TESDA-OP-CO-01-F03

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

BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Purok 5, San Quintin, Alfonso Lista, Ifugao
Email Address: Jbatlac@gmail.com
Contact Numbers: 09269615438/09850464182

LETTER OF INTENT

August 29, 2024

VICTOR P. BRIOSO
Provincial Director
TESDA-Ifugao, Provincial Office
Rock Quarry Street, Población East
Awao, Lagawe, Ifugao

Dear Sir:

We would like to express our intention to apply for program registration for the following qualification(s):
Qualification Training Duration
(No. of Hours)

1. Agroentreprenuership NC II 239 hours

Enclosed are the required documents.

We hope for your immediate action on this application.

Very truly yours,

JANEBEVE D. BAYAWON
Processing Officer

Attachments: (As indicated in the Program Registration Checklist)

1. Letter of Intent
2. Board resolution
3. SEC certificate
4. Article of Incorporation
5. Proof of Building Ownership
6. Fire safety certificate
7. By laws
8. Competency based curriculum
9. List of tool, equipment, and consumable/material
10. List of instructional material
11. List of physical facilities and off-campus physical facilities
12. Shop layout of training facilities
13. List of officials
14. List of trainers
15. List of non-teaching staff
16. Program fees
17. Documented grading system
18. Entry requirement
19. Rules of attendance
20. Health services
21. Job linkaging and networking services
22. Institutional assessment tool
 TESDA-OP-CO-01-F04
(Rev.No.00-03/08/17)

Program Registration Requirement Checklist

(For Institution-based Programs)

Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant
Remarks
Yes No
1. CORPORATE AND ADMINISTRATIVE
DOCUMENTS
a) Letter of Application/Intent (TESDA-OP-CO-
F03)
b) Board Resolution/Academic Council Resolu-
tion to offer the program signed by the Board
Secretary and attested by the Chairperson
(SUCs, LCUs, and private institutions) Board
Resolution/Academic Council Resolu-
tion must specifically cover the training deliv-
ery site)
c) Special law creating the institution (for pub-
lic institution) e.g. Republic Act, Executive
Order, Sanggunian Resolutions)
d) Securities and Exchange Commission (SEC)
Registration for private institutions
e) Articles of Incorporation (indicate main ad-
dress)
f) Proof of building Ownership or contract
of lease (covering at least two years) upon
application for new program. For suc-
ceeding application a valid contract of lease
g) Current Fire Safety Certificate (train-
ing site)
h) For Institutions that will branch out

Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
The Articles of Incorporation & Bylaws must
state reasons for opening of the branch. The
Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.
Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
Articles of Incorporation signed by majority of
the Incorporators must be notarized and re-
ceived by SEC
2. CURRICULAR REQUIREMENTS
a) Competency-based Curriculum (TESDA-OP-
CO-01-F11) indicating the qualification be-
ing addressed and the competencies to be
developed
a.1 Course Design
a.2 Modules of Instruction
b) List of Equipment (TESDA-OP-CO-01-F13),
Tools (TESDA-OP-CO-01-F14) and Consum-
ables/Materials (TESDA-OP-CO-01-F15) nec-
essary to deliver the program
c) List of instructional materials (TESDA-OP-CO-
01-F16) (such as reference materials, slides,
video tapes, internet access and library re-
source necessary to deliver the program
d) List of Physical Facilities (TESDA-OP-CO-
01-F17) and List of Off-Campus Physical Fa-
cilities TESDA-OP-CO-01-F18)
e) Shop layout of training facilities indi-
cating the floor area
f) Institutional Assessment
Note: Actual Assessment Tools should be
shown during inspection
3. FACULTY AND PERSONNEL
a) List of Officials (TESDA-OP-CO-01-F19)

Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
b) List of Trainers (TESDA-OP-CO-01-F20) with
their qualifications, areas of expertise, and
courses/seminars attended with sup-
porting evidence available, such as relevant
NTTC/trainer qualification certificates and cer-
Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.
Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
tification of employment. For NTR programs,
copy of Training Certificate on Trainers
Methodology I or other Trainer Methodology
Certificates, and evidence of special-
ization of the trainer of the program. A
certified true copy of notarized contract
of employment by the applicant TVI is re-
quired.
c) List of Non-Teaching Staff (TESDA-
OP-CO-01-F21) with their quali -
fications with supporting evidences
available, such as copies of certificates/con-
tracts of employment, etc.
4. PROGRAM GUIDELINES
a) Program fees, with breakdown of tuition
and other fees and schedule of fee payment
duly signed by the school head indicating the
effectivity of school year
b) Documented grading system, details of which
are provided to students/ trainees at the start
of their program
c) Entry requirements for the program comply
with the relevant training regulations
if applicable

Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
d) Rules on attendance

5. SUPPORT SERVICES
a) Health services are available to the
students/trainees. If these services are con-
tracted out or out-sourced, the contract
or MOA or similar documents must be submit-
ted.
b) Job Linkaging and Networking Services (JLNS)
Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.
Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
which include Career Services and Employ-
ment Facilitation available to students/
trainees/TVET graduates (reference: Section
IV, letter A – Delivery Platforms of JLNS
Nos. 1-4 of the TESDA Circular No. 38, series
of 2016)
c) Community outreach program – op-
tional
d) Research program, activities that will support
continuing development of the program of the
school – optional
6. Additional Requirements for DTS/DTP Applicants
a) Application Letter of the TVI and the Es-
tablishment
b) Accomplished Application form for TVI and for
Establishment
c) Photocopy of TVI’s CTPR
d) Photocopy of Establishment SEC
Registration
e) Memorandum of Agreement with partner
Establishment/s
f) Training Plan (DTS Form 5)
g) Certification issued by the TVI desig-
nating the Industrial Coordinator

Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.

Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
h) Certification issued by the company
designating the In-plant Trainer

Forms – refer to TESDA Circular No. 31 Series

2012 - Guidelines in Implementing the Dual Training
System (DTS) Programs and Dualized Training Pro-
grams (DTP)
 Name of TVI BAYAWON’S AGRI-TOURISM LEARNING AND ASSESSMENT CENTER INC.
Address San Quintin, Alfonso Lista, Ifugao Tel/Fax No.:
PEST AND NUTRIENT MANAGEMENT (RICE) LEVEL III
Program Applied
Duration: (in hrs.): 64 Hours
No. of trainees per batch: 15-25 trainees
Training Capacity
No. of batches per year: 3-4 batches
Program Registration Requirements
Compliant Remarks
7. Requirements for Mobile Training Application

a) Copy of CTPR of the registered insti-

tution-based program
b) Copy of the approved program
registration documents
c) LTO Registration of the prime mover of the
MBC ( for delivered in a self contained
van)
d) Design/lay-out of the MBC
Reference: TESDA Circular No. 27 Series of 2009 Op-
erational Polices in the Registration of Mobile Training
Classrooms, Park and Training Programs (MBC-MTP)
and TESDA Order 28 Series in 2012 – Addendum and
Amendments to the Guidelines and Registration
of Mobile Training Program (MTP)
(Note: Erasure is not allowed on the submitted checklist of requirements)
General Comments/Remarks:

Prepared by: Noted by:

MARIFI T. BADUA VICTOR P. BRIOSO

PO UTPRAS Focal Person Provincial Director
Date: Date:

TESDA-OP-CO-00-F05
(Rev.No.00-03/08/17)

Program Registration Requirement Checklist

(Company/Enterprise-based Programs)
Name of Company
Address Tel/Fax No.:
Program Applied Duration: (in hrs.)
No. of Trainees per batch:
Training Capacity
No. of Batches per year:
Program Registration Requirements
Compliant
Program Registration Requirements Remarks
Yes No
1. CORPORATE AND ADMINISTRATIVE
DOCUMENTS
a) Letter of Application/Intent (TESDA-OP-
CO-F01)
b) Securities and Exchange Commis-
sion (SEC) Registration for Corporation.
For sole proprietorship, a DTI Regis-
tration is required.
c) Proof of building ownership or con-
tract of lease (covering at least two
years) upon application for new program.
For succeeding application a valid con-
tract of lease)
d) Current Fire Safety Certificate
(training site)
2. CURRICULAR REQUIREMENTS
a) Competency-based Curriculum
(TESDA-OP- CO-01-F08) indi-
cating the qualification being ad-
dressed and the competencies to be
developed
a.1 Course Design
a.2 Modules of Instruction
b) List of Equipment (TESDA-OP-CO-01-
F13), Tools (TESDA-OP-CO-01-F14),
and Consumables (TESDA-OP-CO-01-
F15) necessary to deliver the pro-
gram

Name of Company
Address Tel/Fax No.:
Program Applied Duration: (in hrs.)
No. of Trainees per batch:
Training Capacity
No. of Batches per year:
Program Registration Requirements
Program Registration Requirements Compliant Remarks
c) List of Physical Facilities (TESDA-
OP-CO-01-F17) and List of Off-Campus
Physical Facilities TESDA-OP-CO-01-
F18) indicating floor area
d) Shop layout of training facilities in-
dicating the floor area
3. Trainer/HRD Personnel
 Name of Company
Address Tel/Fax No.:
Program Applied Duration: (in hrs.)
No. of Trainees per batch:
Training Capacity
No. of Batches per year:
Program Registration Requirements
Program Registration Requirements Compliant Remarks
a) List of Trainers (TESDA-OP-CO-01-F20)
with their qualifications, areas of exper-
tise, and courses/seminars attended
with supporting evidence available,
such as relevant NTTC/trainer qualifica-
tion certificates and certification of em-
ployment.)

(Note: Erasure is not allowed on the submitted checklist of requirements)

General Comments/Remarks:

Prepared by: Noted by:

PO UTPRAS Focal Person Provincial Director

Date: Date:

TESDA-OP CO-01-F11
(Rev.No.00-03/08/17)

COMPETENCY-BASED CURRICULUM

A. Course Design

Course Title: Agricultural Crops Production

Nominal Duration: 336 hours
Qualification Level: NC II

Course Description: This course is designed to enhance the knowledge, desirable at-
titudes and skills of performing nursery operations, planting
crops, caring and maintaining crops and carrying-out harvest
and post-harvest operations. It also includes competencies in
workplace communication, teamwork, safety in the use of hand
 tools and equipment, housekeeping and processing of farm
wastes.

Trainee Entry Requirements:

 Able to read and write;
 With good moral character; 
 Ability to communicate, both oral and written; and

Course Structure
Basic Competencies
No. of Hours: (_____)
Unit of Compe- Module Title Learning Out- Nominal
tency comes Duration
1. Participate in
workplace
communication
2. Work in a team
environment
3. Solving and
Addressing General
Workplace Problems
4. Developing Career
and Life Decisions
5. Contributing to
Workplace Innovation
6. Presenting
Relevant Information
7. Practicing
Occupational Safety
and Health Policies
and Procedures
8. Exercising Efficient
and Effective
Sustainable Practices
in the Workplace
9. Practicing
Entrepreneurial Skills
in the Workplace

Common Competencies
No. of Hours: (_____)
Unit of Compe- Module Title Learning Out- Nominal
tency comes Duration

Core Competencies
No. of Hours:(_____)
Unit of Competency Module Title Learning Out- Nominal
comes Duration
 Elective Competencies ( if any)
No. of Hours: (_____)
Unit of Competency Module Title Learning Nominal
Outcomes Duration

Assessment Methods: __________________________________________

___________________________________________
___________________________________________

Course Delivery: ___________________________________________

___________________________________________
___________________________________________

Resources:

(List of recommended tools, equipment and materials for the training of

(no. of trainees) trainees for (title of program/qualification).

Qty. Tools Qty. Equipment Qty. Materials

Facilities: _____________________________________________
_____________________________________________
_____________________________________________
Qualification of _____________________________________________
Instructors/Trainers: _____________________________________________
_____________________________________________

B. Modules of Instruction

Basic Competencies : _____________________________________________

Unit of Competency : _____________________________________________
Modules Title: _____________________________________________
Module Descriptor: _____________________________________________
Nominal Duration: _____________________________________________
Summary of Learning Outcomes:
LO1. ____________________________________________________________
LO2. ____________________________________________________________
LO3. ____________________________________________________________

Details of Learning Outcomes:

LO1 . ____________________________________________________________

Assessment Contents Conditions Methodologies Assessment

Criteria Methods
LO2 . ____________________________________________________________

Assessment Contents Conditions Methodologies Assessment

Criteria Methods

LO3 . ____________________________________________________________

Assessment Contents Conditions Methodologies Assessment

Criteria Methods

(Note: Copy format for modules of instructions for Common and Core Competencies)
 TESDA-OP-CO -01-F13
(Rev.No.00-03/08/17)

LIST OF EQUIPMENT
(As listed in the respective TR)

Program:
Name of Institution/Company:

Name of Specification Quantity Quantity Difference Inspector’s

Equipment Required on Site Remarks
(1) (2) (3) (4) (5) (6)

Note: Columns 1-4 to be filled out by Institution/Company; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-C
O 01-F14 (Rev.No.00-03/08/17)

LIST OF TOOLS
(As listed in the respective TR)

Program:
Name of TVI/Company:

Name of Specification Quantity Quantity Differ- Inspector’s

Tools Re- on Site ence Remarks
(1) (2) quired (4) (6)
(3) (5)

Note: Columns 1-4 to be filled out by Institution/Company; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F15
(Rev.No.00-03/08/17)

LIST OF CONSUMABLES/MATERIALS
(As listed in the respective TR)

Program:
Name of TVI/Company:

List of Specification Quantity Quantity Difference Inspectors

Consumables/ Required on Site (5) Remarks
Materials (2) (3) (4) (6)
(1)

Note: Columns 1-4 to be filled out by Institution; Columns 5-6 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO -01-F16
(Rev.No.00-03/08/17)

LIST OF INSTRUCTIONAL MATERIALS/LIBRARY HOLDINGS

Program:
Name of TVI:

Title Classification* Date of No. of Copies Inspector’s

Publication (where applicable) Remarks

Note *Classify whether journal, book, magazine, electronic materials available on electronic media
or in the internet, etc.
Columns 1-4 to be filled out by Institution/Company; Column 5 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F17
(Rev.No.00-03/08/17)

LIST OF PHYSICAL FACILITIES

(As listed in the respective TR)

Program:
Name of TVI/Company:

Facility Description Quantity Inspector’s Remarks

Note: Columns 1-3 to be filled out by Institution/Company; Column 4 to be filled out by PO/Expert
Continue in additional sheet

Submitted by: Attested by:

TVI/company Representative TVI/Company Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F18
(Rev.No.00-03/08/17)

LIST OF OFF-CAMPUS PHYSICAL FACILITIES

Program:
Name of TVI/Company:

Facility Description Quantity Inspector’s Remarks

Note: Columns 1-4 to be filled out by Institution/Company

Continue in additional sheet

Submitted by: Attested by:

TVI/Company Representative TVI/Company Head

Date: Date:
Inspected by:
PO UTPRAS Focal Person Expert
Date: Date:
 TESDA-OP-CO-01-F19
(Rev.No.00-03/08/17)

LIST OF OFFICIALS

Program:
Name of Institution:
Contact Details
Name Position (Address) Contact No. Email Address Nature of Educational
Appointment Attainment

Note: Columns 1-5 to be filled out by Institution

Continue in additional sheet

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date:
 TESDA-OP-CO-01-F20
(Rev.No.00-03/08/17)
(

LIST OF TRAINERS

Program:
Name of Institution/Company:
Name Position Nature of Educational No. of No. of Years of Trainer’s
Appointment Attainment Years of Industry Experience Qualification
Teaching Relevant to the
Experience Qualification
(with Certificate of Em- NTTC*
Validity
ployment), if ap- Number
plicable

Note: For NTR Title of Trainers Training or other licenses/certificates

Columns 1-8 to be filled out by Institution/Company
Continue in additional sheet
Submitted by: Attested by:

TVI/Company Representative TVI/Head Representative

Date: Date:
Inspected by:
PO UTPRAS Focal Person Expert
Date: Date:
 TESDA-OP-CO-01-F21
(Rev.No.00-03/08/17)

LIST OF NON-TEACHING STAFF

Program:
Name of Institution:

Experience
Nature of Educational
Name Position Related to
Appointment Attainment
Position

Note: Columns 1-5 to be filled out by Institution

Continue in additional sheet

Submitted by: Attested by:

TVI Representative TVI Head

Date: Date:
Inspected by:

PO UTPRAS Focal Person Expert

Date: Date: