TESDA-OP-CO-01-F18

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

LIST OF OFF-CAMPUS PHYSICAL FACILITIES

Program: AGROENTREPRENEURSHIP NC II
Name of TVI: COSTALES AGRICULTURAL AND SKILLS DEVELOPMENT
INSTITUTE, INC.

Facility Description Quantity Inspector’s Remarks

N/A N/A N/A
Note: Columns 1-4 to be filled out by Institution/Company.
Continue in additional sheet.

Submitted by: Attested by:

KENETH C. DE GRACIA REDEN MARK F. COSTALES

TVI Representative TVI Head
Date: October 15, 2018 Date: October 15, 2018
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date: