Submitted By: Name of Authorized Representative: ‘Signature: RODEL P. PILLO AB Position/Designation: Date of Submission: TESDS II / Desig. AC MANAGER‘5.3. Work stations, tool panels and equipment ‘Are appropriately grouped to provide ease of movement ASA. Fire extinguishers Functionalivalid/current Located in conspicuous and highly accessible locations/ places ‘55. Equipment lay out ‘Arranged according to ‘sequence of operations to allow maximum use of resources B. ADMINISTRATIVE B.1.Documentary Requirements ] 1. Latter of intent | 2. SEC Registration or ‘equivalent (CDA- registered, RA, except Sole Proprietorship) N/A 3. Financial Statement ‘* For New Company: Paid up capital required by the SEC + For Existing: Latest Audited by a third party “Business Permit (Current and Valid) NIA 5._ BIR Registration (Valid) Company Profile 7._ Organizational structure 8. Staff complement and profile 9. Building lay out/ Floor plan 10. Self-assessment checklist, Ti. List of equipment’ tools and materials 12, Location map 13. Lease Contract/ Proof of ‘Ownership of the location/premises of the Assessment Center \ INN IYS IS ARIS 14. Fire Safety Certificate (Current and Valid) B.2. Communication Facilities 7__Telephone/mobile phone 2. Fax machine/ internet connection VAIN | | | 3. Computer with peripherals. x 4. CCTV system (Functional) |“ Assessment Area (per | auatification) N | Staff Complement B.3.1. TESDS II/ Desig. AC Manager Rodel P. Pillo B.3.2. Senior TESDS / Design Liason Officer Romel B. Gonzaga B.3.3. ADAS Ill/ Cashier Joel A. Aldea B.3.4, Support StaffiDesig. Processing Officer/Computer Encoder “Arnold G. SundayonTESDA-OP-CO-03-F02 Rev. No.00-03/08/17 ACCREDITATION OF ASSESSMENT CENTER SELF-ASSESSMENT CHECKLIST marked and maintained Name of Assessment | Center-Applicant PROVINCIAL TRAINING rer SURALLAH | Address Brgy. Centrala, Surallah, South Cotabato 09084254 | Email Contact Number 243 adress picelralian@tesda toy) ph Title of Qualification Applied for MASONRY NC I Date Accomplished A. PHYSICAL STRUCTURE Rue Quantity en Required Existing enacts A.1 Location and Area AAA. Accessibility ‘Accessible to public transport rz A1.2. Assessment area Minimum area provided to | Permits ample workplace for ‘4 | candidates ‘A.2. Lighting and Ventilation ‘2.1. Assessment room or ] Well lighted (30 — 40 Foot T laboratories | Candie) 2 ‘A.2.2. Air conditioning unit | Optional o A23. Blowersifans | Quantity shall be according to | | the size of the room Z A.3 Auxiliary Room 3.1. Storeroom ‘Storeroom for tools, materials (shelves properly labeled) | Bins/racks for critical 2 materials ‘A3.2. Room for performance __| Must be able to assessment accommodate at least 10 es candidates! batch ‘A3.3 Orientation Room / Holding | Must be able to Area accommodate at least 10 2 candidates! batch ‘A34. Chairs and tables z ‘A3.5. Comfort rooms Clean and functional = ‘Separate for male and fervale e Located at convenient part of | the building ‘A4. Assessment Equipment, Hand tools, Supplies, Materials ‘A4.1. Equipment Tn accordance with the list in 2 the Competency Assessment ieee ‘Tools ofthe Quaifcaton 2 ‘43. Supplies, materials applied for AS. Safety Provisions ae ‘5.1. Medicine cabinet ‘With frst aid kit and other S medical paraphernalia ‘5.2. Open floor spaces | Entrances and exits are