcs. 5 pcs.
hammer,
16 oz.
Center 1 inch diameter 5 pcs. 5 pcs.
punch
4 inches diame- 12 units 12 units
Electric
ter
angle
grinder, (4
inches,
600W)
Pencil Makita Electric 2 units 2 units
grinder Die Grinder
(600 W) (GD0601)
Oxy- Medium range 2 sets 2 sets
acetylene 5
or LPG cut-
ting outfit
p
and tanks
c
s
.

Push & 5 meters 5 pcs. 5 pcs.

pull rule
Straight Stainless steel 2 pcs. 2 pcs.
edge (1 me- ruler each each
ter, 12
inches, 6
inches)
Tri-square, 300 millimeters 10 pcs. 12 pcs
12 inches long
300 millime- 10 pcs.
Steel 10 pcs.
ters long
square, 12
x 18 inches
1.5 tons ca- 3 units 3 units
Chain
pacity
block /
chain pull-
er, 1T x
3.0m
Assorted 8 inches long & 2 sets 2 sets
combina- 12 inches long each each
tion
wrench
(19”, 22” &
24” sizes)
8 feet x 1.5 me- 2 sets 2 sets
A-Frame
ter
type (2 tons
capacity, 8
feet x 1.5
meter)

7
 5 pcs 5 pcs
Steel files Round, half-
(half-moon) moon, bastard
Trouble ip65 Waterproof 1 unit 1 unit
light, Flood Light Cool
50W/5000 White Led 50W
lumens
Pipe clamp 12 inches ca- 2 sets 2 sets
(4 and 6 pacity
inches)
Nylon sling 3 tons capacity 5 pcs 5 pcs
(2 tons)
Pipe wrap Butterfly brand 5 length 5 lenght
around (4” tape
x 4’ for 3-
15 inches
pipe, me-
dium,
D160 mod-
el)
Spud Flyman heavy 5 pcs 5 pcs
wrench, duty
12” length
Pipe stand 20 inches 15 pcs 15 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:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/Company Representative TVI/Company Head
Date: Date:

Inspected by:

Amabelle G. Baul
PO UTPRAS Focal Person Expert
Date: Date:

8
 TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)

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

Program: Pipefitting (Metallic) NC II

Name of TVI/Company: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

List of Specification Quantity Quanti- Differ- Inspectors

Consuma- Required ty on ence Remarks
bles/ (2) (3) Site (5) (6)
Materials (4)
(1)
Soft stone 5 inches length 1 box 1 box
Cutting disc 4 inches diam- 2 boxes 2 box
(4” dia.) eter
14 inches di- 2 pcs 2 pcs
Cutting disc
ameter
(14” dia.)
Grinding disc ¼ inches x 5/8 2 boxes 2 boxes
(4 inches) inches x 4
inches
Power brush (4 Cup brush 4 5 pcs 5 pcs
inches) inches

Fire extinguish- 10 lbs ABC 3 units 3 units

ers, 10 lbs, type type
ABC
CS Pipe, 3” , 3 inches
5 lengths 5 lengths
Sch 40 x 4m
CS Pipe, 2” , 2 inches 2 lengths 2 lengths
Sch 40 x 4m
FITTINGS
Assorted diam-
Elbow 90º x 3” 25 pcs 25 pcs
eter
Ø
Elbow 45º x 3” Assorted diam- 5 pcs 5 pcs
Ø eter
Assorted diam-
Tee branch, 5 pcs 5 pcs
eter
3ӯ equal
Tee branch, x Assorted diam-
5” Ø x 5”Ø 5 pcs 5 pcs
eter
Tee branch, x Assorted diam- 5 pcs 5 pcs
3” Ø x 2” Ø eter
Wye branch, Assorted diam- 5 pcs 5 pcs
3” Ø equal eter
Valves (flange) Assorted types 5 pcs 5 pcs
3” Ø and sizes
Valves, Assorted types 1 set 1 set
threaded type, and sizes
2” Ø
Flanges 3” Ø Assorted types 5 pcs 5 pcs
and sizes
Reducer 3”x2” 3 inches x 2
3 pcs for 3 pcs for
Ø inches diame-
each type each type
 Concentric ter
 Eccentric
Electrodes 1/8 inches di-
1 box 1 box
(2.5mm Ø) ameter
Teflon tape
10 rolls
Gaskets Villamoid gas-
10 each 10 each
 Non asbes- ket
type type
tos
 metallic
 rubber
Bolts and nuts Galvanized iron
20 sets 20 sets

9
 (Depending on material
flange type)
 ½ x 80
mm
 ½ x 70
mm
Note: Columns 1-4 to be filled out by Institution; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/Company Representative TVI/Company Head
Date: Date:

Inspected by:

Amabelle G. Baul
PO UTPRAS Focal Person Expert
Date: Date:

10
 TESDA-OP-CO -01-F16
(Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program: Pipefitting (Metallic) NC II

Name of TVI: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Title Classification* Date of No. of Inspector’s

Publica- Copies Remarks
tion (where ap-
plicable)
Guide to basic pipefit- Book 2012 50 copies
ting
Hobart training guide Book 1980 1 set
for SMAW
Lincoln training guide Book 1980 1 set
for
SMAW/GTAW/GMAW
/SAW and other pro-
cesses
Hobart training books Book 2002 1 set
Lincoln training Book 2002 1 set
books
AWS D1.1 for steel Book 2002 1 set
fabrication and con-
struction
ASME Section IX for Book 2000 1 set
pipe and pressure
vessel
Bureau of ships-US Book 2002 1 set
Naval
ASME Section V –NDT Book 2002 1 set
ASME Section VIII Book 1980 1 set
Mid-American Voc. Book 1995 1 set
Consortium Inc.
AWS Section VIII – DT Book 1978 1 set
General dynamic Book 1980 1 set
manual
OSHA Book 2011 1 set
Mechanical Engineer- Book 2000 1 set
ing Handbook
Note *Classify whether journal, book, magazine, electronic materials available 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:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI Representative TVI Head
Date: Date:

Inspected by:

Amabelle G. Baul Expert

PO UTPRAS Focal Person Date:
Date:

11
 TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)

LIST OF PHYSICAL FACILITIES

(As listed in the respective TR)

Program: Pipefitting (Metallic) NC II

Name of TVI/Company: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Facility Description Quantity Inspector’s Remarks

Lecture room and 25 square meters 1
Demo room
Wash room / 10 square meters 2
Comfort room
(male and female)
Tool room 20 square meters 1
Facilities / 42 square meters 1
equipment / cir-
culation area
Workshop area 225 square meters 6
Note: Columns 1-3 to be filled out by Institution/Company; Column 4 to be filled out by
PO/Expert
Continue in additional sheet

Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/company Representative TVI/Company Head
Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:

12
 TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)

LIST OF OFF-CAMPUS PHYSICAL FACILITIES

Program: Pipefitting (Metallic) NC II

Name of TVI/Company: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Facility Description Quantity Inspector’s Remarks

None None None None
Note: Columns 1-4 to be filled out by Institution/Company
Continue in additional sheet

Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/Company Representative TVI/Company Head
Date: Date:
Inspected by:

Amabelle G. Baul
PO UTPRAS Focal Person Expert
Date: Date:

13
 TESDA-OP-CO-01-F19
(Rev.No.00-03/08/17)

LIST OF OFFICIALS
Program: Pipefitting (Metallic) NC II
Name of Institution: SDMF Skills Development for Maintenance and Fabrication and Technical Services, Inc.

Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment
Delfin M. Ferrer Training Director Sitio Calingatnan, 09269492190 skillsdmf@gmail.co Permanent Mechanical En-
Jr. Cayag-ang Albue- m gineer
ra, Leyte
Jeremiah C. President Sitio Calingatnan, 09090707090 Myfer- Permanent BS Accountancy
Ferrer Cayag-ang Albue- rer17@gmail.com
ra, Leyte
Note: Columns 1-5 to be filled out by Institution
Continue in additional sheet
Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI Representative TVI Head
Date: Date:

14
 TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)

LIST OF TRAINERS

Program: Pipefitting (Metallic) NC II

Name of Institution/Company: SDMF Skills Development for Maintenance and Fabrication and Technical Services, Inc.

Name Position Nature of Educational No. of No. of Years of Trainer’s

Appointment Attainment Years of Industry Experi- Qualification
Teaching ence Relevant to the
Experience Qualification
(with Certificate of NTTC*
Validity
Employment), if Number
applicable
Delfin M. Pipefitting trainer Permanent Mechanical En- 10 years 40 years 1313080312281 April 01, 2018
Ferrer Jr. gineer 00
Jeremiah C. Pipefitting trainer Permanent BS Accountan- 2 years 14 years 1615083712000 June 20, 2020
Ferrer cy 41
Delfin M. Pipefitting trainer Permanent BS Nursing 2 years 10 years 1615083712000 June 20, 2020
Ferrer III. 49
Cristito A. Pipefitting trainer Permanent BS Commerce 2 years 20 years 1615083712003 Feb. 21, 2020
Adrales 55
Note: For NTR Title of Trainers Training or other licenses/certificates
Columns 1-8 to be filled out by Institution/Company
Continue in additional sheet
Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI/Company Representative TVI/Head Representative
Date: Date:
Inspected by:

Amabelle G. Baul Expert

PO UTPRAS Focal Person Date:
Date:

15
 TESDA-OP-CO-01-F21
(Rev.No.00-03/08/17)

LIST OF NON-TEACHING STAFF

Program: Pipefitting (Metallic) NC II

Name of Institution: SDMF Skills Development for Maintenance and
Fabrication and Technical Services, Inc.

Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position
Mark Lloyd C. Registrar Permanent BS Mechanical 2 years
Ticao Engineering
Mario S. Casera Retainer’s Phy- Permanent BS Medicine 15 years
sician
Daryl G. Vibas Welder Permanent Highschool Grad- 4 years
/Fabricator uate
Rocky M. Alfe Utility Permanent High School Level 1 year
/Maintenance
Note: Columns 1-5 to be filled out by Institution
Continue in additional sheet

Submitted by: Attested by:

Mark Lloyd C. Ticao Jeremiah C. Ferrer

TVI Representative TVI Head
Date: Date:

Inspected by:

Amabelle G. Baul
PO UTPRAS Focal Person Expert
Date: Date:

16