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Candidate’s Name:
Assessor’s Name:
Title of Qualification /
Cluster of Units of ELECTRICAL INSTALLATION & MAINTENANCE NC II
Competency
Assessment Center: Date:
The performance of the candidate in the following unit(s) of
competency and corresponding methods
Satisfactory Not Satisfactory
Units of Competency
CANDIDATE’S COPY (Please present this form when you claim your NC/COC)
Assessed
_____________________________ Attested by: __________________________
by:
Name and Signature Name and Signature
Date: Date: