SBFP-Forms 1 TO 9

SBFP Form 1 Annex 3
Department of Education
Region III
Master List Beneficiaries for School-Based Feeding Program (SBFP)
Division/Province: SDO - City of San Fernando, Pampanga Name of Principal : Lourdes D. Eusebio
City/ Municipality/Barangay : San Fernando City, Maimpis Name of Feeding Focal Person : Roy B. Manguyot
Name of School / School District : Maimpis Integrated School, North District
School ID Number: 500145
Participa Beneficiary
BMI for Nutritinal tion in of SBFP in
Date of Weighing / Age in
No. Name Sex Grade & Section Date of Birth Measuring Years / Weight Height 6 y.o.
Status 4Ps Name of Parents Previous
(MM/DD/YYYY) (MM/DD/YYYY) (Kg) (cm) and
Months above (NS) (yes or Years (yes
no) or no)
1 Benalla, Francis B. M Kinder-Mapamintu AM 8/11/2013 6/11/2019 0.70 12 1.03 SW yes Risa B. Benalla no
2 Fernando, Mariz L. F Kinder-Mapamintu AM 8/11/2013 6/11/2019 0.70 12 1.05 SW no Vidalyn L. Fernando no
3 Manigote, Regine C. F Kinder-Mapamintu AM 7/11/2013 6/11/2019 0.71 12 1.03 SW yes Gina C. Manigote no
4 Clemente, Kathryne F Kinder-Mapamintu AM 2/12/2013 6/11/2019 6.30 15 1.13 11.70 W no Cherry Lyn C. Manigote no
5 Corpuz, Rhianna S. F Kinder-Mapamintu AM 5/2/2014 6/11/2019 0.61 13 1.14 W no Amadona C. Cruz no
6 Maliwat, Gwyneth Alex G. F Kinder-Masipag AM 1/24/2014 6/11/2019 0.64 12 1.02 SW no Elizabeth G. Maliwat no
7 Aquino, Dion M. M Kinder-Masipag AM 8/12/2014 6/11/2019 0.57 13 1.05 W no Judy M. Aquino no
8 Maguddayao, Nygel D. M Kinder-Masipag AM 3/14/2014 6/11/2019 0.62 14 1.05 W yes Gloria Maguddayao no
9 Mallari, Kris Charles R. M Kinder-Masipag AM 12/9/2013 6/11/2019 0.66 14 1.05 W no Ana Marie Mallarie no
10 Segovia, Arenz M. M Kinder-Masipag AM 12/25/2013 6/11/2019 0.65 14 1.05 W no Emilyn Segovia no
11 Gonzaga, Trecia Mea N. F Kinder-Masipag AM 3/28/2014 6/11/2019 0.62 13 1.06 W no Diana Gonzaga no
12 Pallarca, Kurt Ian J. M Kinder-Masipag PM 7/10/2014 6/11/2019 0.59 12 0.99 SW no Christine Pallarca no
13 Esteva, Lovelyn D. F Kinder-Mabanglu AM 1/9/2014 6/11/2019 0.65 12 1.01 SW no Aileen D. Esteva no
14 Chico, Princess Nathaly F Kinder-Mabanglu AM 6/23/2013 6/11/2019 0.71 15 1.06 W no Michelle M. Chico no
15 Cunanan, Cate D. F Kinder-Mabanglu AM 2/272013 6/11/2019 0.65 13 1.04 W no Mariah D. Cunanan no
Prepared by: Noted :
ROY B. MANGUYOT LOURDES D. EUSEBIO

Feeding Focal Person School Principal / Officer-in-Charge
Note: This form shall be prepared by the school, for compilation by the SDO.
SBFP Form 1 Annex 3
Region III
Beneficiary
BMI for Nutritinal Participation of SBFP in
Years / Weight
Date of Birth Height 6 y.o.
No. Name Sex Grade & Section Measuring Status in 4Ps Name of Parents Previous
Months (Kg)
(MM/DD/YYYY) (MM/DD/YYYY) (cm) and
above (NS) (yes or no) Years (yes or
no)
16 Mallari, Jamaica- Cael M. F Kinder-Mabanglu AM 6/19/2014 6/11/2019 0.59 13 1.12 W no Janica M. Mallari no
17 Rodriguez, Akesha C. F Kinder-Mabanglu AM 6/1/2014 6/11/2019 0.60 13 1.08 W no Rodlyn C. Rodriguez no
18 Aquino, Ashley Mae A. F Kinder-Magilas AM 25/07/2014 6/11/2019 0.58 12 1.01 SW no Fredseele A. Aquino no
19 Cunanan, Daphnie Mae A. F Kinder-Magilas AM 7/8/2013 6/11/2019 0.70 13 1.06 SW no Jennifer A. Cunanan no
20 Ilumin , Jamela M. F Kinder-Magilas AM 4/8/2014 6/11/2019 0.98 12 0.98 SW no Ma. Rufina Ilumin no
21 Nuya, Kate F Kinder-Magilas PM 23/07/2014 6/11/2019 0.58 12 0.98 SW no Neri Nuya no
22 Camaya, Raymari Caron M. M Kinder-Magilas PM 24/03/2014 6/11/2019 0.62 14 1.03 W no Raynar L. Canaya no
23 Diaz, Prince Aljur L. M One-Red 2/1/2013 6/11/2019 6.4 17 1.16 12.6 W no Vivian Diaz no
24 Hipolito, John Carl G. M One-Red 1/19/2014 6/11/2019 0.64 14 0.95 W no Reynaldo Hipolito no
25 Macabali,Ryoshie Ael L. F One-Red 9/26/2013 6/11/2019 0.68 14 0.99 W no Ramon Macabali yes
26 Vangeles, Aldimae F. F One-Red 1/7/2013 6/11/2019 6.5 13 1.02 12.4 W no Jorge Vangeles no
27 Corre Charles W. M One-Yellow 10/25/2012 6/11/2019 6.7 15 1.09 12.6 W no Patricia Joy Cayanan yes
28 Lopez Loraine Marie R. F One-Red 10/10/2012 6/11/2019 6.8 13 1.02 12.4 W no Marisa R. Lopez no
29 Nuya Joanna F One-Pink 1/28/2012 6/11/2019 7.4 16 1.13 12.5 w no Neri M. Nuya yes
30 Sibayan Raily B. M One-Yellow 10/21/2013 6/11/2019 0.67 14 1 w no Zenaida B. Sibayan no

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
31 Yanson Anna Ticao F One-Yellow 2/14/2014 6/11/2019 0.63 14 1.08 W no Rhea T. Yanson no
32 Deang,Jewel J. F One-Blue 10/29/2012 6/11/2019 6.7 14 1.15 10.5 SW no Jonel Deang no
33 Jacob, Jaren Dave C. M One-Blue 9/15/2012 6/11/2019 6.80 17 1.17 12.4 W no Abigael C. Jacob yes
34 Jacinto,Justin Karl M. M One-Blue 4/18/2013 6/11/2019 6.1 13 1.03 12.2 W no Rhia M. Jacinto no
35 Arca, Colaine R. F One-Blue 1/9/2012 6/11/2019 7.50 15 1.09 12.6 W no Angelita R. Arca no
36 Brequillo,Katelyn B. F One-Green 7/30/2011 6/11/2019 7.1 12 1.04 11 SW no Jesalyn B. Brequillo no
37 Naguit, Kim Aron M One-Green 3/18/2013 6/11/2019 6.2 13 1 13 W no Kimberly I. Naguit no
38 Abalos, Linzey C. F One-Green 12/18/2008 6/11/2019 12.6 14 1.05 12.6 W no Jennifer C. David no
39 Delos Santos, Soul Princess F One-Green 7/20/2012 6/11/2019 0.7 14 1.13 W no Anjanette A. Pacheco no
40 Esguerra, Ehrel R. F One-Green 7/16/2012 6/11/2019 6.1 15 1.13 11.7 W no Ellea T. Ronquillo no
41 Rosales, Lian Joy J. F One-Orange 3/2/2014 6/11/2019 0.63 12 1.19 SW no Ian Rosales yes
42 Keh, Neil Andrew V. M One-Orange 5/15/2013 6/11/2019 6.3 14 106 12.4 W no Emiliana Vargas no
43 Pitalbo, John Kheyiel B. M One-Orange 1/2/2012 6/11/2019 7.5 16 111 12.9 W no John Bryan Pitalbo no
44 Lopez, Princess G. F One-Orange 6/19/2013 6/11/2019 0.71 15 114 W no Eduardo Lopez no
45 Torres, Shane Angel M. F One-Orange 6/8/2013 6/11/2019 6 17 117 12.4 W no Itakkin Torres no

SBFP Form 1 Annex 3
Region III
Beneficiary
Date of Weighing / Age in Height BMI for 6 Nutritinal Participation of SBFP in
No. Name Sex Grade & Section Date of Birth
Measuring Years / Weight y.o. and Status in 4Ps Name of Parents Previous
(MM/DD/YYYY) (MM/DD/YYYY) (Kg) (cm)
Months above (NS) (yes or no) Years (yes or
no)
46 Senosin, Aldrich A. M One-Purple 9/14/2014 6/11/2019 0.56 12 103 SW no Melrichu A. Senosin no

47 De Guzman, Marthina Gelaine T F One-Purple 10/5/2012 6/11/2019 6.8 12 1.03 11.3 SW no Melanie M. Guzman no
48 Agtalao, Vincent Andrei O. M One-Purple 3/16/2013 6/11/2019 6.2 14 106 12.4 W no Rosalie D. Agtalao no
49 Arape, Brent M One-Purple 7/9/2013 6/11/2019 0.71 14 104 W no Alma L. Arape no
50 Padua,Roger D. M One-Purple 2/23/2013 6/11/2019 6.3 19 122 12.7 W no Lisa M. Padua no
51 Panibio, Lindon O. M One-Purple 6/28/2013 6/11/2019 0.71 14 109 0 W no Madelyn M. Panibio no
52 Tismo, Joanna A. F One-Purple 3/22/2013 6/11/2019 6.2 15 111 12.1 W no Alma A. Tismo no
53 Dela Cruz, Manuel C. M One-Pink 6/22/2013 6/11/2019 0.71 13 90 0 SW no Janet A. Cruz no
54 Columbres, Justin Cray C. M One-Pink 7/10/2013 6/11/2019 0.71 15 68 0 W no Carmelita C. Columbre no
55 Garcia, Ronnie A. M One-Pink 6/10/2013 6/11/2019 6 12 98 12.4 W no Estrella A. Chu no
56 Manalo, Marc Romel M. M One-Pink 10/15/2011 6/11/2019 7.7 14 105 12.6 W no Rommel C. Viray no
57 Viray, Ramjel M. M One-Pink 6/16/2013 6/11/2019 0.71 15 108 0 W no Rommel C. Viray no
58 Ochoa, Aaron France S. M Two-Rosal 8/21/2011 6/11/2019 7.9 16 116 11.8 SW no Cristina S. Ochoa no
59 Carreon, Storm Cyrill S. M Two-Rosal 8/26/2012 6/11/2019 6.9 18 118 12.9 W no Elisa Sarino no
60 Calingacion, Monica Paula L. F Two-Rosal 7/31/2011 6/11/2019 7.1 20 126 12.5 W no Michelle Calingacion no

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
61 Manarang, Maria Nichole G. F Two-Rosal 10/28/2011 6/11/2019 7.7 19 124 12.3 W no Nicolas Manarang no
62 Cayanan, Joven S. M Two-Ilang-ilang 7/8/2012 6/11/2019 6.11 14 110 11.5 SW yes Joan Cayanan yes
63 Guzman IV, Mario T. M Two-Ilang-ilang 6/7/2012 6/11/2019 7 16 116 11.8 SW yes Melanie De Guzman yes
64 Marbebe, Jovahny M. M Two-Ilang-ilang 5/12/2012 6/11/2019 7 15 117 10.9 SW yes Vina Marbebe no
65 Rosales, John Mark J. M Two-Ilang-ilang 3/9/2012 6/11/2019 7.3 16 117 11.6 SW yes Lidia Rosales no
66 Juanites, Hasmine R. F Two-Ilang-ilang 7/26/2012 6/11/2019 6.10 14 111 11.3 SW yes Romelia Junaniles no
67 Custodio, Bryan C. M Two-Ilang-ilang 6/19/2011 6/11/2019 7.11 18 118 12.9 W no Jenalyn Custodio no
68 Abandiano, MaryJoy B. F Two-Ilang-ilang 10/17/2010 6/11/2019 8.7 20 125 12.8 W no MaryGrace Abadiano no
69 Mandap, Elize Jade A. F Two-Ilang-ilang 7/22/2012 6/11/2019 6.10 17 117 12.40 W no Elma Mandap no
70 Albania, Jansen D. M Two-Santan 9/8/2011 6/11/2019 7.9 18 118 12.9 W no Emily D. Dones yes
71 Cayanan, Jovan S. M Two-Santan 5/31/2012 6/11/2019 7 15 110 12.3 W no Joan G. Salazar no
72 Martin, Aldrin N. M Two-Santan 8/24/2011 6/11/2019 7.9 21 127 13 W no Rose N. Martin no
73 Brondo, Crissa Jane C. F Two-Santan 11/13/2008 6/11/2019 10.6 16 121 13.2 W no Gelyn C. Brondo yes
74 Cabalquinto, Elize T. F Two-Santan 7/3/2011 6/11/2019 7.11 16 115 12 W no Michelle Cabalquinto no
75 Dablo, Abegil R. F Two-Santan 5/16/2012 6/11/2019 7 16 113 12.5 W no May Joy R. Dablo yes

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
76 Manarang, Rheana Joy C. F Two-Santan 7/3/2011 6/11/2019 7.11 15 111 12.1 W no Jeda C. Manarang no
77 Brondo, Chris Jay C. M Two-Gumamela 11/13/2009 6/11/2019 9.60 19 121 12.9 W no Gelyn C. Brondo yes
78 Estudillo, Jarhel R. M Two-Gumamela 3/11/2012 6/11/2019 7.3 18 118 12.9 W no Judylyn Estudillo no
79 Jenggaña, Jhunriel Steve P. M Two-Gumamela 6/7/2012 6/11/2019 7.00 18 119 12.70 W no Marice G.Jenggaña no
80 Sayson, Lurince Jay C. M Two-Gumamela 9/27/2011 6/11/2019 7.8 17 117 12.4 W yes Lea C.Sayson no
81 Glinoga,Kimberly B. F Two-Gumamela 12/20/2011 6/11/2019 7.5 17 118 12.2 W no Celeste B. Glinoga no
82 Tagara, Alexis O. F Two-Gumamela 3/6/2012 6/11/2019 7.3 17 117 12.4 W no Edzel D. Tagara no
83 Tamundong,Denick Joyce C. F Two-Gumamela 7/5/2011 6/11/2019 7.11 18 121 12.2 W no Ditas D. Tamundong no
84 Sicat, Jenny M. F Three-Jose Abad Santos 10/31/2010 6/11/2019 8.7 16 119 11.2 SW no Julieta M. Sicat yes
85 De Guzman, Rhylie N. M Three-Jose Abad Santos 6/25/2011 6/11/2019 7.11 18 120 12.5 W no Jennifer N. De Guzman yes
86 Zamora, John Carlo D. M Three-Jose Abad Santos 7/2/2011 6/11/2019 7.11 22 131 12.8 W no Jenny Joy De Jesus no
87 Galulu, Jenifer O. F Three-Jose Abad Santos 6/29/2011 6/11/2019 7.11 18 120 12.5 W yes Lerma A. Galulu yes
88 Maghanoy,Neca E. F Three-Jose Abad Santos 3/16/2011 6/11/2019 8.2 18 120 12.5 W no Fredelisa E. Maghanoy no
89 Maris, Angel G. F Three-Nicolasa Dayrit 5/11/2011 6/11/2019 8.1 10 96 10.8 SW no Edna Maris yes
90 Brequillo, Renzo M Three-Nicolasa Dayrit 6/14/2009 6/11/2019 9.11 20 125 12.8 W yes Sonny Brequillo yes

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
91 Lim, Miomi D. M Three-Nicolasa Dayrit 3/4/2011 6/11/2019 8.30 13 101 12.7 W no Christina Dela Cruz yes
92 Juanites, Hannah Mae R. F Three-Nicolasa Dayrit 4/14/2011 6/11/2019 8.10 11 95 12.1 W no Romelia Ramos yes
93 Taduran, Angel C. F Three-Nicolasa Dayrit 6/24/2010 6/11/2019 8.11 12 96 13 W yes Joan Taduran yes
94 Corpuz, Charlyn B. F Three-Tiburcio Hilario 10/16/2009 6/11/2019 9.70 17 118 12.20 SW no Sonny Brequillo yes
95 Amante, Vhrix Micko G. M Three-Tiburcio Hilario 6/28/2011 6/11/2019 7.11 19 121 12.9 W no Marla Amante yes
96 Maglaqui, Rijel A. M Three-Tiburcio Hilario 9/4/2010 6/11/2019 8.9 17 115 12.8 W no Manalia Maglaqui no
97 De Guzman, Ashly M. F Three-Tiburcio Hilario 1/14/2011 6/11/2019 8.4 18 119 12.7 W no Janet Mallari yes
98 Mallari, Ivan G. M Three-Marcela Agoncillo 4/15/2011 6/11/2019 8.1 19 126 11.9 SW yes Nelia G. Mallari yes
99 Maris, Johnryl H. M Three-Marcela Agoncillo 6/24/2009 6/11/2019 9.11 14 110 11.5 SW no Edna Maderse no
100 Calpa Cruz, Romarico III B. M Three-Marcela Agoncillo 12/18/2010 6/11/2019 8.5 20.5 126 12.9 W no Jennifer P. Bondoc yes
101 Dago, Kyle M Three-Marcela Agoncillo 11/25/2009 6/11/2019 9.6 21 128 12.8 W no Nelyn J. Dago yes
102 Pitalbo, John Kyle B. M Three-Marcela Agoncillo 4/21/2010 6/11/2019 9.1 19.5 124 12.6 W yes Myasa B. Pitalbo yes
103 Naguit, Nathaniel T. M Four-Narra 12/28/2008 6/11/2019 10.5 18 114 13.8 W no Lolita Naguit yes
104 Ramos, Christian M. M Four-Narra 12/7/2009 6/11/2019 9.6 19 120 13.1 W no Cherry Ramos yes
105 Yaya, Noreen Claire L. F Four-Narra 5/4/2010 6/11/2019 9.1 17 115 12.8 W no Rhoda Yaya yes

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
106 Januto, John Daniel G. M Four-Acacia 1/31/2010 6/11/2019 9.40 19 120 13.1 W no Kenny Sorillo yes
107 Abalos, Lizel F Four-Acacia 11/1/2010 6/11/2019 8.70 20 129 12 W yes Jennifer Abalos no
108 Guzman, Marian T. F Four-Acacia 11/6/2008 6/11/2019 10.7 21 126 13.2 W no Melanie Tulio no
109 Luna, Johnny M Four-Mahogany 1/7/2009 6/11/2019 10.50 22 131 12.80 SW no Jemalyn Camacho yes
110 Maderse, Harby M Four-Mahogany 10/28/2010 6/11/2019 8.7 16 113 12.5 W no Michelle Maderse yes
111 Manarang, Ashley F Four-Mahogany 9/20/2000 6/11/2019 8.8 23 122 15.4 W yes Roseann Manarang yes
112 Reyes, Samantha F Four-Mahogany 8/19/2010 6/11/2019 8.9 19 121 12.9 W no Nemiah Legaspi no
113 Cabrillos, Daniel James N. M Four-Yakal 11/29/2009 6/11/2019 9.6 18 123 11.8 SW no Odesa Cabrillo yes
114 Coronado, Ralphwin Jay L. M Four-Yakal 10/5/2010 6/11/2019 8.8 18 120 12.5 W no Jacky Coronado yes
115 Gotis, Gio L. M Four-Yakal 2/9/2010 6/11/2019 9.4 20 122 13.4 W no Carmen D. Lozano yes
116 Liwag, Eiger Jan D. M Five-Diamond 9/23/2008 6/11/2019 10.8 25 135 13.7 W no Reggie Liwag no
117 Dela Cruz, Dusteinlhey M. M Five-Sapphire 8/13/2009 6/11/2019 9.9 16.5 112 13.1 W no Judith Dela Cruz yes
118 Loriaga, Rainier C. M Five-Sapphire 10/8/2007 6/11/2019 11.8 24 130 14.2 W no Elisa Cortesano yes
119 Tismo, Anthony A. M Five-Sapphire 10/13/2008 6/11/2019 10.7 19 118 13.6 W no Alma Arape yes
120 Marbebe, John Feb M. M Five-Emerald 2/14/2009 6/11/2019 10.3 21 126 13.2 W yes Vina Marbebe yes

SBFP Form 1 Annex 3
Region III
Beneficiary
Years / Weight
Months (Kg)
no)
121 Estrada, Jomelyn M. F Five-Emerald 12/29/2008 6/11/2019 10.50 21 127 13 W yes Emily Maestrado yes
122 Glinoga, Keanna B. F Five-Emerald 5/19/2010 5/19/2009 10.00 19 112 12.7 W no Celeste Nuag no
123 Magpantay, Princess R. F Five-Emerald 4/19/2007 6/11/2019 12.1 28 141 14 W no Juliet Ravile yes
124 Magat, Mhiel V. M Five-Ruby 3/26/2009 6/11/2019 10.20 18 115 13.60 W no Joyce Magat no
125 Manarang, AJ E. M Five-Ruby 2/25/2008 6/11/2019 11.3 19 119 13.4 W no Rona Manarang no
126 Fugaban, Avrille Z. F Five-Ruby 5/6/2009 6/11/2019 10.1 20 123 13.2 W no Jennifer Zuniga no
127 Magat, Giro Keifer L. M Six-Galilei 5/31/2008 6/11/2019 11 25 138 13.1 W no Gemma Magat no
128 Gonzaga, Ericka F Six-Galilei 9/26/2008 6/11/2019 10.8 21 127 13 W no Stephanie Gonzaga yes
129 Dela Cruz, Shin Adrian S. M Six-Newton 5/18/2008 6/11/2019 11 23 130 13.6 W no Lea Ann Dela Cruz no
130 Mallari, Mark Lorence R. M Six-Newton 11/12/2007 6/11/2019 11.6 28 142 13.8 W yes Anna Mallari yes
131 Sarino, John Dave L. M Six-Newton 8/12/2008 6/11/2019 10.9 21 125 13.4 W no Vilma Lanugon yes
132 Anastacio, Lea Mae P. F Six-Newton 2/8/2008 6/11/2019 11.4 28 142 13.8 W yes Edna Anastacio no
133 De Guzman, Aljur M. M Six-Aristotle 5/29/2008 6/11/2019 11 21 126 13.2 W no Janet De Guzman yes
134 Dones, Lorenzo Noel D. M Six-Aristotle 9/1/2008 6/11/2019 10.9 21 126 13.2 W yes Lorna Dones no
135 Maglambayan, Ashley L. M Six-Socrates 8/18/2008 6/11/2019 10.9 20 120 13.2 W yes Laarnie Maglambayan yes
136 Manigote, Rengie C. M Six-Socrates 9/27/2008 6/11/2019 10.8 21 125 13.4 W no Gina anigote yes

SBFP Form 2
Region III
SCHOOL-BASED FEEDING PROGRAM (SBFP)
Division/Province: Division of City Of San Fernando, Pampanga

School District/City/ Municipality : North District / City of San Fernando
Name of District
Name of Schools BEIS ID No. School Address Name of Barangay Supervisors/ Contact Number
School Principal or OICs
Maimpis Integrated School 500145 Purok 8, Brgy. Maimpis CSFP Maimpis Lourdes D. Eusebio 9089747237
Prepared by: Noted by:

SBFP DepED Focal Unit Chief
Note: This form shall be prepared by the DO, for final consolidation by the RO.
Annex 4
Total
Beneficiaries
136
ES D. EUSEBIO
nit Chief
SBFP Form 3 Annex 5
Region III
SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING

Division/Province: SDO - CITY OF SAN FERNANDO PAMPANGA
City/ Municipality/Barangay : SAN FERNANDO CITY, MAIMPIS
Name of School / School District : MAIMPIS INTEGRATED SCHOOL - NORTH DISTRICT
Date of Start of Feeding: JULY 03, 2019
Nutritional Status at Start of Feeding

Number of Undernourished School
Children by Grade Level No. of Severely No. of Wasted Total No. of Pupils who
No. of 4 Ps Ben. are beneficiaries in Remarks
Wasted Beneficiaries previous years
1. Kinder 10 12 22 3 0 none
2. Grade I 6 30 36 0 5 none
3. Grade II 6 20 26 6 5 none
4. Grade III 5 14 19 5 15 none
5. Grade IV 2 11 13 2 10 none
6. Grade V 0 10 10 2 6 none
7. Grade VI 0 10 10 4 6 none
8. SPED 0 0 0 0 0
Total 29 107 136 22 47
Prepared by:
ROY B. MANGUYOT
SBFP DepEd Focal
Note: This form shall be prepared by the school, to be compiled by the SDO, and for final compilation by the RO, for submission to DepEd BLSS-SHD
SBFP Form 4 Annex 6
SCHOOL-BASED FEEDING PROGRAM
FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

Region III
Division SDO - CITY OF SAN FERNANDO School: MAIMPIS INTEGRATED SCHOOL (ELEM.)
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
NAME OF PUPIL Beneficiary Beneficiary Nutritional Status Deworming
(y or n) of Previous Ht Wt Date Date
Age Sex (√ ) or
SBFP NS
(y or n) Birth Date cm kg Taken (X) Taken 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ###
20 22 23
1 Benalla, Francis B. yes no 0.7 8/11/2013 M 103 15 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
2 Fernando, Mariz L. no no 0.7 8/11/2013 F 105 13 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
3 Manigote, Regine C. yes no 0.71 7/11/2013 F 103 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
4 Clemente, Kathryne no no 6.3 2/12/2013 F 113 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
5 Corpuz, Rhianna S. no no 0.61 5/2/2014 F 114 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
6 Maliwat, Gwyneth Alex G. no no 0.64 1/24/2014 F 102 13 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
7 Aquino, Dion M. no no 0.57 8/12/2014 M 105 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
8 Maguddayao, Nygel D. yes no 0.62 3/14/2014 M 105 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
9 Mallari, Kris Charles R. no no 0.66 12/9/2013 M 105 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
10 Segovia, Arenz M. no no 0.65 12/25/2013 M 105 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
11 Gonzaga, Trecia Mea N. no no 0.62 3/28/2014 F 106 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
12 Pallarca, Kurt Ian J. no no 0.59 7/10/2014 M 99 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
13 Esteva, Lovelyn D. no no 0.65 1/9/2014 F 101 13 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
14 Chico, Princess Nathaly no no 0.71 6/23/2013 F 106 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
15 Cunanan, Cate D. no no 0.65 2/272013 F 104 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
16 Mallari, Jamaica- Cael M. no no 0.59 6/19/2014 F 112 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
17 Rodriguez, Akesha C. no no 0.60 6/1/2014 F 108 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
18 Aquino, Ashley Mae A. no no 0.58 25/07/2014 F 101 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
19 Cunanan, Daphnie Mae A. no no 0.70 7/8/2013 F 106 15 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
20 Ilumin , Jamela M. no no 0.98 4/8/2014 F 98 13 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
21 Nuya, Kate no no 0.58 23/07/2014 F 98 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
22 Camaya, Raymari Caron M. no no 0.62 24/03/2014 M 103 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
23 Diaz, Prince Aljur L. no no 6.40 2/1/2013 M 116 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
24 Hipolito, John Carl G. no no 0.64 1/19/2014 M 95 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
25 Macabali,Ryoshie Ael L. no no 0.68 9/26/2013 F 99 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 ###
25 25 25
Prepared by:
LEGEND
ROY B. MANGUYOT A. Nutritional Status
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse For 6-19 y.o For below 6 y.o
SW - Severely wasted SU - Severely underweight ( x ) - not dewormed ( √ ) - Present, served
Noted: W - Wasted U - Underweight ( √ ) - dewormed ( A ) - Absent, not served
LOURDES D. EUSEBIO N - Normal N - Normal (√√ ) - Present, served twice
School Principal/Officer in-charge Ow - Overwieght Ow - Overwieght
O - Obese
Note: This form shall be prepared by the school to be consolidated using SBFP Form 5
Page 13
SBFP Form 4 Annex 6

Region III
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
Age Sex (√ ) or
SBFP NS
20 22 23
26 Vangeles, Aldimae F. no no 6.5 1/7/2013 F 102 13 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
27 Corre Charles W. no yes 6.7 10/25/2012 M 109 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
28 Lopez Loraine Marie R. no no 6.8 10/10/2012 F 102 13 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
29 Nuya Joanna no yes 7.4 1/28/2012 F 113 16 6/11/2019 w √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
30 Sibayan Raily B. no no 0.67 10/21/2013 M 100 14 6/11/2019 w √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
31 Yanson Anna Ticao no no 0.63 2/14/2014 F 108 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
32 Deang,Jewel J. no no 6.70 10/29/2012 F 115 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
33 Jacob, Jaren Dave C. no yes 6.80 9/15/2012 M 117 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
34 Jacinto,Justin Karl M. no no 6.10 4/18/2013 M 103 13 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
35 Arca, Colaine R. no no 7.50 1/9/2012 F 109 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
36 Brequillo,Katelyn B. no no 7.10 7/30/2011 F 104 12 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
37 Naguit, Kim Aron no no 6.20 3/18/2013 M 100 13 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
38 Abalos, Linzey C. no no 12.60 12/18/2008 F 105 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
39 Delos Santos, Soul Princess no no 0.70 7/20/2012 F 113 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
40 Esguerra, Ehrel R. no no 6.10 7/16/2012 F 113 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
41 Rosales, Lian Joy J. no yes 0.63 3/2/2014 F 119 12 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
42 Keh, Neil Andrew V. no no 6.30 5/15/2013 M 106 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
43 Pitalbo, John Kheyiel B. no no 7.50 1/2/2012 M 111 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
44 Lopez, Princess G. no no 0.71 6/19/2013 F 114 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
45 Torres, Shane Angel M. no no 6.00 6/8/2013 F 117 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
46 Senosin, Aldrich A. no no 0.56 9/14/2014 M 103 12 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
47 De Guzman, Marthina Gelaine T no no 6.80 10/5/2012 F 103 12 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
48 Agtalao, Vincent Andrei O. no no 6.20 3/16/2013 M 106 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
49 Arape, Brent no no 0.71 7/9/2013 M 104 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
50 Padua,Roger D. no no 6.30 2/23/2013 M 122 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 ###
25 25 25
Prepared by:
LEGEND
N - Normal N - Normal (√√ ) - Present, served twice
LOURDES D. EUSEBIO Ow - Overwieght Ow - Overwieght
School Principal/Officer in-charge O - Obese
Page 14
SBFP Form 4 Annex 6

Region III
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
Age Sex (√ ) or
SBFP NS
20 22 23
51 Panibio, Lindon O. no no 0.71 6/28/2013 M 109 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
52 Tismo, Joanna A. no no 6.2 3/22/2013 F 111 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
53 Dela Cruz, Manuel C. no no 0.71 6/22/2013 M 90 13 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
54 Columbres, Justin Cray C. no no 0.71 7/10/2013 M 68 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
55 Garcia, Ronnie A. no no 6 6/10/2013 M 98 12 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
56 Manalo, Marc Romel M. no no 7.70 10/15/2011 M 105 14 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
57 Viray, Ramjel M. no no 0.71 6/16/2013 M 108 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
58 Ochoa, Aaron France S. no no 7.90 8/21/2011 M 116 16 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
59 Carreon, Storm Cyrill S. no no 6.90 8/26/2012 M 118 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
60 Calingacion, Monica Paula L. no no 7.10 7/31/2011 F 126 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
61 Manarang, Maria Nichole G. no no 7.70 10/28/2011 F 124 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
62 Cayanan, Joven S. yes yes 6.11 7/8/2012 M 110 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
63 Guzman IV, Mario T. yes yes 7.00 6/7/2012 M 116 16 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
64 Marbebe, Jovahny M. yes no 7.00 5/12/2012 M 117 15 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
65 Rosales, John Mark J. yes no 7.30 3/9/2012 M 117 16 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
66 Juanites, Hasmine R. yes no 6.10 7/26/2012 F 111 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
67 Custodio, Bryan C. no no 7.11 6/19/2011 M 118 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
68 Abandiano, MaryJoy B. no no 8.70 10/17/2010 F 125 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
69 Mandap, Elize Jade A. no no 6.10 7/22/2012 F 117 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
70 Albania, Jansen D. no yes 7.90 9/8/2011 M 118 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
71 Cayanan, Jovan S. no no 7.00 5/31/2012 M 110 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
72 Martin, Aldrin N. no no 7.90 8/24/2011 M 127 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
73 Brondo, Crissa Jane C. no yes 10.60 11/13/2008 F 121 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
74 Cabalquinto, Elize T. no no 7.11 7/3/2011 F 115 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
75 Dablo, Abegil R. no yes 7.00 5/16/2012 F 113 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 ###
25 25 25
Prepared by:
LEGEND
Page 15
SBFP Form 4 Annex 6

Region III
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
Age Sex (√ ) or
SBFP NS
20 22 23
76 Manarang, Rheana Joy C. no no 7.11 7/3/2011 F 111 15 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
77 Brondo, Chris Jay C. no yes 9.60 11/13/2009 M 121 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
78 Estudillo, Jarhel R. no no 7.30 3/11/2012 M 118 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
79 Jenggaña, Jhunriel Steve P. no no 7.00 6/7/2012 M 119 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
80 Sayson, Lurince Jay C. yes no 7.80 9/27/2011 M 117 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
81 Glinoga,Kimberly B. no no 7.50 12/20/2011 F 118 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
82 Tagara, Alexis O. no no 7.30 3/6/2012 F 117 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
83 Tamundong,Denick Joyce C. no no 7.11 7/5/2011 F 121 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
84 Sicat, Jenny M. no yes 8.70 10/31/2010 F 119 16 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
85 De Guzman, Rhylie N. no yes 7.11 6/25/2011 M 120 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
86 Zamora, John Carlo D. no no 7.11 7/2/2011 M 131 22 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
87 Galulu, Jenifer O. yes yes 7.11 6/29/2011 F 120 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
88 Maghanoy,Neca E. no no 8.20 3/16/2011 F 120 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
89 Maris, Angel G. no yes 8.10 5/11/2011 F 96 10 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
90 Brequillo, Renzo yes yes 9.11 6/14/2009 M 125 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
91 Lim, Miomi D. no yes 8.30 3/4/2011 M 101 13 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
92 Juanites, Hannah Mae R. no yes 8.10 4/14/2011 F 95 11 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
93 Taduran, Angel C. yes yes 8.11 6/24/2010 F 96 12 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
94 Corpuz, Charlyn B. no yes 9.70 10/16/2009 F 118 17 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
95 Amante, Vhrix Micko G. no yes 7.11 6/28/2011 M 121 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
96 Maglaqui, Rijel A. no no 8.90 9/4/2010 M 115 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
97 De Guzman, Ashly M. no yes 8.40 1/14/2011 F 119 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
98 Mallari, Ivan G. yes yes 8.10 4/15/2011 M 126 19 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
99 Maris, Johnryl H. no no 9.11 6/24/2009 M 110 14 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
100 Calpa Cruz, Romarico III B. no yes 8.50 12/18/2010 M 126 20.5 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 ###
25 25 25
Prepared by:
LEGEND
Page 16
SBFP Form 4 Annex 6

Region III
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
Age Sex (√ ) or
SBFP NS
20 22 23
101 Dago, Kyle no yes 9.60 11/25/2009 M 128 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
102 Pitalbo, John Kyle B. yes yes 9.10 4/21/2010 M 124 19.5 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
103 Naguit, Nathaniel T. no yes 10.50 12/28/2008 M 114 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
104 Ramos, Christian M. no yes 9.60 12/7/2009 M 120 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
105 Yaya, Noreen Claire L. no yes 9.10 5/4/2010 F 115 17 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
106 Januto, John Daniel G. no yes 9.40 1/31/2010 M 120 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
107 Abalos, Lizel yes no 8.70 11/1/2010 F 129 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
108 Guzman, Marian T. no no 10.70 11/6/2008 F 126 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
109 Luna, Johnny no yes 10.50 1/7/2009 M 131 22 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
110 Maderse, Harby no yes 8.70 10/28/2010 M 113 16 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
111 Manarang, Ashley yes yes 8.80 9/20/2000 F 122 23 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
112 Reyes, Samantha no no 8.90 8/19/2010 F 121 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
113 Cabrillos, Daniel James N. no yes 9.60 11/29/2009 M 123 18 6/11/2019 SW √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
114 Coronado, Ralphwin Jay L. no yes 8.80 10/5/2010 M 120 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
115 Gotis, Gio L. no yes 9.40 2/9/2010 M 122 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
116 Liwag, Eiger Jan D. no no 10.80 9/23/2008 M 135 25 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
117 Dela Cruz, Dusteinlhey M. no yes 9.90 8/13/2009 M 112 16.5 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
118 Loriaga, Rainier C. no yes 11.80 10/8/2007 M 130 24 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
119 Tismo, Anthony A. no yes 10.70 10/13/2008 M 118 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
120 Marbebe, John Feb M. yes yes 10.30 2/14/2009 M 126 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
121 Estrada, Jomelyn M. yes yes 10.50 12/29/2008 F 10.50 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
122 Glinoga, Keanna B. no no 10.00 5/19/2010 F 10.00 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
123 Magpantay, Princess R. no yes 12.10 4/19/2007 F 12.10 28 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
124 Magat, Mhiel V. no no 10.20 3/26/2009 M 10.20 18 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
125 Manarang, AJ E. no no 11.30 2/25/2008 M 11.30 19 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 ###
25 25 25
Prepared by:
LEGEND
Page 17
SBFP Form 4 Annex 6

Region III
District NORTH
ACTUAL FEEDING
PRE FEEDING
4Ps
Age Sex (√ ) or
SBFP NS
20 22 23
126 Fugaban, Avrille Z. no no 10.10 5/6/2009 F 123 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
127 Magat, Giro Keifer L. no no 11.00 5/31/2008 M 138 25 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
128 Gonzaga, Ericka no yes 10.80 9/26/2008 F 127 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
129 Dela Cruz, Shin Adrian S. no no 11.00 5/18/2008 M 130 23 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
130 Mallari, Mark Lorence R. yes yes 11.60 11/12/2007 M 142 28 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
131 Sarino, John Dave L. no yes 10.90 8/12/2008 M 125 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
132 Anastacio, Lea Mae P. yes no 11.40 2/8/2008 F 142 28 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
133 De Guzman, Aljur M. no yes 11.00 5/29/2008 M 126 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
134 Dones, Lorenzo Noel D. yes no 10.90 9/1/2008 M 126 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
135 Maglambayan, Ashley L. yes yes 10.90 8/18/2008 M 120 20 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
136 Manigote, Rengie C. no yes 10.80 9/27/2008 M 125 21 6/11/2019 W √ 7/24/2019 √ √√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 ###
11 11 11
Prepared by:
LEGEND
Prepared by: W - Wasted U - Underweight ( √ ) - dewormed ( A ) - Absent, not served
Page 18
SBFP Form 4
FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

Region III
Division DIVISION OF CITY OF SAN FERNANDO School: MAIMPIS INTEGRATED SCHOOL ( ELEM. )
District NORTH DISTRICT
ACTUAL FEEDING
NAME OF PUPIL
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
1 Benalla, Francis B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
2 Fernando, Mariz L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
3 Manigote, Regine C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
4 Clemente, Kathryne √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
5 Corpuz, Rhianna S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
6 Maliwat, Gwyneth Alex G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
7 Aquino, Dion M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
8 Maguddayao, Nygel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
9 Mallari, Kris Charles R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
10 Segovia, Arenz M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
11 Gonzaga, Trecia Mea N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
12 Pallarca, Kurt Ian J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
13 Esteva, Lovelyn D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
14 Chico, Princess Nathaly √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
15 Cunanan, Cate D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
16 Mallari, Jamaica- Cael M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
17 Rodriguez, Akesha C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
18 Aquino, Ashley Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
19 Cunanan, Daphnie Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
20 Ilumin , Jamela M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
21 Nuya, Kate √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
22 Camaya, Raymari Caron M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
23 Diaz, Prince Aljur L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
24 Hipolito, John Carl G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
25 Macabali,Ryoshie Ael L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
( √ ) - Present, served
( A ) - Absent, not served
(√√ ) - Present, served twice
page 2
SBFP Form 4
FOR THE MONTHS OF JULY - SEPTEMBER , SY 2019-2020

Region III
District NORTH DISTRICT FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020
ACTUAL FEEDING
NAME OF PUPIL
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
26 Vangeles, Aldimae F. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
27 Corre Charles W. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
28 Lopez Loraine Marie R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
29 Nuya Joanna √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
30 Sibayan Raily B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
31 Yanson Anna Ticao √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
32 Deang,Jewel J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
33 Jacob, Jaren Dave C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
34 Jacinto,Justin Karl M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
35 Arca, Colaine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
36 Brequillo,Katelyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
37 Naguit, Kim Aron √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
38 Abalos, Linzey C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
39 Delos Santos, Soul Princess √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
40 Esguerra, Ehrel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
41 Rosales, Lian Joy J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
42 Keh, Neil Andrew V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
43 Pitalbo, John Kheyiel B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
44 Lopez, Princess G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
45 Torres, Shane Angel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
46 Senosin, Aldrich A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
47 De Guzman, Marthina Gelaine T √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
48 Agtalao, Vincent Andrei O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
49 Arape, Brent √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
50 Padua,Roger D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
District NORTH DISTRICT Grade: __________ Section _____________________
ACTUAL FEEDING
NAME OF PUPIL
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
51 Panibio, Lindon O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
52 Tismo, Joanna A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
53 Dela Cruz, Manuel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
54 Columbres, Justin Cray C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
55 Garcia, Ronnie A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
56 Manalo, Marc Romel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
57 Viray, Ramjel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
58 Ochoa, Aaron France S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
59 Carreon, Storm Cyrill S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
60 Calingacion, Monica Paula L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
61 Manarang, Maria Nichole G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
62 Cayanan, Joven S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
63 Guzman IV, Mario T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
64 Marbebe, Jovahny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
65 Rosales, John Mark J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
66 Juanites, Hasmine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
67 Custodio, Bryan C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
68 Abandiano, MaryJoy B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
69 Mandap, Elize Jade A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
70 Albania, Jansen D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
71 Cayanan, Jovan S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
72 Martin, Aldrin N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
73 Brondo, Crissa Jane C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
74 Cabalquinto, Elize T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
75 Dablo, Abegil R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
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
76 Manarang, Rheana Joy C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
77 Brondo, Chris Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
78 Estudillo, Jarhel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
79 Jenggaña, Jhunriel Steve P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
80 Sayson, Lurince Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
81 Glinoga,Kimberly B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
82 Tagara, Alexis O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
83 Tamundong,Denick Joyce C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
84 Sicat, Jenny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
85 De Guzman, Rhylie N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
86 Zamora, John Carlo D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
87 Galulu, Jenifer O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
88 Maghanoy,Neca E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
89 Maris, Angel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
90 Brequillo, Renzo √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
91 Lim, Miomi D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
92 Juanites, Hannah Mae R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
93 Taduran, Angel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
94 Corpuz, Charlyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
95 Amante, Vhrix Micko G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
96 Maglaqui, Rijel A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
97 De Guzman, Ashly M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
98 Mallari, Ivan G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
99 Maris, Johnryl H. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
100 Calpa Cruz, Romarico III B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
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
101 Dago, Kyle √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
102 Pitalbo, John Kyle B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
103 Naguit, Nathaniel T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
104 Ramos, Christian M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
105 Yaya, Noreen Claire L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
106 Januto, John Daniel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
107 Abalos, Lizel √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
108 Guzman, Marian T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
109 Luna, Johnny √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
110 Maderse, Harby √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
111 Manarang, Ashley √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
112 Reyes, Samantha √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
113 Cabrillos, Daniel James N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
114 Coronado, Ralphwin Jay L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
115 Gotis, Gio L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
116 Liwag, Eiger Jan D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
117 Dela Cruz, Dusteinlhey M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
118 Loriaga, Rainier C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
119 Tismo, Anthony A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
120 Marbebe, John Feb M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
121 Estrada, Jomelyn M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
122 Glinoga, Keanna B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
123 Magpantay, Princess R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
124 Magat, Mhiel V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
125 Manarang, AJ E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
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
126 Fugaban, Avrille Z. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
127 Magat, Giro Keifer L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
128 Gonzaga, Ericka √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
129 Dela Cruz, Shin Adrian S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
130 Mallari, Mark Lorence R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
131 Sarino, John Dave L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
132 Anastacio, Lea Mae P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
133 De Guzman, Aljur M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
134 Dones, Lorenzo Noel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
135 Maglambayan, Ashley L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
136 Manigote, Rengie C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

1 Benalla, Francis B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
2 Fernando, Mariz L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
3 Manigote, Regine C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
4 Clemente, Kathryne √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
5 Corpuz, Rhianna S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
6 Maliwat, Gwyneth Alex G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
7 Aquino, Dion M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
8 Maguddayao, Nygel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
9 Mallari, Kris Charles R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
10 Segovia, Arenz M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
11 Gonzaga, Trecia Mea N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
12 Pallarca, Kurt Ian J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
13 Esteva, Lovelyn D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
14 Chico, Princess Nathaly √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
15 Cunanan, Cate D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
16 Mallari, Jamaica- Cael M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
17 Rodriguez, Akesha C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
18 Aquino, Ashley Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
19 Cunanan, Daphnie Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
20 Ilumin , Jamela M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
21 Nuya, Kate √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
22 Camaya, Raymari Caron M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
23 Diaz, Prince Aljur L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
24 Hipolito, John Carl G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
25 Macabali,Ryoshie Ael L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

