PANTAWID PAMILYANG PILIPINO PROGRAM

NATIONAL PROJECT MANAGEMENT OFFICE

FAMILY DEVELOPMENT UNIT
ATTENDANCE SHEET
(Month)

Region

Province

City/ Municipality

Barangay

Set:

Name of Group:

Name of Parent/ Leader:

Number of Members:

Date:

Place/ Venue:

Time/ Duration:

Number of Absentees:

Resource Person:

Agency/ Contact #:

Session Title:
BENEFICIARIES
HOUSEHOLD NUMBER
Name of Grantee
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

Gina Malang
Susan Carcha
Liera Sison

Gender
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F

Name of Spouse
Dante Malang
Fernando Carcha
Rafael Sison
Adriano Verdeflor
Rogelio Faelangco
Emmanuel Orbita
----Ritchie Rentuaya
Michael Tayag
Rodrigo Go
Lauro Aosa
Edgardo Medina
-----Ricky Carulla
------

Gender

Grantee

Gender

Spouse

Gender

Proxy Name and

Signature

Relationship of
Proxy to Grantee

Reason for
Having proxy

Signature
after the
session

BENEFICIARIES
HOUSEHOLD ID
NUMBER

Name of Grantee

Gender

Name of Spouse

Gender

Grantee

Gender

Spouse

SIGNATURE OF ATTENDEES
Proxy Name and
Gender
Signature

Relationship of
Proxy to Grantee

Reason for
Having a
Proxy

25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
Prepared by:

Noted and Received by:

Municipal Link
DIRECTIONS ON HOW TO FILL OUT THE ATTENDANCE SHEET:
1.) There should be a unique attendance sheet per parent group per month.
2.) Before printing the attendance sheet, please input the Household ID Number of each household grantee together with the names of the main grantee and her/ his spouse.
3.) Write the month of the season under the title of the form.
4.) State the necessary preliminary data as stated above before having the beneficiaries sign the FDS Attendance Sheet.
5.) During the actual conduct of FDS, the actual attendee should be the one to sign in the signature portion of the attendance sheet.
6.) If the grantee is the only one who attended the FDS, then she/he should sign the attendance. If the spouse attended with the grantee, there should be signatures under the
grantees and the spouses column.
7.) For proxy attendance, the proxy should write his/her name together with his/her signature under the specified column.
He/ she should also indicate his/her relationship to the main grantee. Moreover, the reason for proxy attendance should be provided.
8.) At the end of the session, all the actual attendees should confirm their attendance by countersigning at the last column of the sheet. This would prevent beneficiaries from
escaping in the middle of the session.

SWO III

Total Number of Female Beneficiary: ____

Total Number of Male Beneficiary: ______
Total Number of Beneficiary:_________
Total Number of Female Proxy: _______
Total Number of Male Proxy:_________
Total Number of Attendance: ________

Signature
after the
Session