Republic of the Philippines
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
SUPPLEMENTARY FEEDING PROGRAM
TOTAL NUMBER OF CHILDREN:
MALE
PROVINCE: Pantawid:
MUNICIPALITY: Non-Pantawid:
NAME OF CDC: FEMALE
ADDRESS OF CDC: Pantawid:
NAME OF CDW: ATTENDANCE OF FEEDING Non-Pantawid:
NAME OF DATE: DATE: DATE: DATE: DATE:
NO. NAME OF CHILD PARENT/GUARDIAN/AUTHORIZED
PERSON AM PM AM PM AM PM AM PM AM PM
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Prepared by: Verified by:
CDW SFP – Focal Person