26 Vangeles, Aldimae F. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
27 Corre Charles W. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
28 Lopez Loraine Marie R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
29 Nuya Joanna √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
30 Sibayan Raily B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
31 Yanson Anna Ticao √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
32 Deang,Jewel J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
33 Jacob, Jaren Dave C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
34 Jacinto,Justin Karl M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
35 Arca, Colaine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
36 Brequillo,Katelyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
37 Naguit, Kim Aron √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
38 Abalos, Linzey C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
39 Delos Santos, Soul Princess √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
40 Esguerra, Ehrel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
41 Rosales, Lian Joy J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
42 Keh, Neil Andrew V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
43 Pitalbo, John Kheyiel B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
44 Lopez, Princess G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
45 Torres, Shane Angel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
46 Senosin, Aldrich A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
47 De Guzman, Marthina Gelaine T √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
48 Agtalao, Vincent Andrei O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
49 Arape, Brent √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
50 Padua,Roger D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

51 Panibio, Lindon O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
52 Tismo, Joanna A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
53 Dela Cruz, Manuel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
54 Columbres, Justin Cray C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
55 Garcia, Ronnie A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
56 Manalo, Marc Romel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
57 Viray, Ramjel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
58 Ochoa, Aaron France S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
59 Carreon, Storm Cyrill S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
60 Calingacion, Monica Paula L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
61 Manarang, Maria Nichole G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
62 Cayanan, Joven S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
63 Guzman IV, Mario T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
64 Marbebe, Jovahny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
65 Rosales, John Mark J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
66 Juanites, Hasmine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
67 Custodio, Bryan C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
68 Abandiano, MaryJoy B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
69 Mandap, Elize Jade A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
70 Albania, Jansen D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
71 Cayanan, Jovan S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
72 Martin, Aldrin N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
73 Brondo, Crissa Jane C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
74 Cabalquinto, Elize T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
75 Dablo, Abegil R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

76 Manarang, Rheana Joy C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
77 Brondo, Chris Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
78 Estudillo, Jarhel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
79 Jenggaña, Jhunriel Steve P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
80 Sayson, Lurince Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
81 Glinoga,Kimberly B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
82 Tagara, Alexis O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
83 Tamundong,Denick Joyce C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
84 Sicat, Jenny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
85 De Guzman, Rhylie N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
86 Zamora, John Carlo D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
87 Galulu, Jenifer O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
88 Maghanoy,Neca E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
89 Maris, Angel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
90 Brequillo, Renzo √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
91 Lim, Miomi D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
92 Juanites, Hannah Mae R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
93 Taduran, Angel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
94 Corpuz, Charlyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
95 Amante, Vhrix Micko G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
96 Maglaqui, Rijel A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
97 De Guzman, Ashly M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
98 Mallari, Ivan G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
99 Maris, Johnryl H. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
100 Calpa Cruz, Romarico III B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

101 Dago, Kyle √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
102 Pitalbo, John Kyle B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
103 Naguit, Nathaniel T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
104 Ramos, Christian M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
105 Yaya, Noreen Claire L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
106 Januto, John Daniel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
107 Abalos, Lizel √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
108 Guzman, Marian T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
109 Luna, Johnny √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
110 Maderse, Harby √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
111 Manarang, Ashley √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
112 Reyes, Samantha √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
113 Cabrillos, Daniel James N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
114 Coronado, Ralphwin Jay L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
115 Gotis, Gio L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
116 Liwag, Eiger Jan D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
117 Dela Cruz, Dusteinlhey M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
118 Loriaga, Rainier C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
119 Tismo, Anthony A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
120 Marbebe, John Feb M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
121 Estrada, Jomelyn M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
122 Glinoga, Keanna B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
123 Magpantay, Princess R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
124 Magat, Mhiel V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
125 Manarang, AJ E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
D. Actual Feeding
page 2
SBFP Form 4

Region III
ACTUAL FEEDING
NAME OF PUPIL
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

126 Fugaban, Avrille Z. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
127 Magat, Giro Keifer L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
128 Gonzaga, Ericka √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
129 Dela Cruz, Shin Adrian S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
130 Mallari, Mark Lorence R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
131 Sarino, John Dave L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
132 Anastacio, Lea Mae P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
133 De Guzman, Aljur M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
134 Dones, Lorenzo Noel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
135 Maglambayan, Ashley L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
136 Manigote, Rengie C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL:
D. Actual Feeding
page 2
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
District ___________________________ Grade: __________ Section _____________________
School ID Number: ________________________
ACTUAL FEEDING POST FEEDING

ATTENDANCE
NAME OF PUPIL Nutritional Status Days Feeding
Percentage
Ht Wt Date Present Days
106 107 108 109 110 11 112 113 114 ### ### 117 118 119 120 cm kg Taken NS (A) (B) (A/B)*100
1 Benalla, Francis B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
2 Fernando, Mariz L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
3 Manigote, Regine C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
4 Clemente, Kathryne √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
5 Corpuz, Rhianna S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
6 Maliwat, Gwyneth Alex G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
7 Aquino, Dion M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
8 Maguddayao, Nygel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
9 Mallari, Kris Charles R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
10 Segovia, Arenz M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
11 Gonzaga, Trecia Mea N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
12 Pallarca, Kurt Ian J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
13 Esteva, Lovelyn D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
14 Chico, Princess Nathaly √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
15 Cunanan, Cate D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
16 Mallari, Jamaica- Cael M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
17 Rodriguez, Akesha C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
18 Aquino, Ashley Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
19 Cunanan, Daphnie Mae A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
20 Ilumin , Jamela M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
21 Nuya, Kate √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
22 Camaya, Raymari Caron M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
23 Diaz, Prince Aljur L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
24 Hipolito, John Carl G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
25 Macabali,Ryoshie Ael L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
School ID Number: ________________________

ATTENDANCE
Percentage
26 Vangeles, Aldimae F. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
27 Corre Charles W. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
28 Lopez Loraine Marie R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
29 Nuya Joanna √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
30 Sibayan Raily B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
31 Yanson Anna Ticao √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
32 Deang,Jewel J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
33 Jacob, Jaren Dave C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
34 Jacinto,Justin Karl M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
35 Arca, Colaine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
36 Brequillo,Katelyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
37 Naguit, Kim Aron √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
38 Abalos, Linzey C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
39 Delos Santos, Soul Princess √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
40 Esguerra, Ehrel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
41 Rosales, Lian Joy J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
42 Keh, Neil Andrew V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
43 Pitalbo, John Kheyiel B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
44 Lopez, Princess G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
45 Torres, Shane Angel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
46 Senosin, Aldrich A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
47 De Guzman, Marthina Gelaine √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
48 Agtalao, Vincent Andrei O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
49 Arape, Brent √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
50 Padua,Roger D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
School ID Number: ________________________

ATTENDANCE
Percentage
51 Panibio, Lindon O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
52 Tismo, Joanna A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
53 Dela Cruz, Manuel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
54 Columbres, Justin Cray C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
55 Garcia, Ronnie A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
56 Manalo, Marc Romel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
57 Viray, Ramjel M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
58 Ochoa, Aaron France S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
59 Carreon, Storm Cyrill S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
60 Calingacion, Monica Paula L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
61 Manarang, Maria Nichole G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
62 Cayanan, Joven S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
63 Guzman IV, Mario T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
64 Marbebe, Jovahny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
65 Rosales, John Mark J. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
66 Juanites, Hasmine R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
67 Custodio, Bryan C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
68 Abandiano, MaryJoy B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
69 Mandap, Elize Jade A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
70 Albania, Jansen D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
71 Cayanan, Jovan S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
72 Martin, Aldrin N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
73 Brondo, Crissa Jane C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
74 Cabalquinto, Elize T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
75 Dablo, Abegil R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
School ID Number: ________________________

