Technical Education and Skills Development Authority

Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

NMIS FORM –01A

TRAINOR’S/ASSESSOR’S PROFILE FORM

ID PICTURE
Applicant’s Signature (2”x 2” size)

RIGHT THUMBMARK

1. To be accomplished by TESDA
1.1. NMIS Manpower Code: - 1.2. NMIS Entry Date:

2. Manpower Profile
2.1. Name: BITASOLO ALLEN MAE DELOY
Last First Middle

2.2.
Mailing Lot 4, Block 6, Jimmy Carter Street Habitat Village, Barangay Bool First District
Address:
Number, Street Barangay District
Tagbilaran City Bohol VII 6300
City Province Region Zip Code P.O. Box No.

2.3. Gender 2.4. Civil Status 2.5. Contact Number(s) 2.6. Employment Type 2.7. Employment Status
 Male  Single Telephone:427-5241  Employed  Casual  Probationary
 Female  Married Cellular: 0930-888-8984  Self-employed Contractual  Regular
 Window/er Pager:  Unemployed  Job Order  Permanent
allenmaebitasolo88@g
 Separated
e-mail:
mail.com  Others (pls. Specify)  Temporary
Fax: _________________ If Student
Others:  Trainee/OJT

3. Personal Information
3.1. Birthdate: August 27, 1993 3.7. Height: 5’2 3.12. SSS No.: 06-3329030-0
3.2. Birth Place: Tagbilaran City 3.8. Weight: 44 kg. 3.13. GSIS No.: 0200815256
3.3. Citizenship: Filipino 3.9. Eye Color: Black 3.14. TIN No.: 457-964-661-000
3.4. Religion: Roman Catholic 3.10. Hair Color: Black
3.5. Ethnicity: N/A 3.11. Blood Type: B+ 3.15. Distinguishing Marks:
3.6. Disability: N/A Mole above my lips (right side)

4. Educational Background
4.1. 4.2. 4.3. 4.4. 4.5. 4.6. 4.7 4.8.

Educational Units
School Level School Year Degree Minor Major Earned Honors Received

Guidance and
Holy Name University Postgraduate 2019 2022 MAED Counseling Graduated

Bohol Island State University-

Tagbilaran Campus College 2017 2018 BSED Social Studies 18
Bohol Island State University-
Tagbilaran Campus
Industrial
College 2010 2014 BS Psychology Psychology Graduated

With Honors,
Dr. Cecilio Putong National Torralba
High School Secondary 2006 2010 Leadership Award
Tagbilaran City Central With Honors,
Elem.School Elementary 2000 2006 Most Industrious

5. WORKING EXPERIENCE (Include Present Job) (Mandatory fields for Trainers)

5.1. 5.2 5.3 5.4 5.5 5.6
Occupation Type
Inclusive Dates Monthly Status of No. of Yrs.
Name of School/Company Position (Teaching; Non-Teaching;
mm yyyy – mm yyyy Salary Appointment Working Exp.
Industrial Experience)

DepEd Teacher 10/17 Present Teaching Permanent 5 years

Guidance
Counselor/ Non-Teaching, Industrial 1 year & 9
Bohol Tech Voc, Inc. 05/14 09/17 10,000 Contractual
Student Affairs Experience months
Officer
Alturas Mall-Human Resource Dev’t
Dept. OJT 06/13 01/14 N/A Industrial Experience N/A 7 months

Contractual(S
AGC-Corporate HRD Office clerk 04/13 05/13 8,000 Industrial Experience ummer Job) 1 month
AGC-Corporate HRD Office clerk 04/12 05/12 8,000 Industrial Experience Summer Job 1 month
Alturas Group of Companies Office clerk 04/11 05/11 8,000 Industrial Experience Summer Job 1 month
(For more information, indicate on a separate sheet)
6. Training/Seminars Attended
6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9
*Certificate # of Training
Title Venue Inclusive Dates Category Conducted By Proficiency
Received Hours Base
Coralandia
Resort &
Workworld Restaurant,
Orientation Tagbilaran 03/06 2014 A 8 L B Ms. Alibo M. A. B
Orientation on R.A Miriam Cue Ph.
10029:IRR BISU 02/11 2013 A 8 L M D. B
Self Awareness Matthew Sy
Seminar BISU 01/23 2013 A 8 L B Nemenzo B

Principles and
Techniques in Ma. Johna D.
Guidance Seminar BISU 09/22 2011 A 8 L M Calcaben B
Attitudes that Attract Tina Agnes B.
Success BISU 08/02 2011 A 8 L B Dumas B
In Union there is
Strength Team Arceli M.
Building BISU 12/14 2013 T 8 L B Hernando Ed. D. B
Gender & Visual
Presentation in Edeliza
Guidance BISU 09/27 2011 A 8 L B Macalandag B
Bingag, Dauis BISU
Team Building Bohol 12/15 2012 T 8 L B Organization B

SPG & SSG DCPNHS- 11/28- Norma S.

Leadership Training Tagbilaran City 30 2009 S 72 L B Varquez I

Fundamentals on Bool Dist., Msgr. Junex

Youth Ministry Tagbilaran City 07/07 2011 A 8 L N Nalzaro B
(For more information, indicate on a separate sheet)
* Certificate Received Training Base Category Proficiency
A Certificate of Attendance S Skills Training Certificate L Local B Basic Skills Training Program B Beginner
c Certificate of Competencies T Training Certificate F Foreign T Trade Skills Upgrading Program I intermediate
P Certificate of Proficiency N Non-Trade Upgrading Program A Advanced
M Training Management

7. Licenses/Examinations Passed
7.1. 7.2 7.3 7.4 7.5 7.6
Title Year Taken Examination Venue Rating Remarks Expiry Date

Career Service Examination

(Professional Level) 2013 Tagbilaran City, Bohol 81.18 Passed N/A
Registered Psychometrician 2017 Cebu City 80.2 Passed 2026
Licensed Professional Teacher 2018 Cebu City 85.5 Passed 2024
(For more information, indicate on a separate sheet)

8. Skills Specialization (Mandatory fields for Trainers)

8.1 8.2 8.3 8.4
Occupation Classification Level Competency Specialization

Events Management
Event Planner NCIII Services Event Planning

(For more information, indicate on a separate sheet)

9. Family Background
9.1. Spouse’s Name: N/A 9.3 Occupation: N/A
9.2. Educational Attainment: N/A 9.4 Ave. Monthly Income: N/A
9.5. Father’s Name: Orlando Niepes Bitasolo 9.7. Occupation: Company Driver (Alturas Group of Companies)
9.6. Educational Attainment: College Level 9.8. Ave. Monthly Income:
9.9. Mother’s Name: Marites Deloy Bitasolo 9.11. Occupation: Proprietor (MariTaste Diner)
9.10. Educational Attainment: College Graduate 9.12. Ave. Monthly Income:
9.13. Name of Guardian: N/A 9.15. Occupation: N/A
9.14. Educational Attainment N/A 9.16. Ave. Monthly Income: N/A
9.17. Dependents 9.18. Age Dependents Age
N/A

(For more information, indicate on a separate sheet)