Form AC 24/0108

Reference No. 1 3 1 7 0 3 1 4 3 0 0

Competency Assessment Results Summary (CARS)

Candidate Name:
Assessor Name:
Title of Qualification/ Cluster of Units of
Competency
Date of
Assessment Center:
Assessment:

The performance of the candidate in the following unit(s) of competency and corresponding
assessment methods
Satisfactory Not Satisfactory
Unit of Competency Assessment Method
A. q q
1.
B. q q
A. q q
2.
B. q q
A. q q
3.
B. q q
A. q q
4.
B. q q
A. q q
5.
B. q q
A. q q
6.
B. q q
Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competencies identified in
the above-named Qualification/Cluster of Units of Competency.

 For issuance of NC/COC  For submission of q For re-assessment

Recommendation (Indicate title/s of COC if Full Additional documents (pls. specify)
Qualification is not met) Specify:
__________________________ ________________________ _____________________
__________________________ ________________________
________________________
Did the candidate overall performance meet the required evidences/standards? q Yes q No
OVERALL EVALUATION q Competent q Not Yet Competent

General Comments [Strengths/Improvements needed]

Candidate’s signature: Date:

Assessor’s signature: Date:

Assessment Center Manager
Date:
signature:

CANDIDATE’S COPY (Please present this form when you claim your NC/COC)
COMPETENCY ASSESSMENT RESULTS SUMMARY
Reference No. 1 3 1 7 0 3 1 4 3 0 0

Name of Candidate : Date Issued:

Date of
Name of Assessment Center :
Assessment:
Assessment Results : q Competent q Not Yet Competent

 For issuance of NC/COC  For submission of  For re-assessment

(Indicate title/s of COC if Full Additional documents (pls. specify)
Recommendation: Qualification is not met) Specify:
_________________________ ________________________ _______________________
_________________________ _____________________ ____________________

Attested by:
Assessed by: _________________________ _____ ___________________ _
Name and Signature Name and Signature

Date: Date: