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Occupational Code 315101002 Occupational Qualification Document Qualification Title National Occupational Certificate: Marine Engineer (Electro-Technical Officer) NQF Level 5 Name Email Phone Logo Development Quality Partner Transport Education Training Authority victor@teta. org.za 021 531-3064 Assessment Quality Partner South African Maritime Safety Authority amulaudzi@ samsa.org.z a 012 366 2600 DQP Representative Signature Date Qualification Template for LQDF Page 1 of 12

QUALIFICATION DETAILS Qualification Title: Occupational Certificate: Marine Engineer (Electro-Technical Officer) Occupational Code: 315101 Curriculum Code: 315101002 Quality Assuring Body: Quality Council for Trades and Occupations (QCTO) Sub Framework: Occupational Qualifications Sub-Framework Field: Field 01 - Services Subfield: Transport, Operations and Logistics NQF Level: 5 Credits: 390 Originator/Development Quality Partner (DQP): Transport Education and Training Authority Originating Provider/Assessment Quality Partner (AQP): South African Maritime Safety Authority Qualification Type: Occupational Certificate Registered qualifications and or learning programmes to be replaced: None RATIONALE The standards of training and certification regarding Electro-Technical Officers (ETOs) established in the new edition of the STCW Convention and Code are the first international standards for electro-technical personnel in history. Development of study programmes for ETOs is one of the most important current tasks for maritime education and training institutions. Standards established in the new edition of the STCW Convention and Code regarding ETOs include requirements for one level of ETOs qualification. These standards should be accepted as minimum standards only. These standards do not cover a range of competencies that are necessary in modern marine engineering and do not take into account that the competencies of management level appear when vessels with powerful and complex electric power plants are maintained by electro-technical groups that might include a few ETOs. Analysis of modern and nearest future needs shows us that a minimum of two levels of qualifications (ranks) for ETOs are required. A number of countries have been supporting the idea of two-level standards for ETOs during the process of comprehensive review of the STCW Convention and Code. The first level of ETOs qualification should correspond to the standards of competence for ETOs at operational levels that are presented in the Section A-111/6 of the STCW Code. The second level of ETOs qualification must ensure the next level of knowledge, understanding and proficiency in the field of work, and the next level of problem solving abilities, communication skills, autonomy and responsibility. The Manila amendments to the Annex to the International Convention on Standard of Training, Certification and Watchkeeping for Seafarers (STCW Convention) and to the Seafarers' Training, Certification and Watchkeeping Code (STCW Code) entered into force 1 January 2012 [l]. One of the most important amendments to the STCW Convention and the STCW Code was the introduction of the standards of training and certification for electro-technical personnel [2]. The necessity of the inclusion of such standards into the STCW Convention and the STCW Code was predetermined by the rapid development of electro- and electronic technologies during the last decades and the wide use of the above technologies in maritime engineering. The new edition of the STCW Convention and STCW Code includes standards regarding electrotechnical officers (Regulation III/6 of the STCW Convention and Sections A-III/6 and B-III/6 of the Qualification Template for LQDF Page 2 of 12

STCW Code) and Electro-technical ratings (Regulation III/7 of the STCW Convention and Section A-III/7 of the STCW Code). Prior to the adoption of the above standards, the unified requirements of the competence and the level of responsibility of the electro-technical personnel were not established. Different countries and different maritime higher educational institutions trained ship electro-technical specialists in accordance with their national requirements. Besides, different shipping companies provided positions differently named and having different duties (Electrician, Electrical Engineer, Electrical Officer, Electronic Officer, etc.). In some cases, the principal attention was devoted to the electrical power plants and distribution of electricity, electrical drives and so on. In the others, the focus was on the electronic and control engineering. Different approaches to the duties of electro-technical personnel and to the development of the associated training programmes before the adoption of the Manila Amendments were reflected during the process of the comprehensive review of the STCW Convention and the STCW Code. For instance, the proposals to include new definitions into the STCW Convention and work out the related standards regarding Electrical officer and Electronic officer, Electro-technical officer and Senior electro-technical officer were submitted. As a result of lengthy discussions and the resulting convergence of the delegations' positions, the standards regarding Electro-technical officer were adopted. After the Manila Amendments have entered into force, the training of electro-technical personnel should be provided in compliance with the adopted standards. The specification of minimum standards of competence for electro-technical officer as presented in the Table A-III/6 of the STCW Code requires knowledge, understanding and proficiency in the subject areas of mechanical engineering, electro-technology, hi-voltage technology, electronics, control engineering, computing and data processing and communication technology. It is evident that the area of competence of electro-technical officer covers a wide range of engineering and technology and requires the realization of the specific educational and training programmes, which may be classified as educational and training programmes in Combined Technology. The standards regarding electro technical officers in the STCW Convention and the STCW Code established only one level of ETOs' qualification and responsibility - operational level. The standards established in Regulation III/6 of the STCW Convention and Sections A-III/6 and B-III/6 of the STCW Code should be accepted as minimum standards only. These standards do not cover a range of competencies that are necessary in modern marine engineering and do not take into account the situations when competencies of management level are required. This National Occupational Certificate at NQF level 6 resulted from an identified industry and employer need and represents a step in the established sub-field learning pathway. The typical learners for this qualification will include: Ship s Electricians Electricians Electrical Officers Electronic Officers Qualification Template for LQDF Page 3 of 12

PURPOSE The purpose of this qualification is to prepare a learner to operate as an Electro Technical Officer An Electro Technical Officer arranges the competent and qualitative operation and maintenance of the electronics and control -, computer and info-communication systems on board ship in an operational and supportive role. A qualified learner will be able to: 1. Complete marine electro-technical (electrical, electronic and control engineering) duties (Level 5) 2. Perform marine electro-technical maintenance and repair duties (Level 5) 3. Perform safe ship board operations duties and care for persons on board at an operational and support level (Level 4) 4. Engage internal and external human resources at operational and support level (Level 4) 5. Manage and execute security duties and contingency plans (Level 3) RULES OF COMBINATION This qualification is made up of the following compulsory Knowledge and Practical Skill Modules: Knowledge Modules: 315101002-KM-01, Personnel Management and Ships Master Business (GOP 531.11 Module 1-4), NQF Level 5, Learning Contract Time 10 days (Credits: 6) 315101002-KM-02, Engineering Knowledge (GOP 532.05 Module 1), NQF Level 5, Learning Contract Time 20 days (Credits: 24) 315101002-KM-03, Electro-technology Intermediate N6, (GOP 532.04), NQF Level 5, Learning Contract Time 15 days (Credits: 16) 315101002-KM-04, Mathematics N6, NQF Level 5, Learning Contract Time 36 days (Credits: 22) 315101002-KM-05, Engineering Drawing (GOP 532.03), NQF Level 3, Learning Contract Time 10 days (Credits: 6) 315101002-KM-06, General Engineering Science/Applied Mechanics, NQF Level 3, Learning Contract Time 10 days (Credits: 6) 315101002-KM-07, Industrial Electronics N6, NQF Level 5, Learning Contract Time 36 days (Credits: 22) 315101002-KM-08, Digital Electronics N6 (including Data Processing and Computer Networks), NQF Level 5, Learning Contract Time: 36 days, (Credits: 22) 315101002-KM-09, Control Systems N6, NQF Level 5, Learning Contract Time 10 days (Credits: 6) 315101002-KM-10, Fundamentals of Communications, NQF Level 3, Learning Contract Time 2 days, (Credits: 2) ** ETR only 315101002-KM-11, High Voltage Training, NQF Level 5, Learning Contract Time 3 days, (Credits: 2) 315101002-KM-12, Global Maritime Distress Satellite System(GMDSS), NQF Level 5, Learning Contract Time 10 days, (Credits: 6) 315101002-KM-13, Proficiency in Survival Craft and Rescue Boats, NQF Level 4, Learning Contract Time 4 days (Credits: 4) 315101002-KM-14, Personal Survival Techniques, NQF Level 4, Learning Contract Time 2 days (Credits: 2) 315101002-KM-15, Personal Safety and Social Responsibilities, NQF Level 4, Learning Contract Time 2 days (Credits: 2) Qualification Template for LQDF Page 4 of 12

315101002-KM-16, Medical First Aid, NQF Level 4, Learning Contract Time 3 days (Credits: 2) 315101002-KM-17, Fire Prevention and Firefighting, NQF Level 3, Learning Contract Time 3 days (Credits: 2) 315101002-KM-18, Advanced Firefighting, NQF Level 4, Learning Contract Time 3 days (Credits: 2) ** ETO Only 315101002-KM-19, Designated Security Duties, NQF Level 3, Learning Contract Time 2 days (Credits: 2) 315101002-KM-20, Electro-technology Fundamentals N4, (GOP 532.04), NQF Level 4, Learning Contract Time 15 days (Credits: 16) 315101002-KM-21, Mathematics N4, NQF Level 3, Learning Contract Time 36 days (Credits: 22) 315101002-KM-22, Industrial Electronics N4, NQF Level 4, Learning Contract Time 36 days (Credits: 22) Total number of credits for Knowledge Modules: 216 (102+114) Practical Skill Modules: 315101002-PM-01, Monitor the operation of electrical and electronic ship board systems, NQF Level 5, Credits: 10 315101002-PM-02, Manage the operation of generators and distribution systems for shipboard electricity reticulation, NQF Level 5, Credits: 15 315101002-PM-03, Operate computers and computer networks on vessels for the control of systems, NQF Level 5, Credits: 10 315101002-PM-04, Manage the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices, NQF Level 5, Credits 15 315101002-PM-05, Manage the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery, NQF Level 5, Credits 10 315101002-PM-06, Maintain and repair bridge navigation equipment and ship communication systems as per Certificate of Competence endorsements, NQF Level 5, Credits 10 315101002-PM-07, Manage, lead and develop the human element, NQF Level 5, Credits: 6 315101002-PM-08, Contribute to the safety of personnel and ship, NQF Level 5, Credits: 2 315101002-PM-09, Assist with and control vessel security, NQF Level 5, Credits: 2 315101002-PM-10, Contribute to monitoring the operation of electrical and electronic ship board systems, NQF Level 5, Credits: 10 315101002-PM-11, Assist in the operation of generators and distribution systems for ship board electricity reticulation, NQF Level 5, Credits: 16 315101002-PM-12, Support with the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices, NQF Level 5, Credits: 25 315101002-PM-13, Assist with the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery, NQF Level 5, Credits: 20 Total number of credits for Practical Skill Modules: 151 Work Experience Modules: 315101002-WM-01: Policies and procedures around marine electrical, electronic and control engineering tasks at the operational level, NQF Level 5, Learning Contract Time 80 days (Credits: 48) 315101002-WM-02: Complying with maintenance and repair procedures at the operational level, NQF level 5, Learning Contract Time 80 days (Credits: 48) Qualification Template for LQDF Page 5 of 12

315101002-WM-03: Guidelines and procedures for controlling ship operation and care for persons on board at the operational level, NQF level 5, Learning Contract Time 80days (Credits: 48) 315101002-WM-04: Standard operating procedures followed when assisting with marine electrical, electronic and control engineering tasks, NQF Level 3, Learning Contract Time 80 days (Credits: 48) 315101002-WM-05: Adhering to maintenance and repair procedures at the support level, NQF Level 3, Learning Contract Time 80 days (Credits: 48) 315101002-WM-06: Procedures for assisting with ship operation and care for persons on board at the support level, Learning Contract Time 80 days (Credits: 48) Total number of credits for Work Experience Modules: 288 (144+144) ENTRY REQUIREMENTS The entry requirements are prescribed by the Merchant Shipping (Safe Manning Training and Certification) Regulations. Further to the above requirement, the learner must have a current approved SAMSA medical fitness and eye test certificate. A specific requirement for entry into the workplace component of the Marine Motorman Grade 2, is valid certification against the following ancillary courses: Personal Survival Techniques Personal Survival and Social Responsibility Medical First Aid Fire Prevention and Firefighting Safety Familiarisation EXIT LEVEL OUTCOMES AND ASSOCIATED ASSESSMENT CRITERIA Exit Level Outcome 1 The ability to control the operation, monitoring and evaluation of the performance of safe and efficient electrical and electronic systems and equipment (30%) Associated Assessment Criteria The operation of electrical and electronic ship board systems is monitored as part of a team. The safe operation of generators and distribution systems for ship board electricity reticulation is controlled. Computers and computer networks on vessels for the control of systems are operated. Assistance is provided in monitoring the operation of electrical and electronic ship board systems. Support is rendered in the operation of generators and distribution systems for ship board electricity reticulation. Corrective action is instituted. Engine room resource principles are applied. Exit Level Outcome 2 The ability to take appropriate action to prevent damage/failure as per planned maintenance procedures, marine practice, safety regulations and manufacturer's instructions (35%) Qualification Template for LQDF Page 6 of 12

Associated Assessment Criteria The maintenance and repair of electrical and electronic equipment is managed, including monitoring systems, automatic control devices and protective or safety devices. The maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery is managed. Some bridge navigation equipment and ship communication systems are maintained and repaired within the scope of the Certificate of Competence endorsements Support is provided with the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices Assistance is provided with the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery Exit Level Outcome 3 The ability to perform safe ship board operations duties and care for persons on board for at an operational and support level (15%) Associated Assessment Criteria Contribute to the safety of the ship and care for persons on board at an operational and support level. Emergency situations and damage are controlled. Operational and legislated records are maintained. Exit Level Outcome 4 The ability to manage, lead and develop the human element as per operational and legislative requirements (10%) Associated Assessment Criteria Service providers and / or personnel are managed Performance standards for human resources are determined Utilisation of human resources is optimised Continuous professional development plans are compiled Exit Level Outcome 5 The ability to exercise all required safety, environmental and hazard control precautions and procedures when overseeing the operation and performance evaluation of electrical, electronic and control systems. (10%) Associated Assessment Criteria Assistance is provided in developing security contingency plans Security procedures are implemented. INTERNATIONAL COMPARABILITY Qualification Template for LQDF Page 7 of 12

Shipping is a global business of great importance to international trade. The utilization of modern electronic and information systems and are increasingly required in the shipping industry. Many of the engineers in shipping have a qualification including electrical and electronics, but lack certain specializations or knowledge especially when it comes to advanced electronic control or computer systems and networks. This qualification will offer re-skilling and up-skilling of such people operating in a modern shipping environment. Learners will acquire the necessary knowledge and skills to manage, maintain and repair electrical and electronic as well as computer systems and networks. The international comparability study conducted specifically focused on identifying occupational standards or qualifications used in other countries that might contain indicators of best practice that could be used for comparison to or in the development of the Electro Technical Officer qualifications to be submitted for registration to the QCTO. The International Maritime Organisation and its member states (UK, Australia, and India) were selected as best practice as it was accepted as International standards The content, scope and duration of the qualification is uniform internationally. The Maritime profession is an area with globally recognised best practices, standards and Qualifications. This Qualification and set of Unit Standards utilises international and locally recognised best practice and standards. The data collection process included the following: International legislation and conventions An extensive Internet search focusing on the countries identified as best practice countries Follow-up by email to obtain more detailed information especially in relation to case studies Contacting professional and academic colleagues in target countries with direct involvement in the development or application of relevant vocational qualifications The international comparability study was done in various countries, such as New Zealand, United Kingdom, Iran, Australia, USA and South Africa. INTEGRATED ASSESSMENT Integrated formative assessment: The skills development provider will use the curriculum to guide them on the stipulated internal assessment criteria and weighting. They will also apply the scope of practical skills and applied knowledge as stipulated by the internal assessment criteria. This formative assessment leads to entrance into the integrated external summative assessment. Integrated summative assessment: An external integrated summative assessment, conducted through the relevant QCTO Assessment Quality Partner is required for the issuing of this qualification. The external integrated summative assessment will focus on the exit level outcomes and associated assessment criteria. RECOGNITION OF PRIOR LEARNING RPL for access to the external integrated summative assessment: Accredited providers and approved workplaces must apply the internal assessment criteria specified in the related Qualification Template for LQDF Page 8 of 12

curriculum document to establish and confirm prior learning. Accredited providers and workplaces must confirm prior learning by issuing a statement of result or certifying a work experience record. RPL for access to the qualification: Accredited providers and approved workplaces may recognise prior learning against the relevant access requirements. ARTICULATION Relation of this Curriculum to the Occupation and Qualification Progression: Learners entering this qualification will likely feed into the industry with a part qualification: Electro Technical Rating and / or a National Occupational Certificate: Electro Technical Officer. NOTES Qualifying for external assessment: In order to qualify for the external summative assessment learners must have a copy of a completed and signed Statement of Work Experience as well as proof of successful completion of the following subjects and modules or alternative programmes where applicable. Foundational learning competence is pre-requisite for the awarding of this qualification. Additional legal or physical entry requirements: There are no additional legal or physical entry requirements Criteria for the accreditation of providers Accreditation of providers will be done against the criteria as reflected in the relevant curriculum on the QCTO website. The curriculum title and code is: 315101002: Electro Technical Officer This qualification encompasses the following trades as recorded on the NLRD: This qualification is not a trade Part Qualifications 315101002#01: Electro Technical Officer 315101002#02: Electro Technical Rating Part Qualification 1: 315101002#01 Title: Electro Technical Officer Purpose: An Electro Technical Officer (ETO) manages, controls and participates in the safe operation, maintenance and repair of electrical and electronic equipment and machinery in an operational capacity on board a vessel, or performs related supporting functions on shore. Applicable Modules (Rules of Combination) Knowledge Modules: 315101002-KM-01, Personnel Management and Ships Master Business (GOP 531.11 Module 1-4), NQF Level 5, Learning Contract Time 10 days (Credits: 6) 315101002-KM-03, Electro-technology, (GOP 532.04), NQF Level 5, Learning Contract Time 15 days (Credits: 16) 315101002-KM-04, Mathematics N6, NQF Level 5, Learning Contract Time 36 days (Credits: 22) Qualification Template for LQDF Page 9 of 12

315101002-KM-07, Industrial Electronics N6, NQF Level 5, Learning Contract Time 36 days (Credits: 22) 315101002-KM-08, Digital Electronics N6 (including Data Processing and Computer Networks), NQF Level 5, Learning Contract Time: 36 days, (Credits: 22) 315101002-KM-09, Control Systems N6, NQF Level 5, Learning Contract Time 10 days (Credits: 6) 315101002-KM-12, GMDSS, NQF Level 5, Learning Contract Time 10 days, (Credits: 6) 315101002-KM-18, Advanced Firefighting, NQF Level 4, Learning Contract Time 3 days (Credits: 2) Total number of credits for Knowledge Modules: 102 Practical Skill Modules: 315101002-PM-01, Monitor the operation of electrical and electronic ship board systems, NQF Level 5, Credits: 10 315101002-PM-02, Manage the operation of generators and distribution systems for shipboard electricity reticulation, NQF Level 5, Credits: 15 315101002-PM-03, Operate computers and computer networks on vessels for the control of systems, NQF Level 5, Credits: 10 315101002-PM-04, Manage the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices, NQF Level 5, Credits 15 315101002-PM-05, Manage the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery, NQF Level 5, Credits 10 315101002-PM-06, Maintain and repair bridge navigation equipment and ship communication systems as per Certificate of Competence endorsements, NQF Level 5, Credits 10 315101002-PM-07, Manage, lead and develop the human element, NQF Level 5, Credits: 6 315101002-PM-08, Contribute to the safety of personnel and ship, NQF Level 5, Credits: 2 315101002-PM-09, Assist with and control vessel security, NQF Level 5, Credits: 2 315101002-PM-10, Contribute to monitoring the operation of electrical and electronic ship board systems, NQF Level 5, Credits: 10 315101002-PM-11, Assist in the operation of generators and distribution systems for ship board electricity reticulation, NQF Level 5, Credits: 16 315101002-PM-12, Support with the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices, NQF Level 5, Credits: 25 315101002-PM-13, Assist with the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery, NQF Level 5, Credits: 20 Total number of credits for Practical Skill Modules: 80 Work Experience Modules: 315101002-WM-01: Policies and procedures around marine electrical, electronic and control engineering tasks at the operational level, NQF Level 5, Learning Contract Time 80 days (Credits: 48) 315101002-WM-02: Complying with maintenance and repair procedures at the operational level, NQF level 5, Learning Contract Time 80 days (Credits: 48) 315101002-WM-03: Guidelines and procedures for controlling ship operation and care for persons on board at the operational level, NQF level 5, Learning Contract Time 80days (Credits: 48) Total number of credits for Work Experience Modules: 144 Qualification Template for LQDF Page 10 of 12

Part Qualification 2: 315101002#02 Title: Electro Technical Rating Purpose: An Electro Technical Rating (ETR) assists and participates in the safe operation, maintenance and repair of electrical and electronic equipment and machinery in a supporting capacity on board a vessel, or performs related supporting functions on shore. Applicable Modules (Rules of Combination) Knowledge Modules: 315101002-KM-02, Engineering Knowledge (GOP 532.05 Module 1), NQF Level 5, Learning Contract Time 20 days (Credits: 24) 315101002-KM-05, Engineering Drawing N3 (GOP 532.03), NQF Level 3, Learning Contract Time 10 days (Credits: 6) 315101002-KM-06, General Engineering Science/Applied Mechanics, NQF Level 3, Learning Contract Time 10 days (Credits: 6) 315101002-KM-10, Fundamentals of Communications, NQF Level 3, Learning Contract Time 2 days, (Credits: 2) 315101002-KM-11, High Voltage Training, NQF Level 5, Learning Contract Time 3 days, (Credits: 2) 315101002-KM-13, Proficiency in Survival Craft and Rescue Boats, NQF Level 4, Learning Contract Time 4 days (Credits: 4) 315101002-KM-14, Personal Survival Techniques, NQF Level 4, Learning Contract Time 2 days (Credits: 2) 315101002-KM-15, Personal Safety and Social Responsibilities, NQF Level 4, Learning Contract Time 2 days (Credits: 2) 315101002-KM-16, Medical First Aid, NQF Level 4, Learning Contract Time 3 days (Credits: 2) 315101002-KM-17, Fire Prevention and Firefighting, NQF Level 3, Learning Contract Time 3 days (Credits: 2) 315101002-KM-19, Designated Security Duties, NQF Level 3, Learning Contract Time 2 days (Credits: 2) 315101002-KM-20, Electro-technology Fundamentals N4, (GOP 532.04), NQF Level 4, Learning Contract Time 15 days (Credits: 16) 315101002-KM-21, Mathematics N4, NQF Level 3, Learning Contract Time 36 days (Credits: 22) 315101002-KM-22, Industrial Electronics N4, NQF Level 4, Learning Contract Time 36 days (Credits: 22) Total number of credits for Knowledge Modules: 114 Practical Skill Modules: 315101002-PM-08, Contribute to the safety of personnel and ship, NQF Level 5, Credits: 2 315101002-PM-09, Assist with and control vessel security, NQF Level 5, Credits: 2 315101002-PM-10, Contribute to monitoring the operation of electrical and electronic ship board systems, NQF Level 5, Credits: 10 315101002-PM-11, Assist in the operation of generators and distribution systems for ship board electricity reticulation, NQF Level 5, Credits: 16 315101002-PM-12, Support with the maintenance and repair of electrical and electronic equipment including monitoring systems, automatic control devices and protective or safety devices, NQF Level 5, Credits: 25 315101002-PM-13, Assist with the maintenance and repair of automation and control systems of the main propulsion and auxiliary machinery, NQF Level 5, Credits: 20 Qualification Template for LQDF Page 11 of 12

Total number of credits for Practical Skill Modules: 75 Work Experience Modules: 315101002-WM-04: Standard operating procedures followed when assisting with marine electrical, electronic and control engineering tasks, NQF Level 3, Learning Contract Time 80 days (Credits: 48) 315101002-WM-05: Adhering to maintenance and repair procedures at the support level, NQF Level 3, Learning Contract Time 80 days (Credits: 48) 315101002-WM-06: Procedures for assisting with ship operation and care for persons on board at the support level, Learning Contract Time 80 days (Credits: 48) Total number of credits for Work Experience Modules: 144 Qualification Template for LQDF Page 12 of 12