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COMPETENCY
ASSESSMENT
Name of Competency
Assessment Center:
Date of Assessment:
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
CANDIDATES NAME
Signature
Assessment
Results
Assessor/s:
TESDA Representative:
Signature over Printed Name
Accreditation Number:
________________________________
Signature over Printed Name
Accreditation
Number:_______________
______________________________
Signature over Printed Name
CAC Manager:
______________________________
Signature over Printed Name
Interview
Witten Test
Unit of Competency:
Qualification:
Date of Assessment
Time of Assessment
Instructions for demonstration
Work Area
YES
NO
N/A
Oral Questioning
Questions:
The candidate should answer the following
questions:
Satisfactory Response
YES
Satisfactory
NO
Not Satisfactory
Satisfactory
response
YES
NO
questions
Feedback to candidate:
Not Satisfactory
Candidate Signature:
Date:
Assessor Signature:
Date:
Can I?
YES
NO
Date
TRAINEES NAME
FACILITATORS NAME
QUALIFICATION
DATE OF EVALUATION
TIME OF EVALUATION
THE PERFORMANCE OF THE TRAINEE IN
THE FOLLOWING ASSESSMENT METHODS
[PLEASE TICK APPROPRIATE BOX]
A. WRITTEN EXAM.
B. INTERVIEW
C. DEMONSTRATION
DID THE TRAINEES OVERALL
PERFORMANCE MEET THE REQUIRED
EVIDENCES/STANDARDS?
NOT
SATISFACTORY SATISFACTORY
TRAINEES SIGNATURE:
DATE:
FACILITATORS SIGNATURE:
DATE:
COMMON UNITS
CORE UNITS
YES
Have the context and purpose of assessment been
explained?
Have the qualification and units of competency
been explained?
Do you understand the assessment procedure and
evidence to be collected?
Have your rights and appeal system been
explained?
Have you discussed any special needs to be
considered during assessment?
I agree to undertake assessment in the knowledge that
information gathered will only be used for professional
development purposes and can only be accessed by concerned
assessment personnel and my manager/supervisor.
Candidates Signature:
Date:
Assessors Signature:
Date:
NO
Title of Qualification /
Cluster of Units of
Competency
ANIMATION NC II
Assessment Center:
Date:
1.
Satisfactory
Not Satisfactory
Assessment Method
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
Recommendation:
For submission of
additional documents
Specify: _______________
______________________
Competent
YES
NO
Candidates signature:
Date:
Assessors signature:
Date:
Date:
Date:
Date:
Assessment Results:
Recommendation:
Assessed by:
Date:
Competent
_____________________________
Name and Signature
For submission of
additional documents
Specify:
Attested by:
__________________________
Name and Signature
Date:
APPLICATION FORM
REFERENCE
NUMBER:
Pictures; 3pcs.,
colored,
passport
size,
(3.5 cm x 4.5 cm
with head size
ranging from 27
mm to 31 mm;
white
background,
with collar; and
Number
Series
TT
Regio Provinc Number
n
e
Series
To beAssigned
filled to
out by the Processing
Officer
_______________
Applicants Signature
_____________
Date
Full Qualification
1.
COC
Client Type
TVET Graduating
SCEP
Industry
TVET
2. Profile
2.1. Name:
SURNAM
E
FIRSTNA
ME
MIDDLE
NAME
2.2 Mailing
Address
Number,
2.6. Civil
Status
Male
Single
Female
Married
3.
Mon
th
Day
2.7. Contact
Number(s)
2.8. Highest
Educational
Elementary
dfdfAttainment
District
Region
Tel: ______________
Mobile :
______________
E-mail :
______________
Fax : ______________
Others ;
______________
Year
2.11.
Zip Code
2.9. Employment
Status
Graduated
Separat
ed
Birth Date:
Province
City/Municipal
Widow/e
2.
1
0.
Barangay
Casual
HS
Graduate
TVET
Contractual
Job Order
Graduate
College
TVET
Level
Graduate
College
Probationary
Graduate
Others:
_________
Self -
Permanent
OFW
2.1
1
Birth
place:
Ag
e
Name of Company
Positi
on
Inclusive
Dates
Monthly
Salary
Status of
Appointment
4.2.
Venue
4.3
Inclusive Dates
4.4. No. Of
Hours
5.2.
Year
Taken
5.3.
Examination
Venue
5.4.
Rating
5.5.
Remarks
5.6.
Expiry Date
6.4.
Certificate
Number
6.5.
Date of Issuance
6.6.
Expiration
Date
6.2.
Qualificat
ion Title
6.3.
Industry
Sector
ADMISSION SLIP
REFERENCE
NUMBER:
Name of Applicant:
Tel. Number:
Remarks:
Assessment Date;
Assessment Time:
_____________________________________
________________________________________
Printed Name & Signature of Applicant
Date:
Pictures; 3pcs.,
colored,
passport
size,
(3.5 cm x 4.5 cm
with head size
ranging from 27
mm to 31 mm;
white
background,
with collar; and