SBFP Form 1 (2020)

Department of Education
Region IV-B

Master List Beneficiaries for School-Based Feeding Program (SBFP) (SY 2024-2025)

Division/Province: Name of Principal :

City/ Municipality/Barangay : Name of Feeding Focal Person :
Name of School / School District :
School ID Number:

PLEASE COMPLETE THE DATA OF SBFP BENEFICIARIES ONLY

Date of Weighing / Age in

Date of Birth Weight
No. Sex Grade/ Section (MM/DD/YYYY)
Measuring Years /
(Kg)
(MM/DD/YYYY) Months

1 ABOS, JHAY GLEN C. M KINDER A 09/10/2019 JULY 31, 2024 15

2 AGNAS, MARK JAY JHON M KINDER A 01/20/2019 JULY 31, 2024 13
3 DANO, CARL JAMES A. M KINDER A 03/16/2019 JULY 31, 2024 13
4 ENCILA, LIERENZ XION M KINDER A 02/02/2019 JULY 31, 2024 13
5 ALCANTARA, JHON RON A. M KINDER A 08/23/2018 JULY 31, 2024 13
6 ROXAS, JHAYZE S. M KINDER A 08/25/2019 JULY 31, 2024 12
7 SERNA, EJAY B. M KINDER A 10/05/2018 JULY 31, 2024 12
8 LAGARAS, GRACE MAVIL S. F KINDER A 02/06/2019 JULY 31, 2024 12
9 SANTIAGO, DAILYN F KINDER A 05/03/2019 JULY 31, 2024 12
10 HERMOGENO, ROSITA C. F KINDER A 11/29/2018 JULY 31, 2024 12
11 CATAIN, PRINCESS V. F KINDER A 12/21/2018 JULY 31, 2024 13
12 TAAS, RONABEL P. F KINDER A 02/19/2019 JULY 31, 2024 12
13 PLACIDO, VENICE E. F KINDER A 02/12/2019 JULY 31, 2024 12
14 ABOS, KRISTINE ANGEL R. F KINDER A 11/24/2018 JULY 31, 2024 12
15 ALCANTARA, GILBERT JR. E. M GRADE1:BANAK 05/09/2017 JULY 31, 2024 7.2 14
16 EQUIZA, EDRIAN E. M GRADE1:BANAK 01/30/2018 JULY 31, 2024 6.6 10
17 GALLARES, ANDREY A. M GRADE1:BANAK 12/07/2014 JULY 31, 2024 9.7 14
18 HERMOGENO, JAKE D. M GRADE1:BANAK 03/06/2017 JULY 31, 2024 7.4 16
19 VILLARAM, JHON RICK V. M GRADE1:BANAK 11-Apr-17 JULY 31, 2024 7.3 13
20 AGNAS, JOAN S. F GRADE1:BANAK 9/15/2016 JULY 31, 2024 7.1 13
21 BALESTRAMON, ANGELINE C. F GRADE1:BANAK 12/13/2016 JULY 31, 2024 7.7 15
22 BEGONA, CINDY E. F GRADE1:BANAK 5/18/2017 JULY 31, 2024 7.2 13
23 ENERO, MICHELLE A. F GRADE1:BANAK 07/01/2014 JULY 31, 2024 10 15
24 ERO, MAE ANN P. F GRADE1:BANAK 1/27/2017 JULY 31, 2024 7.6 14
25 VILLARAM, SOPHIA O. F GRADE1:BANAK 07/27/2013 JULY 31, 2024 11 14
26 EQUIZA, MIRACLE A. F GRADE1:BANAK 06/22/2017 JULY 31, 2024 7.1 15
27 ENANO, CHANDLER B. M GRADE1:BANGUS 03/21/18 JULY 31, 2024 6.4 12
28 ENCIA, ELMAR M GRADE1:BANGUS 4/27/18 JULY 31, 2024 6.3 12
29 HERMOGENO, JOHN ETHAN P. M GRADE1:BANGUS 12/12/2017 JULY 31, 2024 6.7 14
30 ROLDAN, NICO L. M GRADE1:BANGUS 06/27/2018 JULY 31, 2024 6.1 14
31 VILLARAM, ALVIN JAY H. M GRADE1:BANGUS 4/13/2018 JULY 31, 2024 6.3 14
32 ABUS, ANGELA F GRADE1:BANGUS 04/27/2018 JULY 31, 2024 6.3 13
33 VILLACERAN, DYLEN SVEN B. F GRADE1:BANGUS 12/23/2017 JULY 31, 2024 6.7 14
34 VILLACINO, RIA MAE A. F GRADE1:BANGUS 12/22/2017 JULY 31, 2024 6.7 14
35 ABOS, CHRISTIAN H. M GRADE 2:TAMBAN 02/04/2016 JULY 31, 2024 8.5 14
36 ABOS, HERWIN H. M GRADE 2:TAMBAN 11/06/2016 JULY 31, 2024 7.8 13
37 ABOS, RICKY M GRADE 2:TAMBAN 5/14/2016 JULY 31, 2024 8.2 15
38 AGNAS EDRIAN DJ M GRADE 2:TAMBAN 05/20/2017 JULY 31, 2024 7.2 15
39 BURUANGA, KENJIE A. M GRADE 2:TAMBAN 07/29/2017 JULY 31, 2024 7 15
40 CABUANIAG, CARLO JAY E. M GRADE 2:TAMBAN 11/26/2015 JULY 31, 2024 8.8 17
41 CATANDO, JAKE CYRUS R. M GRADE 2:TAMBAN 10/23/2017 JULY 31, 2024 6.9 13
42 DOMINGO, PRINZ RENNIEL P. M GRADE 2:TAMBAN 05/27/2017 JULY 31, 2024 7.2 15
43 ENCIA, JUNEL A. M GRADE 2:TAMBAN 06/12/2016 JULY 31, 2024 8.1 16
44 ENCILA, XIAN ENZ S. M GRADE 2:TAMBAN 10/29/2017 JULY 31, 2024 6.9 16
45 LAGARAS, JAMES CURRY S. M GRADE 2:TAMBAN 10/04/2017 JULY 31, 2024 6.9 16
46 PLACIDO, ALDEN A M GRADE 2:TAMBAN 02/06/2017 JULY 31, 2024 7.5 16
47 PLACIDO, JOHN CARLO T. M GRADE 2:TAMBAN 08/05/2017 JULY 31, 2024 6.11 13
48 PLACIDO, IDEN JAY E. M GRADE 2:TAMBAN 10/10/2013 JULY 31, 2024 10.9 18
49 ROLDAN, VINCENT E. M GRADE 2:TAMBAN 04/05/2016 JULY 31, 2024 8.3 15
50 ROXAS, ZYRUS S. M GRADE 2:TAMBAN 05/30/2017 JULY 31, 2024 7.2 15
51 SANCHEZ, SAM A. M GRADE 2:TAMBAN 04/19/2017 JULY 31, 2024 7.3 16
52 SERNA, EJAY B. M GRADE 2:TAMBAN 10/01/2016 JULY 31, 2024 7.9 16
53 TAAS, RANDY P. M GRADE 2:TAMBAN 11/01/2016 JULY 31, 2024 7.8 14
54 OMBAO, JHON JUAN E. M GRADE 2:TAMBAN 06/24/2017 JULY 31, 2024 7.1 13
55 ALACANATARA JONA MAE A. F GRADE 2:TAMBAN 04/21/2013 JULY 31, 2024 11.3 19
56 DECLITO, ANGELA A. F GRADE 2:TAMBAN 07/12/2017 JULY 31, 2024 7 14
57 ENCARGUEZ, CHLEA JOYCE R. F GRADE 2:TAMBAN 06/27/2017 JULY 31, 2024 7.1 16
58 VILLACINO, RICA MAE A. F GRADE 2:TAMBAN 08/29/2015 JULY 31, 2024 8.11 14
59 VILLARAM PRINCE IYA R. F GRADE 2:TAMBAN 03/06/2017 JULY 31, 2024 7.4 14
60 ABOS, RICA MAY P. F GRADE 2:TAMBAN 06/23/2012 JULY 31, 2024 12.1 20
61 ABOS, JOHN ALBERT B. M GRADE 3: TANIGUE 07/29/2016 JULY 31, 2024 8 16
62 ALCANTARA KING ALBERT S. M GRADE 3: TANIGUE 12/24/2015 JULY 31, 2024 8.7 17
63 DELOS SANTOS, GINO A. M GRADE 3: TANIGUE 12/26/2015 JULY 31, 2024 8.7 15
64 ERANDIO, NELJOHN M GRADE 3: TANIGUE 01/23/2015 JULY 31, 2024 9.6 21
65 ERO, JOHN NORVIN E. M GRADE 3: TANIGUE 11/07/2015 JULY 31, 2024 8.8 15
66 SERNA, SONNY JR. S. M GRADE 3: TANIGUE 10/31/2015 JULY 31, 2024 8.9 16
67 VILLARAM, CALVIN O. M GRADE 3: TANIGUE 04/23/2016 JULY 31, 2024 8.3 17
68 VILLARIN, RICH ZEAN P. M GRADE 3: TANIGUE 06/17/2016 JULY 31, 2024 8.1 16
69 ABOS, BABELYN E. F GRADE 3: TANIGUE 02/09/2013 JULY 31, 2024 11.5 22
70 ABOS, TRISHA MAE O. F GRADE 3: TANIGUE 02/23/2016 JULY 31, 2024 8.5 15
71 ENCIA, REYNALYN N. F GRADE 3: TANIGUE 08/27/2015 JULY 31, 2024 8.11 14
72 ENERO, LAILYN E. F GRADE 3: TANIGUE 01/30/2015 JULY 31, 2024 9.6 16
73 ENERO, PRINCESS LORRAINE P. F GRADE 3: TANIGUE 10/27/2016 JULY 31, 2024 7.1 15
74 EQUIZA, AIRA M. F GRADE 3: TANIGUE 12/29/2015 JULY 31, 2024 8.7 16
75 EQUIZA, RIYALYN V. F GRADE 3: TANIGUE 04/23/2016 JULY 31, 2024 8.3 16
76 PLACIDO, PATRICIA JOY T. F GRADE 3: TANIGUE 11/07/2015 JULY 31, 2024 8.8 16
77 BUANTE, KANNITH JO M. M GRADE 4-A 01/10/2015 JULY 31, 2024 9.6 18
78 ENCIA, TYRON JAKE M. M GRADE 4-A 12/16/2014 JULY 31, 2024 9.7 20
79 ROLDAN, RICO JR. M GRADE 4-A 09/07/2013 JULY 31, 2024 10.1 22
80 ABOS, YOLINA E. F GRADE 4-A 01/07/2014 JULY 31, 2024 10.6 17
81 ENCILA, FLORITZEL S. F GRADE 4-A 08/16/2015 JULY 31, 2024 8.11 19
82 HERMOGENO, AILEEN D. F GRADE 4-A 11/29/2014 JULY 31, 2024 9.8 20
83 TIONG, JULHINE A. F GRADE 4-A 12/30/2014 JULY 31, 2024 9.7 17
84 ABOS, JEROME A M GRADE 4-B 06/29/2013 JULY 31, 2024 11.1 20
85 AMORES, RICHMON A. M GRADE 4-B 06/03/2014 JULY 31, 2024 10.1 19
86 ENCARGUEZ, CHLEO JAY R. M GRADE 4-B 03/05/2014 JULY 31, 2024 10.4 21
87 GOZAR, PRINCE CHARM E. M GRADE 4-B 07/02/2015 JULY 31, 2024 9 17
88 LAURIANO, ALBERT A. M GRADE 4-B 06/21/2015 JULY 31, 2024 9.1 20
89 ROXAS, Z-JAY S. M GRADE 4-B 09/28/2014 JULY 31, 2024 9.1 16
90 ABOS, PRINCESS JONALYN V. F GRADE 4-B 07/02/2015 JULY 31, 2024 9 17
 91 CABUNIAG, HAZEL ANN A. F GRADE 4-B 07/01/2014 JULY 31, 2024 10 20
92 ENARGUEZ, ANAMAE V. F GRADE 4-B 03/16/2014 JULY 31, 2024 10.4 18
93 ABOS, ARRENCE S. M GRADE 5:SAPSAP 12/03/2013 JULY 31, 2024 10.7 22
94 ABOS, ERAN H. M GRADE 5:SAPSAP 2/17/2013 JULY 31, 2024 11.5 20
95 DORMIDO, ROBI BRAEIN I. M GRADE 5:SAPSAP 12/09/2013 JULY 31, 2024 10.7 21
96 ENCIA, FREDO A. M GRADE 5:SAPSAP 08/26/2012 JULY 31, 2024 11.11 20
97 EQUIZA, ARJAY A. M GRADE 5:SAPSAP 06/24/2010 JULY 31, 2024 14.1 22
98 PLACIDO, MARION E. M GRADE 5:SAPSAP 11/18/2013 JULY 31, 2024 10.8 19
99 VILLARAM, ARJUN F. M GRADE 5:SAPSAP 08/01/2012 JULY 31, 2024 11.11 19
100 ENANO, RYZZA MAE B. F GRADE 5:SAPSAP 2/4/2014 JULY 31, 2024 10.5 20
101 ERANDO, RECA MAE V. F GRADE 5:SAPSAP 06/16/2014 JULY 31, 2024 10.1 18
102 VILLASINO, RIZZA MAE A. F GRADE 5:SAPSAP 9/27/2013 JULY 31, 2024 10.1 20
103 ENCIA, CHRISTIAN N M GRADE 6:KANUPING 07/31/2011 JULY 31, 2024 13 21
104 ENCIA, ED A. M GRADE 6:KANUPING 5/10/2010 JULY 31, 2024 14.2 20
105 HERMOGENO, ARNEL JR. D. M GRADE 6:KANUPING 11/08/2012 JULY 31, 2024 11.8 23
106 ABOS, JOANA MAE E. F GRADE 6:KANUPING 12/11/2012 JULY 31, 2024 11.7 30
107 ERO, KYLA MAE E. F GRADE 6:KANUPING 07/20/2012 JULY 31, 2024 12 21
108 HERMOGENO, KIMBERLY S. F GRADE 6:KANUPING 04/27/2013 JULY 31, 2024 11.3 20
109 ENCIA, NENIA I. F KINDER A 01/01/2019 JULY 31, 2024 16
110 ABOS, JOHNCEN E. M KINDER A 10/23/2018 JULY 31, 2024 15
111 BACUEL, ZYVER A. M KINDER A 06/22/2019 JULY 31, 2024 13
112 EQUIZA, MELVIN E. M KINDER A 03/11/2019 JULY 31, 2024 14
113 ERO, JOHN MARK E. M KINDER A 01/21/2019 JULY 31, 2024 14
114 GABON, RON A. M KINDER A 09/03/2018 JULY 31, 2024 14
115 MARAVILES, JONNEL R. M KINDER A 09/23/2018 JULY 31, 2024 14
116 PLACIDO, MARLON JR. R M KINDER A 11/13/2018 JULY 31, 2024 15
117 VILLARAM, FLORENCIO D. M KINDER A 12/05/2018 JULY 31, 2024 14
118 ENERO, LIEZEL P. F KINDER A 01/11/2019 JULY 31, 2024 14
119 PLACIDO, ALIJANDIA A. F KINDER A 08/10/2019 JULY 31, 2024 13
120 OBRA, KEVIN M GRADE 1: BANAK 08/12/2017 JULY 31, 2024 6.11 16
121 BEGONA, PRINCESS MILAN E. F GRADE 1: BANAK 09/15/2017 JULY 31, 2024 6.1 17
122 PELAGO. CHELSEA O. F GRADE 1: BANAK 10/27/2017 JULY 31, 2024 6.9 16
123 RETUERTO, MA. POULINE G. F GRADE 1: BANAK 07/04/2017 JULY 31, 2024 7 15
124 ABOS, DANDREB O. M GRADE 1: BANGUS 7/20/2018 JULY 31, 2024 6 17
125 INDAP, JOHN KNNETH A. M GRADE 1: BANGUS 8/28/2018 JULY 31, 2024 7.1 15
126 VILLARAM, JAMES D. M GRADE 1: BANGUS 11/02/2018 JULY 31, 2024 6.5 15
127 ABOS, JUBEL E. F GRADE 1: BANGUS 12/12/2017 JULY 31, 2024 6.7 16
128 ANIAR, AREANE A. F GRADE 1: BANGUS 7/29/2018 JULY 31, 2024 6 13
129 EMPERADOR, LIEZL JOY V. F GRADE 1: BANGUS 11/03/2018 JULY 31, 2024 6.4 14
130 MELENDEZ, MARTINA MERRIEL C. F GRADE 1: BANGUS 08/03/2018 JULY 31, 2024 6.4 14
131 VALDEZ, QUENN F GRADE 1: BANGUS 02/07/2018 JULY 31, 2024 6 15
132 GARCIA, STEPHEN JOHN M GRADE 2:TAMBAN 04/26/2017 JULY 31, 2024 7.3 18
 133 TAAS, RODERICK P. M GRADE 2:TAMBAN 10/12/2013 JULY 31, 2024 10.9 20
134 TUSCANO, JULLIEN E M GRADE 2:TAMBAN 11/19/2016 JULY 31, 2024 7.8 16
135 ENCIA, SAIREN JOY S. F GRADE 2:TAMBAN 09/06/2017 JULY 31, 2024 6.1 15
136 ERANDIO, RITCHIE V. F GRADE 2:TAMBAN 04/18/2017 JULY 31, 2024 7.3 15
137 ENCIA, ALDRIN I. M GRADE 3: TANIGUE JULY 31, 2024 8.8 18
138 VILLASINO, CHRISTIAN E. M GRADE 3: TANIGUE 02/22/2014 JULY 31, 2024 10.5 23
139 ABOS, REGINE E. F GRADE 3: TANIGUE JULY 31, 2024 8.8 18
140 ENCIA, RIA JOY A. F GRADE 3: TANIGUE 02/20/2016 JULY 31, 2024 8.5 16
141 ENERO, RICHELLE ANN P. F GRADE 3: TANIGUE 09/24/2016 JULY 31, 2024 7.1 17
142 CABUNIAG, CLARENCE E. M GRADE 4 A 12/JU/13 JULY 31, 2024 11.1 22
143 CATAIN, AILA JANE V. F GRADE 4 A 10/10/2015 JULY 31, 2024 8.9 19
144 ENERO, MAYVELLE JANEL F GRADE 4 A 01/21/2005 JULY 31, 2024 19.6 22
145 TIONGCO, HAZEL JEANNE V. F GRADE 4 A 01/23/2013 JULY 31, 2024 11, 6 27
146 ABOS, RHEX ANDREW D. M GRADE 4: B 07/18/2015 JULY 31, 2024 9 20
147 DE SAN JOSE, KIEFER JOHN E. M GRADE 4: B 06/23/2015 JULY 31, 2024 9.1 31
148 FRANCISCO, DAVID A. M GRADE 4: B 04/08/2014 JULY 31, 2024 10.3 20
149 INDAP, MARIE-DHEN A. F GRADE 4: B 05/06/2015 JULY 31, 2024 9.2 21
150 VALDEZ, KENGEL A. F GRADE 4: B 09/13/2015 JULY 31, 2024 8.1 21
151 ABOS, GERALD P. M GRADE 5; SAPSAP 08/26/2014 JULY 31, 2024 9.11 21
152 ENCIA, REYMART N. M GRADE 5; SAPSAP 02/09/2013 JULY 31, 2024 11.5 22
153 PLACIDO, MARC JOHNREN T. M GRADE 5; SAPSAP 06/04/2014 JULY 31, 2024 10.1 22
154 TIONGCO, JOHNEL A. M GRADE 5; SAPSAP 01/08/2014 JULY 31, 2024 10.6 20
155 ABOS, VINCE JOSEPH S. M GRADE 6:KANUPING 02/16/2014 JULY 31, 2024 10.5 23
156 ENERO, EMEREALDO III M GRADE 6:KANUPING 11/05/2012 JULY 31, 2024 11.8 25
157 ERANDIO, JOHN MARK M GRADE 6:KANUPING 07/09/2012 JULY 31, 2024 12 25
158 DECLITO, JAMAICA A. F GRADE 6:KANUPING 03/04/2013 JULY 31, 2024 11.4 23
159 PRESTO, CHRISTINE JOY A. F GRADE 6:KANUPING 09/25/2012 JULY 31, 2024 11.1 23
160 ENCIA, CRISPIN I. M GRADE 4 A 11/27/2014 JULY 31, 2024 9.8 22
161
162
163
164

Prepared by: Approved by:

School Head
Feeding Focal Person

Note: This form shall be prepared by the school before the start of feeding to be compiled by the SDO.
 ram (SBFP) (SY 2024-2025)

me of Principal :
me of Feeding Focal Person :

Nutritional Status (NS) Dewormed? Parent's Beneficiary of

BMI for 6 Participation in
Height consent for SBFP in
y.o. and (yes 4Ps (yes
(cm) milk? Previous Years
above or no) or no)
(yes or no) (yes or no)
BMI-A HFA
1.14 SW NORMAL YES NO NO
1.02 SW STUNTED YES NO NO
1.09 SW NORMAL YES YES NO
1.06 SW NORMAL NO NO NO
1.05 SW STUNTED YES YES NO
1.04 SW NORMAL YES YES NO
1.08 SW NORMAL YES YES NO
1.1 SW NORMAL YES NO NO
1 SW STUNTED YES NO NO
1 SW STUNTED YES NO NO
1.04 SW NORMAL YES NO NO
1 SW STUNTED YES YES NO
1.02 SW NORMAL YES NO NO
1.09 SW NORMAL YES NO NO
1.1 11.50 SW STUNTED YES YES NO
1 10.00 SW SS YES YES NO
1.1 11.50 SW SS YES YES YES
1.18 11.40 SW NORMAL YES YES NO
1.04 12.00 SW SS YES YES YES
1.07 11.30 SW SS YES YES YES
1.14 11.50 SW NORMAL NO YES YES
1.05 11.70 SW SS NO YES NO
1.13 11.70 SW SS NO YES NO
1.12 11.10 SW STUNTED YES YES YES
1.05 12.60 SW SS YES YES YES
1.13 11.70 SW NORMAL YES YES NO
1 12.00 SW SS YES YES YES
1.03 11.30 SW STUNTED YES YES YES
1.09 11.70 SW STUNTED NO YES NO
1.11 11.30 SW NORMAL YES YES YES
1.08 12.00 SW NORMAL YES YES YES
1.06 11.50 SW STUNTED YES YES NO
1.11 11.30 SW NORMAL NO YES NO
1.11 11.30 SW NORMAL YES YES YES
1.23 9.20 SW NORMAL YES YES NO
1.05 11.70 SW SS YES YES YES
1.12 11.90 SW STUNTED YES YES NO
1.12 11.90 SW NORMAL YES YES YES
1.15 11.30 SW NORMAL YES YES NO
1.17 12.40 SW NORMAL YES YES NO
1.04 12.00 SW SS NO YES YES
1.14 11.50 SW NORMAL YES YES NO
1.15 12.00 SW STUNTED YES YES YES
1.19 11.20 SW NORMAL NO YES NO
1.21 10.90 SW NORMAL YES YES NO
1.23 10.50 SW NORMAL YES YES NO
1.1 10.70 SW STUNTED YES YES NO
1.31 10.40 SW NORMAL YES YES YES
1.16 11.10 SW STUNTED YES YES YES
1.12 11.90 SW NORMAL YES YES NO
1.18 11.40 SW NORMAL YES YES NO
1.16 11.80 SW NORMAL YES YES YES
1.12 11.10 SW STUNTED NO YES YES
1.07 11.30 SW STUNTED YES YES NO
1.25 12.10 SW SS YES NO NO
1.11 11.30 SW NORMAL YES YES YES
1.18 11.40 SW NORMAL YES YES YES
1.14 10.70 SW STUNTED YES YES NO
1.15 10.50 SW NORMAL YES NO YES
1.24 13.00 SW SS NO YES YES
1.15 12.00 SW STUNTED NO YES YES
1.18 12.00 SW STUNTED NO YES YES
1.13 11.70 SW STUNTED YES YES YES
1.29 12.60 SW NORMAL NO YES YES
1.14 11.50 SW STUNTED NO YES YES
1.15 12.00 SW STUNTED YES YES YES
1.18 12.20 SW NORMAL YES YES YES
1.14 12.30 SW STUNTED YES YES YES
1.36 11.80 SW NORMAL YES YES YES
1.12 11.90 SW STUNTED NO YES YES
1.12 11.10 SW SS NO YES YES
1.17 11.60 SW STUNTED NO YES YES
1.14 11.50 SW NORMAL YES YES YES
1.18 11.40 SW NORMAL YES YES YES
1.17 11.60 SW NORMAL YES YES YES
1.17 11.60 SW STUNTED YES YES YES
1.24 11.70 SW NORMAL YES YES NO
1.3 11.80 SW NORMAL YES YES NO
1.32 12.60 SW NORMAL YES YES YES
1.2 11.80 SW SS YES YES YES
1.26 11.90 SW NORMAL NO NO NO
1.29 12.00 SW NORMAL YES YES YES
1.18 12.20 SW STUNTED YES YES NO
1.29 12.00 SW STUNTED YES YES YES
1.27 11.70 SW NORMAL YES NO NO
1.34 11.60 SW NORMAL YES YES YES
1.19 12.00 SW STUNTED YES YES NO
1.29 12.00 SW NORMAL YES YES NO
1.32 9.10 SW NORMAL YES YES NO
1.47 7.80 SW TALL YES YES NO
1.39 10.30 SW NORMAL YES NO YES
1.21 12.20 SW SS YES YES YES
1.37 11.70 SW NORMAL NO YES YES
1.24 13.00 SW SS YES YES NO
1.28 12.80 SW NORMAL YES YES NO
1.26 12.50 SW SS YES YES YES
1.38 11.50 SW SS YES YES NO
1.27 11.70 SW STUNTED YES YES YES
1.28 11.50 SW STUNTED NO NO NO
1.28 12.20 SW STUNTED YES YES NO
1.24 11.70 SW STUNTED YES YES NO
1.28 12.20 SW STUNTED YES YES YES
1.26 13.20 SW SS YES YES YES
1.24 13.00 SW SS YES YES YES
1.34 12.80 SW NORMAL YES YES YES
1.52 12.90 SW NORMAL YES YES NO
1.27 13.00 SW SS YES YES YES
1.35 10.90 SW NORMAL YES NO NO
1.09 SW NORMAL YES NO NO
1.06 WASTED NORMAL YES NO NO
1.05 WASTED NORMAL YES NO NO
1.09 WASTED NORMAL YES NO NO
1.04 WASTED NORMAL YES NO NO
1.05 WASTED STUNTED YES NO NO
1.06 WASTED NORMAL YES YES NO
1.01 WASTED STUNTED YES YES NO
1.05 WASTED NORMAL YES NO NO
1.02 WASTED STUNTED NO NO NO
1.03 WASTED NORMAL YES NO NO
1.11 12.90 WASTED NORMAL YES NO NO
1.17 12.40 WASTED NORMAL YES NO NO
1.13 12.50 WASTED NORMAL YES YES NO
1.1 12.30 WASTED NORMAL YES NO NO
1.18 12.20 WASTED NORMAL YES YES YES
1.08 WASTED NORMAL YES NO NO
1.08 12.80 WASTED STUNTED YES NO NO
1.16 11.80 WASTED NORMAL YES YES YES
1.05 11.70 WASTED NORMAL YES NO NO
1.06 12.40 WASTED STUNTED YES NO NO
1.08 12.00 WASTED NORMAL YES YES YES
1.13 11.70 WASTED NORMAL YES NO NO
1.2 12.50 WASTED NORMAL YES YES YES
 1.21 13.60 WASTED SS YES YES YES
1.12 12.70 WASTED STUNTED YES NO NO
1.09 12.60 WASTED NORMAL NO YES NO
1.1 12.30 WASTED STUNTED NO YES YES
1.19 12.70 WASTED NORMAL YES YES YES
1.31 13.40 WASTED NORMAL YES NO NO
1.22 12.00 WASTED NORMAL YES YES YES
1.13 12.50 WASTED STUNTED YES NO YES
1.17 12.40 WASTED NORMAL NO NO NO
1.26 13.80 WASTED STUNTED YES YES NO
1.21 12.90 WASTED NORMAL YES YES NO
1.40 11.20 WASTED NORMAL YES YES NO
1.41 13.50 WASTED NORMAL YES YES NO
1.24 13.00 WASTED NORMAL YES YES NO
1.55 12.90 WASTED TALL YES NO YES
1.24 13.00 WASTED STUNTED NO NO NO
1.27 13.00 WASTED NORMAL YES YES YES
1.29 12.60 WASTED NORMAL YES NO NO
1.14 13.60 WASTED STUNTED YES NO NO
1.28 13.40 WASTED STUNTED YES YES NO
1.31 12.80 WASTED NORMAL YES YES YES
1.23 13.20 WASTED STUNTED YES YES NO
1.33 13.00 WASTED NORMAL YES YES NO
1.34 13.90 WASTED NORMAL YES YES YES
1.33 14.10 WASTED STUNTED YES YES YES
1.29 13.80 WASTED STUNTED YES YES YES
1.3 13.60 WASTED STUNTED YES NO YES
1.3 13.00 WASTED NORMAL NO YES YES

Approved by:

School Head
SBFP Form 2 (2020)
Department of Education
Region __

SCHOOL-BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS (SY 2024-2025)

Division/Province:
School District/City/ Municipality :

Name of District
Name of Schools BEIS ID No. School Address Name of Barangay Supervisors/
School Principal or OICs

Prepared by:

SBFP DepED Focal

Note: This form shall be prepared by the SDO before the start of feeding, for final consolidation by the RO.
024-2025)

Contact Number or &

Total Beneficiaries
Email Address

Approved by:

Schools Division Superintendent

SBFP Form 3 (2020)
Department of Education
Region IV-B

SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING (SY 2020-2021)
Division/Province:
City/ Municipality/Barangay :
Name of School / School District :
School ID Number:
Date of Start of Feeding: __________________________
Last Mile School: ___Y ___N
SBFP BENEFICIARIES ONLY
Nutritional Status at Start/End of Feeding No. of Secondary Targets

