SBFP Form 1

Department of Education
Region XII

Philippine Program of Action for Nutrition (PPAN)

South Cotabato
Division/Province: ______________________________________ Rodolfo C. Cia
Name of Principal : ____________________________________
Tampakan
City/ Municipality/Barangay : ____________________________ Ginalyn N. Alingasa
Name of Feeding Focal Person : _________________________
Lambayong Elementary School
Name of School / School District : _________________________

BMI for
Date of Weighing / Age in Beneficiary of SBFP
Grade Date of Birth Weight Height 6 y.o. Nutritional 4Ps ID
No. Name Sex Measuring Years / Ethnicity Disability Name of Parents in Previous Years
Level (MM/DD/YYYY) (Kg) (m) and Status (NS) Number
(MM/DD/YYYY) Months (yes or no)
above

1 Cagas, Christian Kinder 12/1/2012 66 16.9 1.1 Normal Remedios no

M 6/8/2018 Cebuano
2 Carreon, James Kinder 2/26/2013 6/8/2018 63 16.3 1.02 Normal Mary Joy no
M Cebuano
3 Coy, Gabriel B. Kinder 7/1/2012 6/8/2018 71 15.3 1.1 Wasted Blaan Benito no
M
4 Chavez, Edrian Kinder 11/3/2012 6/8/2018 67 16 1.02 Normal Ilonggo Edgar no
M
5 Ducan, John Mark Kinder 5/23/2010 6/8/2018 8,0 17.5 1.185 12.40 Wasted Blaan Tony no
M
Severely
6 Edo, Jerome Kinder 2/25/2012 6/8/2018 6,3 14 1.11 11.30 Blaan Pelino no
M Wasted
7 Galila, Ricksan Kinder 12/27/2012 6/8/2018 65 13.8 0.98 Wasted Blaan Elena no
M
8 Galila, Ryan Jay
M
Kinder 9-28-2011 6/8/2018 6,8 18.6 1.112 15.00 Normal Blaan Jucelyn no
9 Magon, Gerald
M
Kinder 11-17-2011 6/8/2018 6,6 14.3 1.03 13.40 Normal Blaan Melba no
10 Magon, Jun Rey
M
Kinder 8-16-2012 6/8/2018 69 14 1.05 Wasted Blaan Jun no
11 Magon, Lorince Kinder 9/21/2012 6/8/2018 68 15.6 1.035 Normal Blaan Mylene no
M
12 Lagunsay, Jhon Rey M. Kinder 10/23/2012 6/8/2018 67 15.2 1.12 Normal Cebuano Rey no
M
Severely
13 Pilay, Jestoni Jr., A. Kinder 12/25/2012 6/8/2018 65 13 0.96 Blaan Jestoni no
M Wasted
14 Rabaca, Christian Kinder 5/29/2013 6/8/2018 60 16.5 1.045 Normal Cebuano Mary Joy no
M
15 Ruaya, Nico O. Kinder 4/29/2012 6/8/2018 6,1 15 1.08 12.80 Wasted Cebuano Chona no
M
16 Ruaya, Niel O. Kinder 4/29/2012 6/8/2018 6,1 14 1.07 12.20 Wasted Cebuano Chona no
M
17 Saromines, Vhon Lester
M
Kinder 9/20/2012 6/8/2018 68 19.1 1.13 Normal Cebuano Dexter no
18 Sawalda, A.Haris Lloyd Kinder 9/10/2012 6/8/2018 68 16.5 1.08 Normal Blaan Sandy John no
M
19 Sumanday, Jerome Kinder 5/25/2012 6/8/2018 6,0 15.6 1.07 13.60 Normal Blaan Loreto no
M
20 Tabano, Jade Kinder 4/21/2013 6/8/2018 61 15.8 1.11 Normal Ilonggo Darlyn no
M
21 Tumiklang, Eric Kinder 9/5/2012 6/8/2018 69 14 1.02 Wasted Kaulo Eric no
M
22 Amorio, Michilloc Kinder 10/11/2012 6/8/2018 67 18.5 1.04 Normal Cebuano Bonifacio no
M
 23 Cantonao, Jhon Lloyd Kinder 11/26/2012 6/8/2018 66 15 1.04 Normal Cebuano Roger no
M
Severely
24 Chavez, Ivan Riel Kinder 2/20/2013 6/8/2018 63 12.7 0.99 Ilonggo no
M Wasted Ariel
25 Coy, Alexander C. Kinder 9/5/2012 6/8/2018 69 15.3 1.05 Wasted Blaan Alfred no
M
26 Degoma, Niel Jay B. Kinder 1/27/2013 6/8/2018 64 14 1.02 Wasted Ilonggo Ariel no
M
27 Man, Jay-m M. Kinder 1/24/2013 6/8/2018 64 15 1.04 Normal Blaan Jomar no
M
28 Malayon, Ruben Kinder 4/27/2013 6/8/2018 61 16.3 1.12 Normal Blaan Ruben Sr no
M
Severely
29 Seblante, John Mark Anthony Kinder 3/22/2013 6/8/2018 62 12.3 0.98 Cebuano no
M Wasted Jenalyn
30 Talino, Andy Kinder 12/26/2011 6/8/2018 6,5 15 1.08 12.80 Wasted Blaan Merlyn no
M
31 Tahaw, John Lloyd D. Kinder 1/31/2012 6/8/2018 6,4 17.6 1.032 16.50 Normal Blaan Domen no
M
32 Yatan, Djay D. Kinder 12/22/2012 6/8/2018 65 16 1.08 Blaan Sandy John no
M Normal
33 Aris, Aiza Mae F Kinder 9/6/2012 6/8/2018 69 15 1.032 Normal Blaan no
Elvie
34 Buan, Cloe B. F Kinder 8/27/2012 6/8/2018 69 15.5 1.035 Normal Blaan no
Luzviminda
35 Dayem, Regine F Kinder 3/23/2013 6/8/2018 62 13 1.02 Wasted Blaan no
Herminia
36 Española, Leryn F Kinder 5/28/2013 6/8/2018 60 17.3 1.02 Normal Cebuano no
Mischelle
37 Coy, Rubyjane F Kinder 10/18/2013 6/8/2018 55 14 1.01 Normal Blaan no
Ronald
38 Galila, Arialyn F Kinder 2/4/2013 6/8/2018 64 16.7 1.08 Normal Blaan no
Jucelyn
39 Masayon, Zyrah Mae T. F Kinder 5/16/2013 6/8/2018 60 16 1.03 Normal Blaan no
Evelyn
40 Medes, Ellise Aliya D F Kinder 11/25/2012 6/8/2018 66 16.7 1.05 Normal Cebuano no
Ronaldo
41 Mines, Chea Jane B. F Kinder 3/5/2013 6/8/2018 63 16.3 1.035 Normal Cebuano no
Merlyn
42 Marandante, Ellah Jenn M. F Kinder 1/4/2013 6/8/2018 65 14.6 1.05 Normal Cebuano no
Lorry Jean
43 Mingui, Myra Mae F Kinder 2/12/2013 6/8/2018 63 13 1.01 Wasted Blaan no
Myla
44 Magon, Angelica F Kinder 11/1/2012 6/8/2018 67 15.4 1.035 Normal Blaan no
Charlene
45 Sumanday, Jean Mariel F Kinder 1/1/2013 6/8/2018 65 14 1.07 Wasted Blaan no
Renato
46 Bunga, Prescious Zyrah D. F Kinder 7/4/1905 6/8/2018 69 15 1.01 Normal Blaan no
Leopoldo
47 Cagas, Zania B. F Kinder 7/2/2013 6/8/2018 59 14 1.01 Normal Cebuano no
Billy
48 Cantero, Chairel M. F Kinder 1/16/2013 6/8/2018 64 14 1.01 Wasted Blaan no
Che-Che
49 Musico, Meacy Faith R. F Kinder 2/11/2013 6/8/2018 63 14.5 1.07 Normal Cebuano no
Reden
50 Tequillo, Juris Cleo C. F Kinder 9/12/2013 6/8/2018 56 13 1.02 Wasted Cebuano no
Jeffrey

GINALYN N. ALINGASA RODOLFO C. CIA

Feeding Focal Person School Principal / Officer-in-Charge
Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC
SBFP Form 1
Department of Education
 Region XII
Master List Beneficiaries for School-Based Feeding Program (SBFP)

Division/Province: South Cotabato Rodolfo C. Cia

Name of Principal : ____________________________________
City/Municipality/Barangay: Tampakan Name of Feeding Focal Person : _________________________ Ginalyn N. Alingasa
Name of School/School District: Lambayong

BMI for
Date of Weighing / Age in Beneficiary of SBFP in
Date of Birth Weight Height 6 y.o. Nutritional
No. Name Sex Grade Level Measuring Years / Ethnicity Disability 4Ps ID Number Name of Parents Previous Years (yes or
(MM/DD/YYYY) (Kg) (m) and Status (NS)
(MM/DD/YYYY) Months no)
above
1 Sale, Roberto, Jr. D. M Grade 1: 3/27/2012 13 1.055 11.6 SW 4Ps Roberto Sr. no
6/8/2018 6,2 Blaan
2 Mingi, Jona Mae S. F Grade 4: 11/25/2007 20.5 1.315 11.8 SW 4Ps Jonathan yes
6/8/2018 10 , 6 Blaan
3 Mengui, Darwin S. Grade 6: 11/22/2002 6/8/2018 15 , 6 30 1.43 14.6 SW Blaan 4Ps Jerry yes
M
4 Sali, Glory Mae S. Grade 6: 9/12/2004 6/8/2018 13 , 8 26 1.4 13.2 SW Blaan Alma yes
F
5 Dayem, Jenkin M Grade 1: 9/15/2011 6/8/2018 6,8 15.1 1.08 12.9 Wasted Blaan 4Ps Morito no
6 Lirazan, Mjay B. M Grade 1: 10/24/2011 6/8/2018 6,7 15.5 1.09 13 Wasted Cebuano Jay no
7 Masamloc, Ernesto, Jr. S. M Grade 1: 6/6/2012 6/8/2018 6,0 14.3 1.075 12.3 Wasted Blaan 4Ps Ernesto Sr. yes
8 Olaco, Curt Lewisen A. M Grade 1: 7/12/2012 6/8/2018 70 14.8 1.09 Wasted Cebuano Alma no
9 Rejas, Justine Carl C. M Grade 1: 6/13/2012 6/8/2018 71 14.9 1.05 Wasted Cebuano Arman no
10 Tadem, Dexter M. M Grade 2: 9/26/2009 6/8/2018 8,8 18 1.16 13.3 Wasted Cebuano 4Ps Nicanor no
11 Cantonao, Roger Jr. C. M Grade 2: 11/20/2009 6/8/2018 8,6 16.5 1.13 12.9 Wasted Cebuano 4Ps Roger Sr. no
12 Coy, Jerry M Grade 4: 3/6/2007 6/8/2018 11 , 3 24.5 1.322 14 Wasted Blaan 4Ps Benito no
13 Benedicto, EarlJohn S. M Grade 4: 11/29/2008 6/8/2018 9,6 21.3 1.26 13.4 Wasted Cebuano 4Ps Daniel yes
14 Dayem, Japoy T. M Grade 4: 6/13/2007 6/8/2018 10 , 11 22.2 1.27 13.7 Wasted Blaan 4Ps Juanito no
15 Sale, Lea M. F Grade 4: 2/24/2009 6/8/2018 9,3 18.4 1.225 12.2 Wasted Blaan 4Ps Rolly yes
16 Diama, Hajimie Benz R. M Grade 5: 1/1/2007 6/8/2018 11 , 5 23.5 1.32 13.4 Wasted Cebuano no
Robin
17 Samling, Christine S. F Grade 5: 10/12/2007 6/8/2018 10 , 7 19 1.18 13.6 Wasted Blaan 4Ps yes
Rosie
18 Samling, John Michael S. M Grade 6: 8/25/2002 6/8/2018 15 , 9 33.5 1.445 16 Wasted Blaan 4Ps yes
Rosie
19 Olaco, Lane Kyla O. F Grade 6: 8/26/2007 6/8/2018 10 , 9 24.5 1.35 13.4 Wasted Cebuano 4Ps yes
Lanie
20 Sumanday, Aira Mae B. F Grade 6: 12/19/2006 6/8/2018 11 , 5 24.5 1.335 13.7 Wasted Blaan 4Ps no
Junno
21 Ducan, Raymark S. M Grade 6: 1/13/2004 6/8/2018 14 , 4 35 1.53 14.9 Wasted Blaan no
Tony
22 Castor, Lean Jane S. F Grade 6: 9/19/2007 6/8/2018 10 , 8 23.5 1.34 13 Wasted Cebuano 4Ps yes
Mischelle
23 Ricalde, Jessica Nicole G. F Grade 6: 3/28/2007 6/8/2018 11 , 2 31 1.51 13.5 Wasted Cebuano no
Reydante

