SBFP Form 1

Department of Education
Region V

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

Division/Province: Sorsogon City/Sorsogon Name of Head : SALVACION D. ESTINOR

City/Municipality/Barangay:Sorsogon City /RAWIS Name of Feeding Focal Person: ANALIZA A ELLI
Name of School/School District: Rawis E/S/Bacon District

No Name Sex Date of Date of Age in Weight Height BMI Nutritiona Ethnicity Disabilit 4P’s ID Name of Parents Bene-ficiary of
. Birth weighing/Me Years/ (kg) (cm) 6 y.o. and l Status y Number SBFP in
(MM/D a-suring Months above (NS) Previous
D/YYYY) (MM/DD/YYY Years
Y) (Yes or No)

1 ARIATE, RICK JOHAN D M 04/27/14 06/07/19 61m 14 1.12 - W Mary Ann Ariate
2 DESCARGA, LANCE DARYLL M 02/11/14 06/07/19 63m 14.5 1.05 - W Yasmin Descarga
3 DIMAANO, CRISVEN M 08/24/14 06/07/19 57m 13.5 0.99 - W Cris Jean Dimaano
4 DIONEDA, JOHN KENNETH M 02/22/14 06/07/19 63m 14.5 1.05 - W Rowena Dioneda
5 DIVINA,KEN M 03/01/14 06/07/19 63m 14 1.05 - W Madonna Divina
6 DON, ANGELITO M 04/18/14 06/07/19 61m 14 1.03 - W Concepcion Don
7 DIATA, JAMAICA KELLY F 03/18/14 06/07/19 62m 14.1 1.02 - W Jayson Diata
8 GANON, ANGELA MAE F 07/30/14 06/07/19 58m 13.5 1.04 - W Janice Ganon
9 TADURAN, PRINCESS JOY F 06/15/14 06/07/19 59m 13 1.03 - W Pinky Taduran
10 BELMONTE, LYAM M 06/13/13 06/07/19 71m 13.8 0.96 - SW Alex B. Belmonte /
11 DE LA CRUZ,, JOHN CARL M 02/15/11 06/07/19 8-3 15 1.07 13.10 W Visitacion Dela Cruz
12 DEOCAREZA, RAYVER GREY M 11/14/13 06/07/19 66m 13.7 1.05 - W Daniel Deocareza
13 DIG, GLENCEL M 03/21/12 06/07/19 6-2 15 1.1 12.30 W Glenmore E. Dig
14 DIONEDA, JAREN M 10/30/12 06/07/19 6-7 16.7 1.15 12.60 W Jared A. Dioneda
15 DIONEDA, JOHN ANGELO M 07/13/13 06/07/19 70m 14.5 1.05 - W Gellie M. Dioneda
16 DOROL, JOVIT M 06/25/13 06/07/19 70m 13.7 1.04 - SW Elisa D. Dorol /
17 17SILVA, SANDY JR. 08/10/13 06/07/19 69M 15.1 1.19 - W Randy R. Silva
No. Name Sex Date of Date of Age in Weight Height BMI Nutri- Ethn- Disability 4P’s ID Name of Parents Beneficiary of
Birth weighing/ Years/ (kg) (cm) 6 y.o. and tional city Number SBFP in
(MM/DD/Y Measu- Months above Status Previous
YYY) ring (NS) Years
(MM/DD/ (Yes or No)
YYYY)
18 DE LA CRUZ, KEYCE F 02/05/13 06/07/19 6-4 13.5 1.05 12.20 W Visitacion D. Dela Cruz
19 DIAZ, ,MAESIE F 11/02/12 06/07/19 6-7 15 1.11 12.10 W Marciana L. Diaz
20 GANON, PRINCESS F 12/14/11 06/07/19 7-5 13.5 1.05 12.20 W Janice M. Dioneda
21 DESABAYLA, GERALD M 01/08/12 06/07/19 7-4 17 1.17 12.40 W Daniel Desabayla /
22 DIVINA, MARVIN M 05/20/10 06/07/19 9 18 1.17 13.10 W Sonny Divina
23 DON, SINEN M 09/05/09 06/07/19 9-9 20 1.23 13.20 W James Don /
24 RAMIREZ, JOHN MARK M 08/22/11 06/07/19 7-9 18 1.19 12.70 W Raymundo Ramirez
25 CORRAL, YIESHA NICOLE F 06/26/12 06/07/19 6-11 17 1.2 11.80 W Wilfredo Corral
26 DEOCAMPO,PRINCES MAE F 05/04/12 06/07/19 7-1 17 1.19 12.00 W Vicente Deocampo
27 DISCAYA, RAFAEL M 04/28/08 06/07/19 11-1 22 1.27 13.60 W Darwin Discaya
28 DIVINA, SAM M 01/17/08 06/07/19 11-4 22.5 1.27 13.90 W Sonny Divina
29 DON, MARCO M 03/19/10 06/07/19 9-2 19 1.19 13.40 W Alvin Don
30 CLAVERIA, MARY ANN F 05/10/10 06/07/19 9 18 1.18 12.90 W Sonny Cleveria
31 DIESTA, JERIC M 06/08/06 06/07/19 12-11 28 1.4 14.20 W Janice Dioneda
32 DIONEDA, JOHN LLOYD M 12/12/08 06/07/19 21 1.23 13.80 W Renante Dioneda
33 SILVA, JOHN MARK M 09/11/10 06/07/19 8-8 18.8 1.19 13.20 W Jubily Silva
34 DIAZ, PATRICIA F 04/27/10 06/07/19 9-1 21 1.29 12.60 W Angelita Sese /
35 GUIM, JINKY F 07/16/10 06/07/19 8-10 18 1.19 12.70 W Juna D. Guim
36 DIONEDA, JEROM M 01/11/09 06/07/19 10-4 19.5 1.19 13.70 W Adela Dioneda /
37 GITANA, SAM M 06/01/08 06/07/19 11 22 1.26 13.80 W Apolinario Gitana
38 REVILLA, LHANDER M 06/12/09 06/07/19 9-11 19 1.21 13.10 W Rossana Revilla /
39 DIAZ, KC F 01/10/08 06/07/19 11-4 22 1.27 13.60 W Vicente Diaz
40 ECHANO, SHEKINAH F 12/23/08 06/07/19 10-5 22 1.28 13.40 W Juan Echano
41 CLAVERIA, JOHN CALEB M 01/02/05 06/07/19 14-5 30 1.43 14.60 W Eden Claveria /
42 DIO, FRANCISS M 02/17/06 06/07/19 13-3 23 1.27 14.20 W
43 ESPARAGUERRA, KATE ANNE F 07/26/08 06/07/19 10 21 1.26 14.10 W ZenarEsparaguerra
44 CLAVERIA, SARA MAE F 08/31/07 06/07/19 11-9 25 1.33 13.40 W Sonny Claveria
45 DESCARGA, CRISTAL JOY F 06/29/08 06/07/19 10-11 23 1.31 11.90 W Ritche Descarga
46 DIONEDA,CHARLINE FAYE F 10/14/10 06/07/19 10 16.7 1.18 13.20 SW Francisco Dioneda
47 RAMIREZ, NICA F 06/16/08 06/07/19 10 19 1.2 13.10 W Raymundo Ramirez
Prepared by : Noted by :

ANALIZA A. ELLI SALVACION D. ESTINOR

SBFP Focal Person School Head
SBFP Form 3
Department of Education
Region V

SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING

Division/Province: Sorsogon City

City/Municipality/Barangay:RAWIS Bacon District Sorsogon City
Name of School: RAWIS Elementary School
School ID Number: 114541
Date of Start of Feeding:_______________
Number of Nutritional Status at Start of Feeding
Undernourished School No. of 4 P,s No. of Pupils who
Children by Grade Level No. of Severely No. of Wasted Total Beneficiaries Beneficiaries are beneficiaries in Remarks
Wasted previous years
1.Kinder 0 9 9 0
2. Grade I 2 9 11 2
3. Grade II 0 6 6 2
4.Grade III 0 4 4 3
5. Grade IV 1 5 6 3
6.Grade V 0 5 5 1
7.Grade VI 0 6 6 1
Total 3 44 47 12
Prepared by: Noted by:

ANALIZA A. ELLI SALVACION D. ESTINOR

SBFP DepEd Focal School Head