Number of Undernourished School SW W N OW+O SS S N T No. of Pupils- No. of No. of No. of

at-risk-of- Stunted/ Indigent Indigenous
Children by Grade Level dropping-out Severely Learners Peoples (IPs)
(PARDOs) Stunted

1. Kinder

2. Grade I

3. Grade II

4. Grade III

5. Grade IV

6. Grade V

7. Grade VI

Total

Prepared by: Approved by:

 SBFP DepEd Focal School Head

Note: This form shall be prepared by the school before the start of feeding and after feeding, to be compiled by the SDO, and for final compilation by the RO
EEDING (SY 2020-2021)

No. of No. of 4 Ps No. of Pupils Date Feeding

Learners Beneficiaries who are Started/Ended
Dewormed beneficiaries in
previous years
(Repeaters)
chool Head

l compilation by the RO, for submission to DepEd BLSS-SHD

 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF ______________________ , SY _____________

Region
Division: School:
District: Grade: __________ Section _____________________
School ID Number:
ACTUAL FEEDING

NAME OF PUPIL

12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 16
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
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
 70
71
72
73
74
75
76
77
78
79
80
81
TOTAL:
Prepared by:

___SONIA C. CORPUZ_____
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
MERCEDITA G. APOLONIO ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF ______________________ , SY _____________

Region
Division School:
District Grade: __________ Section _____________________
School ID Number:

ACTUAL FEEDING

NAME OF PUPIL

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
26

page 4
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

TOTAL:

D. Actual Feeding

(H ) - Present, served with Hot meals

(M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
( A ) - Absent, not served
(H2/M2/(H/M2)) - Present, served twice

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF ______________________ , SY _____________
Region: 02
Division : ISABELA School: SAN ANTONIO ELEMENTARY SCHOOL

page 4
 District : ROXAS WEST Grade: __________ Section _____________________
School ID Number: 103644

ACTUAL FEEDING
NAME OF PUPIL

101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120
1 ACPAL,CHARLTON, ACHERA
2 ALAVA,REYMARCK, LABAYO
3 AMARO,ARVIN CLEVEN JOHN, LOPEZ
4 AROGAR,JERICK, ELEGIO
5 BAJO,ALBERT ANGELO, PULIDO
6 BALAES,MARK EJAY, LADDIT
7 BIAZON,JEREMY, SANIDAD
8 CALMA,ROGELIO JR, SALAZAR
9 CARBONEL,KYRIE ERVIN, YACAS
10 CASTRO,JAKE, SAWIT
11 DE GUZMAN,AJAY, CARODAN
12 DE GUZMAN,DEXTER, BULUSAN
13 ELARDE,BERNARDO,JR., SAAN
14 EUSTAQUIO,JIMMY JR, SABADO
15 EUSTAQUIO,JOMAR JR, CANCERAN
16 FABROS,RICH IVAN, DIZON
17 FERNANDO,RENDEL KAYRO, MATULIN
18 GAMIT,JOHN ANDREI, BELEGANIO
19 JOSE,JAY, MIGUEL
20 LORENZO,FRANCIS, MANGOBA
21 MANUEL,LEOMAR, SINAD
22 MARTINEZ,HAROLD, AGAS
23 ORQUE,RAVEN ZEDRIC, DELOS REYES
24 QUIDASOL,ALEXANDER TROY, GALANO
25 RAMOS,NATHAN, BANGAY
26 REPALDA,JOHN PATRICK, BAUTISTA
27 SAHAGUN,ALEXANDER, BAUTISTA
28 SAHAGUN,JEROGNE VIENNE, BIAZON
29 SALAZAR,JHANN RENZ, TAMAYO
30 SALAZAR,JV LAWRENCE, VINARAO
31 SALVADOR,JACE NYL, GRANFIL
32 SALVADOR,JOHN JACOB, LOPEZ
33 SALVADOR,LORDWIN, VILLANUEVA
34 SARIO,MARK LOUIE, MATEO

page 4
35 SINAD,ANGELO, MOTAS
36 TOMINEZ,ZEION JACOB, SEROMA
37 VALDEZ,JEZREEL NAETHAN, MENDOZA
38 VICTORIO,JAYMARK, GAGOTE
39 VIERNES,JAN XANDER, BALIGNASAY
40 WAÑA,JUSTIN, MONTERO
41 APOSTOL,SOPHIA JOY, GONDRAN
42 COLOMA,REJOICE, DE GUZMAN
43 GALVEZ,MHAEYGAN, MENDOZA
44 GARBO,PRINCESS MARIZ, GAMIZ
45 IGNACIO,NHYCULLEI, PULIDO
46 JOSE,LIRA MICHAELLA, GARCIA
47 MACABALI,JANELLE, MAGNO
48 MAGLANGIT,MA.ELLYCE, GASPAR
49 MIGUEL,AIRA MAE, SANTIAGO
50 NATIVIDAD,PRINCESS MAE, MONTALBO
51 NAVARRO,CATHLYN AMBER, TRINIDAD
52 ORDONIA,FE, RELUNA
53 PANGANIBAN,LEXIE, BALIGNASAY
54 PASCUA,JEWERLY, PALMA
55 PASCUAL,LAUREN JOYCE, SALVADOR
56 RAMIREZ,ODELLE REILY, MENOR
57 SAWIT,ZAKIA KATE, DULAY
58 SEROMA,ALEXA JEN, ABREJAL
59 SINAG,PRECIOUS GAILE, MENDOZA
60 SINAG,PRINCESS ZHIA, MENDOZA
61 TOLEDO,AYHEZZA KATE, SEROMA
62 TRINIDAD,ACE JULLIANE, DIAZ
63 TUQUIB,ANGELA, OBRA
64 URBANO,MAE ANNE, CRUSIO
65 VILORIA,FREMAH MAE, RUBIANES
66 Arogar, Jerwin E.
67 Bartolome, Alexander
68 Bangalisan, Sofia Mae B.
69 Elarde, Sybil Charm C.
70 Osalla, Regine
71 Sinad, Lucille Evangielyn
72 Paden, Jessica
73 Gragasin, Rynalyn Joy
74 Marcos, Jochelle Paye
75 Mallari, Lanz Ian

page 4
 76 Dela Cruz, Leticia
77 Matias. Ronie Jr. Cariaga
78 Rambaod, Jhon Lloyd Elarde
79 Acuña, Michael John
80 Lintao, Prince Ryan
81 Miguel, Angelica Joy S.
82 Abenoja, Dexter A.
83 Mauricio, Janice
84 Ramos, Ysabelle Audrey
85 Tadena, Kimberly
86 Aquino, Jayvee L.
87 Enero, Jian G.
88 Lorenzo, Lorelyn
89 Parotina, Marion Nindea
90 Romualdo, Hero
91 Abenoja, Mark Daryllem.
92 Marcelo, Jimbo O.
93 Alcantara, Arnold
94 Bartolome, John Paul
95 Tuquid, Jhon Direck
96 Bajamonde, Noriejane
97 Dela Torre, Precious Jhoelle
98 Discanco, Crystal
99 Dizon, Acil
### Javier, Jessa
### Policarpio, Jenie
### Rivera, Samantha Divine
### Estebes, Jerome
### Fonacier, Joshua
### Obra Alen O.
### Parotina, Jay Mhar
### Villanueva, Jaden
### Alcantara, Lance S.
### Pereira, Joshua G.
### Galapia, Justine Ray
### Policarpio, Ryan James
### Sinoto, Kian Dave
### Alferez, Lemuel Dizon
### Enero, John Ian Galabay
### Simple, John Aldrich S.
TOTAL:

page 4
 D. Actual Feeding

(H ) - Present, served with Hot meals

(M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
( A ) - Absent, not served
(H2/M2/(H/M2)) - Present, served twice

page 4
 ATTENDANCE
No. of No. of
Days Feeding Percentage
Present Days
(A) (B) (A/B)*100

page 4
AVERAGE:

page 4
 ATTENDANCE
No. of No. of
Days Feeding Percentage
Present Days
(A) (B) (A/B)*100

page 4
page 4
AVERAGE:

page 4
SBFP Form 5 (2020)

DEPARTMENT OF EDUCATION
NATIONAL CAPITAL REGION

REGION/DIVISION/DISTRICT:
NAME OF SCHOOL:
SCHOOL ID NO.:

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES

NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD

1 (District Supervisor)

2 (School Feeding Coordinator)

3 (School Property Custodian)

Note: This form shall be filled-up by School Drop-off points to be given to the NDA/Dairy Cooperative supplier on the first
delivery of milk. Only authorized consignees are allowed to receive the goods.
SBFP Form 5 (2020)

SPECIMEN SIGNATURE
SBFP Form 6 (2020)

DEPARTMENT OF EDUCATION
Region II

REGION/DIVISION/DISTRICT:
NAME OF SCHOOL:
SCHOOL ID NO.:

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF BENEFICIARIES
Classification (SY2020-2021)
of Students in terms of Milk Tolerance (Please check
one)
Without milk intolerance With milk
and will participate in intolerance but
Name Grade & Section milk feeding willing to
participate in milk
feeding
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
SBFP Form 6 (2020)

22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
SBFP Form 6 (2020)

59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
Prepared by: APPROVED BY:

School Feeding Coordinator School Head

 SBFP Form 6 (2020)

ONENT

s of Milk Tolerance (Please check

one)
Not allowed by parents to
participate in milk feeding
SBFP Form 6 (2020)
SBFP Form 6 (2020)
SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region VII

REGION/DIVISION/DISTRICT:
NAME OF SCHOOL:
SCHOOL ID NO.:

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL:
Prepared by: APPROVED BY:

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region VI

REGION/DIVISION/DISTRICT: ____________ VI/CAPIZ/IVISAN

NAME OF SCHOOL: _______ MALOCLOC ELEMENTARY SCHOOL
SCHOOL ID NO.: _____ 115510

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

SBFP Form 7 (2020)

MILK DELIVERIES (SY________)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered New Replacement Total (New + Replacement/
Kinder 27 Replacement) Rejected
Grade 1 10
Grade 2 15
Grade 3 15
Grade 4 13
Grade 5 12
Grade 6 12
TOTAL: 104
Prepared by: APPROVED BY:

SHERYL M. ARANDA REY O. ANDRADA

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region _02__

REGION/DIVISION/DISTRICT: 02/ISABELA/CABAGAN
NAME OF SCHOOL: AGGUB ELEMENETARY SCHOOL
SCHOOL ID NO.: 103139

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY________)

Grade Level Number of Beneficiaries Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 40
Grade 1 1
Grade 2 9
Grade 3 9
Grade 4 0
Grade 5 4
Grade 6 2
TOTAL: 65
Prepared by: APPROVED BY:
SBFP Form 7 (2020)

MERITA B. GUMIRAN JULIET T. DEJAN

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region VII

REGION/DIVISION/DISTRICT: 02/ISABELA/ROXAS WEST

NAME OF SCHOOL: SAN ANTONIO ELEMENTARY SCHOOL
SCHOOL ID NO.: 103644

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered New Replacement Total (New + Replacement/
Kinder 65 Replacement) Rejected
Grade 1 9
Grade 2 14
Grade 3 12
Grade 4 9
Grade 5 0
Grade 6 6
TOTAL: 115
Prepared by: Approved by:

MYRNA A. VILORIA ELECTOR G. DUMAGUING

Feeding Focal Person School Head

DEPARTMENT OF EDUCATION
Region _02__

REGION/DIVISION/DISTRICT: _02/ ISABELA/ ALICIA EAST DISTRICT______

NAME OF SCHOOL: ALICIA EAST CENTRAL SCOOL____
SCHOOL ID NO.: 102995____

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

SBFP Form 7 (2020)

MILK DELIVERIES (SY_2020-2021_)

Grade Level Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 96
Grade 1 14
Grade 2 12
Grade 3 11
Grade 4 5
Grade 5 6
Grade 6 9
TOTAL: 154
Prepared by: APPROVED BY:

