Annex D:

Monitoring and Validation Tools on Application for the Renewal of Temporary Permit
to Operate of Private Madrasah Implementing Standard Madrasah Curriculum
(Formal Education Level II)

Name of Madrasah : ________________________________________________________

Address : _______________________________________________________
(Barangay) (Municipality) (Province)

Division : School ID: _________________

Date of Application : ______________________ Date received: ______________

Outst Good Adequ Poor Unacc REMARKS

(validate
REQUIREMENTS andin (4) ate (3) (2) eptabl
consistency of
(3 Sets of the following g (5) e (1) different
documents
documents)
presented)

Management
1. Application for renewal of
MBHTE -BARMM Government
Recognition.

The application must be address

to:
HON. MOHAGHER M. IQBAL
Minister
Thru:
TAHIR G. NALG, MAIS
Director General

Madaris Division Supervisor

2. School Division
Superintendent Endorsement
3. Madrasah Improvement (3 years Plan)
Plan
4. Annual Implementation
Plan
4. School ID
5. Original/Certified true
copy/authenticated copy of
the Permit to Operate (PTO)
Government
Permit/Recognition). The PTO
must be updated.
6. Certified copy of the Deed
of Donation of Certificate
Title of Madrasah Site.
7. Certification signed by the
academic head and the
president of the Private
Madrasah stating that the
old curriculum of madrasah
shall be gradually phased
out.
8. Board Resolution adopting
the Tahderiyah Curriculum
and Refine Standard
Madrasah Curriculum (K to 12
and ISAL) signed by the
members of the Board
9. K to 12 Teachers Contract
of Service Updated for
current year) must be
notarized attached
Transcript of Record
10. ISAL Teachers/ Asatidz
Contract of Service Updated
for current year) must be
notarized attached
Transcript of Record
11. Licensure Examination for LET Passers:
Teachers Results if applicable Male:
Female:
Sub-Total
School Forms
12. Madrasah Profile/
Information Sheet
13. SF 1 – School Register
(Current year and last year
school year)
14. SF 2 – Learner’s Daily Class
Attendance
15. SF 5 – Report on
Promotion (Last school year)
16. SF 7 – Inventory of School
Personnel (Teaching Load
and Assignment)
17. SF 9 – Learner Progress
Report Card
18. SF 10 – Learner’s
Permanent Academic
Record (Form 137 with birth
certificate form Kinder to
Grade 6)if applicable
Sub-Total
Requirement in Adopting Refine Standard Madrasah Curriculum
ISAL SUBJECTS/Tahderiyyah
19. Matrix of Teachers’/
Teacher’ Program / Class
Program/Section and
inclusion of Dhuhor and As’r
in the class program.
20. Individual Copy of the
Refine Standard Madrasah
Curriculum for ISAL Teachers
21. Teachers Guide/ Lesson
Plan/Log
22. Learners Output
23. Individual Instructional
Materials in respective
classrooms
24. Supervisory Plan
25. Quarterly Test Paper
Sub-Total
K TO 12 SUBJECTS
26. Matrix of
Teachers'/Teacher' Program
26. Individual Copy of the
Curriculum for K-12 Teachers
27. Individual Refine
Standard Madrasah
Curriculum for K TO 12
Teachers/ Tahderiyah
Curriculum
28. Teachers Guide/ Lesson
Plan/Log
29. Learners Output
30. Individual Instructional
Materials in respective
classrooms
31. Supervisory Plan
32. Quarterly Test Paper
Sub-Total
Financial Management
33. Propose Tuition Fee and
other Schools Fees and its
schedule signed by the
school registrar and
approved by the school
head.
34. Proposed Annual Budget
and Annual Expenditures for
the School Year.
35. LBP Bank Account for LBP Account
Private Madrasah qualified Number:
to receive the financial grant
(Photocopy of the Passbook)
(if applicable)
Sub-Total
Madrasah Facilities
36. Complete Classroom
(Standard in the numbers of
Learners and Grade level)
37. Complete chairs depend
on the number of pupils per
grade level
38. Teachers table and chairs
39. Comfort Rooms
(Separate Girls and Boys for
common CR)
40. Administrators/ Principal’s
Office
41. Playground
42. Water Facilities
43. Electric Facilities
44. School Fence
45. Canteen
46.Masjid or accessible to
masjid with washing facilities
47. Madrasah pictures
(Masjid activities, projects,
programs and learners
output)
Sub-Total

Grand Total

Rating

LEGEND:
Rating Descriptive Statement
Outstanding (5) Applicant fully addresses all aspects of the criterion, convincingly
demonstrates that it will meet the Ministry’s performance
requirements, and demonstrates no weaknesses
Good (4) Applicant fully addresses all aspects of the criterion, convincingly
demonstrates a likelihood of meeting the Ministry’s requirements,
and demonstrates only a few minor weaknesses.
Adequate (3) Applicant addresses all aspects of the criterion and demonstrates
the ability to meet the Ministry’s performance requirements. The
Application may contain significant weaknesses and/or a few
minor weaknesses.
Poor (2) Applicant does not address all aspects of the criterion nor is
evidence presented indicating the likelihood of successfully
meeting the Ministry’s requirements. Significant weaknesses are
demonstrated and clearly outweigh any strengths presented.
Unacceptable (1) Applicant does not address all aspects of the criterion and the
information presented indicates a strong likelihood of failure to
meet the Ministry’s requirements.
COMMENT(S):
_________________________________________________________________________
_________________________________________________________________________
RECOMMENDATION(S):
_________________________________________________________________________
_________________________________________________________________________
REMARKS:
All requirements complied with
With deficiencies (marked x)
Prepared by: Reviewed by:

_______________________________ JIHAN ABDULRASID UNSI, MEIL BME /

Head of the Team Senior Education Program
Specialist
Monitoring and Evaluation
Section
Noted by:

ABDULKAHAR GUIAMBANGAN
Education Program Supervisor
 Quality Assurance Division
Recommending Approval: Date: _______________
ACTION:
PROF. TAHIR G. NALG, MAIS
Director General for MADARIS Conduct ocular/on-site
inspection/validation
Notify Division EPS In-charge
of Private Madrasah
Approved by:
MOHAGHER M. IQBAL
Minister