GINALYN N. ALINGASA RODOLFO C. CIA

Feeding Focal Person School Principal / Officer-in-Charge

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC
SBFP Form 1
Department of Education
 Region XII

Master List Beneficiaries for School-Based Feeding Program (SBFP)

First Tranche

Division/Province: South Cotabato Rodolfo C. Cia

Name of Principal : ____________________________________

City/Municipality/Barangay: Tampakan Name of Feeding Focal Person : _________________________ Ginalyn N. Alingasa

Name of School/School District: Lambayong

Date of Birth Date of Weighing / Age in Weight Height BMI for Nutritional Beneficiary of SBFP in
No. Name Sex Grade Level Ethnicity Disability 4Ps ID Number Name of Parents
(MM/DD/YYYY) Measuring Years / (Kg) (m) 6 y.o. Status (NS) Previous Years (yes or
1 Sale, Roberto, Jr. D. M Grade 1: 3/27/2012 13 1.055 11.6 SW 4Ps Roberto Sr. no
6/8/2018 6,2 Blaan
2 Mingi, Jona Mae S. F Grade 4: 11/25/2007 20.5 1.315 11.8 SW 4Ps Jonathan yes
6/8/2018 10 , 6 Blaan
3 Mengui, Darwin S. Grade 6: 11/22/2002 6/8/2018 15 , 6 30 1.43 14.6 SW Blaan 4Ps Jerry yes
M
4 Sali, Glory Mae S. Grade 6: 9/12/2004 6/8/2018 13 , 8 26 1.4 13.2 SW Blaan Alma yes
F
5 Dayem, Jenkin M Grade 1: 9/15/2011 6/8/2018 6,8 15.1 1.08 12.9 Wasted Blaan 4Ps Morito no
6 Lirazan, Mjay B. M Grade 1: 10/24/2011 6/8/2018 6,7 15.5 1.09 13 Wasted Cebuano Jay no
7 Masamloc, Ernesto, Jr. S. M Grade 1: 6/6/2012 6/8/2018 6,0 14.3 1.075 12.3 Wasted Blaan 4Ps Ernesto Sr. yes
8 Olaco, Curt Lewisen A. M Grade 1: 7/12/2012 6/8/2018 70 14.8 1.09 Wasted Cebuano Alma no
9 Rejas, Justine Carl C. M Grade 1: 6/13/2012 6/8/2018 71 14.9 1.05 Wasted Cebuano Arman no
10 Tadem, Dexter M. M Grade 2: 9/26/2009 6/8/2018 8,8 18 1.16 13.3 Wasted Cebuano 4Ps Nicanor no
11
12
13
14
15
19
20

GINALYN N. ALINGASA RODOLFO C. CIA

Feeding Focal Person School Principal / Officer-in-Charge
Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC

SBFP Form 1
 Department of Education
Region XII

Master List Beneficiaries for School-Based Feeding Program (SBFP)