LORNA V. ALOTA RUBY R. GARCIA

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region 02

REGION/DIVISION/DISTRICT: 02/ISABELA/ALICIA EAST DISTRICT

NAME OF SCHOOL: STA. CRUZ ELEMENTARY SCHOOL
SCHOOL ID NO.: 103018

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020-2021)

Grade Level Number of Beneficiaries Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 51
Grade 1 13
Grade 2 10
Grade 3 11
Grade 4 7
Grade 5 9
Grade 6 8
TOTAL: 109
Prepared by: APPROVED BY:

EDINA A. ABADIANO ARTURO L. GOMEZ

School Feeding Coordinator School Head
SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
2

REGION/DIVISION/02/ ISABELA/ ALICIA EAST DISTRICT

NAME OF SCHOOL: M. H. DEL PILAR ELEMENTARY SCHOOL
SCHOOL ID NO.: _ 102994

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021)

Grade Level Number of Beneficiaries Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 74
Grade 1 0
Grade 2 43
Grade 3 7
Grade 4 11
Grade 5 12
Grade 6 12
TOTAL: 159
Prepared by: APPROVED BY:

JOAN A. ANDANA MARIA PAZ E. TABERNA, P-2

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region 02

REGION/DIVISION/DISTRICT: 02/ISABELA/ALICIA EAST DISTRICT

NAME OF SCHOOL: MABINI ELEMENTARY SCHOOL
SCHOOL ID NO.: 102992

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY________)

Grade Level Number of Beneficiaries Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 36
SBFP Form 7 (2020)

Grade 1 7
Grade 2 8
Grade 3 13
Grade 4 8
Grade 5 5
Grade 6 6
TOTAL: 83
Prepared by: APPROVED BY:

FELICIDAD T. OLIVER NELSON A. AGAOID

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region 02

REGION/DIVISION/DISTRICT: O2/ISABELA/ALICIA EAST DISTRICT

NAME OF SCHOOL: SAN ANTONIO ELEMENTARY SCHOOL
SCHOOL ID NO.: 102999

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020-2021)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered New Replacement Total (New + Replacement/
Kinder 22 Replacement) Rejected
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL:
Prepared by: APPROVED BY:

SHERYL V. DE GUZMAN ELIZABETH M. FLORES

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region 02
SBFP Form 7 (2020)

REGION/DIVISION/DISTRICT: 02/ISABELA/ ALICIA EAST DISTRICT

NAME OF SCHOOL: RIZALUNA ELEMENTARY SCHOOL
SCHOOL ID NO.: 102997

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021)

Grade Level Number of Beneficiaries Date Delivered No. of Packs ReceivedNo. of Packs for Replacement/ Rejected
New Replacement
Total (New + Replacement)
Kinder 36
Grade 1 8
Grade 2 2
Grade 3 1
Grade 4 1
Grade 5 0
Grade 6 4
TOTAL: 52
Prepared by: APPROVED BY:

LORELIE S. CABREROS MARIETTA O.LORENZO

School Feeding Coordinator School Head
SBFP Form 7 (2020)

Remarks
SBFP Form 7 (2020)

Remarks

Remarks
SBFP Form 7 (2020)

Remarks
SBFP Form 7 (2020)

Remarks

Remarks
SBFP Form 7 (2020)

Remarks

Remarks
SBFP Form 7 (2020)

Remarks
SBFP Form 7 (2020)

Remarks
SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region ___

REGION/DIVISION/DISTRICT:
NAME OF SCHOOL:
SCHOOL ID NO.:

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021) FOR DROP-OFF POINTS

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of

Replacement) Beneficiries
1 1
2
3
4
5
6
7
8
9
10

TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
2 1
2
SBFP Form 7 (2020)

3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
3 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
4 1
2
3
4
5
6
7
8
9
SBFP Form 7 (2020)

10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
5 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
6 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
7 1
SBFP Form 7 (2020)

7
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
8 1
2
3
4
5
6
7
8
9
10
TOTAL:

Prepared by: APPROVED BY:

SONIA C. CORPUZ MERCEDITA G. APOLONIO

School Feeding Coordinator School Head

DEPARTMENT OF EDUCATION
Region 02

REGION/DIVISION/DISTRICT: 02/ ISABELA/ ROXAS WEST

NAME OF SCHOOL: SAN ANTONIO ELEMENTARY SCHOOL
SCHOOL ID NO.: 103644
SBFP Form 7 (2020)

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021) FOR DROP-OFF POINTS

Date Delivered No. of Packs Received Allocation per School
New Replacement Total (New + Schools Number of
1 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
2 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
3 Replacement) 1 Beneficiries
2
3
4
5
6
7
SBFP Form 7 (2020)

8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
4 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
5 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
6 Replacement) 1 Beneficiries
2
3
4
5
6
SBFP Form 7 (2020)

7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
7 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
8 Replacement) 1 Beneficiries
2
3
4
5
6
7
8
9
10
TOTAL:

Prepared by: APPROVED BY:

MYRNA A. VILORIA ELECTOR G. DUMAGUING

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

per School

Number of Milk
Allocation

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation
 SBFP Form 7 (2020)

per School
Number of Milk
Allocation

per School
Number of Milk
Allocation
SBFP Form 8 (2020)

DEPARTMENT OF EDUCATION
Region 2

SCHOOL-BASED FEEDING PROGRAM MONTHLY/QUARTERLY REPORT (SY 2020-2021)

Region/Division:

Financial Status

Status of Implementation
(when Amount
Target No. Actual No. % Status of
No. of SDO started, completed, Downloaded
Division/Schools of SBFP of SBFP downloading of
Schools (SBFP discontinue, for Amount to /Received
Schools Schools Schools/SDO funds to Schools Disbursed
Schools) continuation or number of Allocated by SDOs or
or to NDA/PCC for
feeding days completed) NDA/PCC
milk
for milk

Prepared by: Approved by:

SBFP Form 8 (2020)

RO/SDO Focal Person Regional Director/ Schools Division Superinten

RO/SDO Accountant
 SBFP Form 8 (2020)

020-2021)

tus

Liquidation Remarks (state if

fully/partially
liquidated &
reason)
1st 2nd
 SBFP Form 8 (2020)

hools Division Superintendent