Second Tranche
Division/Province: South Cotabato Rodolfo C. Cia
Name of Principal : ____________________________________
City/Municipality/Barangay: Tampakan Name of Feeding Focal Person : _________________________ Ginalyn N. Alingasa
Name of School/School District: Lambayong

BMI for
Date of Weighing / Age in Beneficiary of SBFP in
Date of Birth Weight Height 6 y.o. Nutritional
No. Name Sex Grade Level Measuring Years / Ethnicity Disability 4Ps ID Number Name of Parents Previous Years (yes or
(MM/DD/YYYY) (Kg) (m) and Status (NS)
(MM/DD/YYYY) Months no)
above

1 Cantonao, Roger Jr. C. M Grade 2: 11/20/2009 6/8/2018 8,6 16.5 1.13 12.9 Wasted Cebuano 4Ps Roger Sr. no
2 Coy, Jerry M Grade 4: 3/6/2007 6/8/2018 11 , 3 24.5 1.322 14 Wasted Blaan 4Ps Benito no
3 Benedicto, EarlJohn S. M Grade 4: 11/29/2008 6/8/2018 9,6 21.3 1.26 13.4 Wasted Cebuano 4Ps Daniel yes
4 Dayem, Japoy T. M Grade 4: 6/13/2007 6/8/2018 10 , 11 22.2 1.27 13.7 Wasted Blaan 4Ps Juanito no
5 Sale, Lea M. F Grade 4: 2/24/2009 6/8/2018 9,3 18.4 1.225 12.2 Wasted Blaan 4Ps Rolly yes
6 Diama, Hajimie Benz R. M Grade 5: 1/1/2007 6/8/2018 11 , 5 23.5 1.32 13.4 Wasted Cebuano Robin no
7 Samling, Christine S. F Grade 5: 10/12/2007 6/8/2018 10 , 7 19 1.18 13.6 Wasted Blaan 4Ps Rosie yes
8 Samling, John Michael S. M Grade 6: 8/25/2002 6/8/2018 15 , 9 33.5 1.445 16 Wasted Blaan 4Ps Rosie yes
9 Olaco, Lane Kyla O. F Grade 6: 8/26/2007 6/8/2018 10 , 9 24.5 1.35 13.4 Wasted Cebuano 4Ps Lanie yes
10 Sumanday, Aira Mae B. F Grade 6: 12/19/2006 6/8/2018 11 , 5 24.5 1.335 13.7 Wasted Blaan 4Ps Junno no
11 Ducan, Raymark S. M Grade 6: 1/13/2004 6/8/2018 14 , 4 35 1.53 14.9 Wasted Blaan Tony no
12 Castor, Lean Jane S. F Grade 6: 9/19/2007 6/8/2018 10 , 8 23.5 1.34 13 Wasted Cebuano 4Ps Mischelle yes
13 Ricalde, Jessica Nicole G. F Grade 6: 3/28/2007 6/8/2018 11 , 2 31 1.51 13.5 Wasted Cebuano Reydante no
14 Santiago, Michael M. M Grade:4 4/14/008 6/8/2018 10,1 19.4 1.024 18.5 Normal Blaan Pet no
15 Galila, Christian Dave M. M Grade:4 6/6/2009 6/8/2018 9,0 21 1.2 14.5 Normal Blaan Jeffrey no

GINALYN N. ALINGASA RODOLFO C. CIA

Feeding Focal Person School Principal / Officer-in-Charge
Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC
6 , 2 Severely Wasted
10 , 6 Severely Wasted
Severely Wasted Kinder:
Severely Wasted Kinder:
Severely Wasted
Severely Wasted
SBFP Form 3
Department of Education
Region XII

SCHOOL-BASED FEEDING PROGRAM (SBFP)

South Cotabato
Division/Province: ______________________________________
Tampakan
School District/City/ Municipality : ____________________________

Name of District
Name of Schools BEIS ID No. School Address Name of Barangay Supervisors/ Contact Number
School Principal or OICs
Prepared by: Noted by:

SBFP DepED Focal Unit Chief

Note: This form shall be prepared by the DO, for final consolidation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC
 Total
Beneficiaries
Unit Chief