ATTENDANCE
Percentage
76 Manarang, Rheana Joy C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
77 Brondo, Chris Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
78 Estudillo, Jarhel R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
79 Jenggaña, Jhunriel Steve P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
80 Sayson, Lurince Jay C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
81 Glinoga,Kimberly B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
82 Tagara, Alexis O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
83 Tamundong,Denick Joyce C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
84 Sicat, Jenny M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
85 De Guzman, Rhylie N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
86 Zamora, John Carlo D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
87 Galulu, Jenifer O. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
88 Maghanoy,Neca E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
89 Maris, Angel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
90 Brequillo, Renzo √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
91 Lim, Miomi D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
92 Juanites, Hannah Mae R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
93 Taduran, Angel C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
94 Corpuz, Charlyn B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
95 Amante, Vhrix Micko G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
96 Maglaqui, Rijel A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
97 De Guzman, Ashly M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
98 Mallari, Ivan G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
99 Maris, Johnryl H. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
100 Calpa Cruz, Romarico III B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
School ID Number: ________________________

ATTENDANCE
Percentage
101 Dago, Kyle √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
102 Pitalbo, John Kyle B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
103 Naguit, Nathaniel T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
104 Ramos, Christian M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
105 Yaya, Noreen Claire L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
106 Januto, John Daniel G. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
107 Abalos, Lizel √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
108 Guzman, Marian T. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
109 Luna, Johnny √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
110 Maderse, Harby √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
111 Manarang, Ashley √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
112 Reyes, Samantha √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
113 Cabrillos, Daniel James N. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
114 Coronado, Ralphwin Jay L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
115 Gotis, Gio L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
116 Liwag, Eiger Jan D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
117 Dela Cruz, Dusteinlhey M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
118 Loriaga, Rainier C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
119 Tismo, Anthony A. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
120 Marbebe, John Feb M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
121 Estrada, Jomelyn M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
122 Glinoga, Keanna B. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
123 Magpantay, Princess R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
124 Magat, Mhiel V. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
125 Manarang, AJ E. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 4

Region ____________________________
Division ___________________________ School: _____________________________________
School ID Number: ________________________

ATTENDANCE
Percentage
126 Fugaban, Avrille Z. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
127 Magat, Giro Keifer L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
128 Gonzaga, Ericka √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
129 Dela Cruz, Shin Adrian S. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
130 Mallari, Mark Lorence R. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
131 Sarino, John Dave L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
132 Anastacio, Lea Mae P. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
133 De Guzman, Aljur M. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
134 Dones, Lorenzo Noel D. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
135 Maglambayan, Ashley L. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
136 Manigote, Rengie C. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
TOTAL: 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 AVERAGE:
D. Actual Feeding
page 4
page 4
SBFP Form 5
CONSOLIDATED NUTRITIONAL STATUS AND ATTENDANCE REPORT

Region: III
Division/District: SDO - CITY OF SAN FERNANDO (P) NORTH DISTRICT
School: MAIMPIS INTEGRATED SCHOOL (ELEMENTARY)
BEIS ID No.: 500145
NUTRITIONAL STATUS
No. of Pupils BEFORE AFTER PERCENTAGE
GRADES AND SECTIONS
Dewormed ATTENDANCE
SW/SU W/U N Ow Ob Total SW/SU W/U N Ow O Total
1 KINDER-MAPAMINTU 5 3 2 0 0 0 5 0 0 5 0 0 5 100%
2 KINDER-MASIPAG 7 2 5 0 0 0 7 0 0 7 0 0 7 100%
3 KINDER-MABANGLU 5 1 4 0 0 0 5 0 0 5 0 0 5 100%
4 KINDER-MAGILAS 5 4 1 0 0 0 5 0 0 5 0 0 5 100%
5 ONE-RED 5 0 5 0 0 0 5 0 0 5 0 0 5 100%
6 ONE-YELLOW 3 0 3 0 0 0 3 0 0 3 0 0 3 100%
7 ONE-PINK 6 1 5 0 0 0 6 0 0 6 0 0 6 100%
8 ONE-BLUE 4 1 3 0 0 0 4 0 0 4 0 0 4 100%
9 ONE-GREEN 5 1 4 0 0 0 5 0 0 5 0 0 5 100%
10 ONE-ORANGE 5 1 4 0 0 0 5 0 0 5 0 0 5 100%
11 ONE-PURPLE 7 2 5 0 0 0 7 0 0 7 0 0 7 100%
12 TWO-ROSAL 4 1 3 0 0 0 4 0 0 4 0 0 4 100%
13 TWO-ILANG ILANG 8 5 3 0 0 0 8 0 0 8 0 0 8 100%
14 TWO-SANTAN 7 0 7 0 0 0 7 0 0 7 0 0 7 100%
15 TWO-GUMAMELA 7 0 7 0 0 0 7 0 0 7 0 0 7 100%
16 THREE-J.ABAD SANTOS 5 1 4 0 0 0 5 0 0 5 0 0 5 100%
17 THREE-N.DAYRIT 5 1 4 0 0 0 5 0 0 5 0 0 5 100%
18 THREE-T.HILARIO 4 1 3 0 0 0 4 0 0 4 0 0 4 100%
19 THREE-M.AGONCILLO 5 2 3 0 0 0 5 0 0 5 0 0 5 100%
20 FOUR-NARRA 3 0 3 0 0 0 3 0 0 3 0 0 3 100%
21 FOUR-ACACIA 3 0 3 0 0 0 3 0 0 3 0 0 3 100%
22 FOUR-MAHOGANY 4 1 3 0 0 0 4 0 0 4 0 0 4 100%
23 FOUR-YAKAL 3 1 2 0 0 0 3 0 0 3 0 0 3 100%
24 FIVE-DIAMOND 1 0 1 0 0 0 1 0 0 1 0 0 1 100%
25 FIVE-SAPPHIRE 3 3 0 0 0 0 3 0 0 3 0 0 3 100%
26 FIVE-EMERALD 4 0 4 0 0 0 4 0 0 4 0 0 4 100%
27 FIVE-RUBY 3 0 3 0 0 0 3 0 0 3 0 0 3 100%
28 SIX-GALILEI 2 0 2 0 0 0 2 0 0 2 0 0 2 100%
29 SIX-NEWTON 4 0 4 0 0 0 4 0 0 4 0 0 4 100%
30 SIX-ARISTOTLE 2 0 2 0 0 0 2 0 0 2 0 0 2 100%
31 SIX-SOCRATES 2 0 2 0 0 0 2 0 0 2 0 0 2 100%
TOTAL 136 32 104 0 0 0 136 AVERAGE 100%
Legend:
For 6-19 y.o For below 6 y.o
SW - Severely Wasted SU - Severely Underweight
W - Wasted U - Underweight
N - Normal N - Normal
Ow - Overweight Ow - Overweight
O - Obese
Prepared by: Noted by:
_____________________________ LOURDES D. EUSEBIO
Classroom Adviser / School Nurse School Head
Note: This form shall be prepared by the school using the data from SBFP Form 4.
SBFP Form 5 Annex 7
SCHOOL BASED FEEDING PROGRAM (SBFP)

SY 2019 - 2020
PROGRAM TERMINAL REPORT (PTR)
Region: III
Division: SDO - CITY OF SAN FERNANDO CITY (P)
District: NORTH DISTRICT
School: MAIMPIS INTEGRATED SCHOOL
School ID: 500145
School Enrolment: 1267
A, Program Accomplishment
Status of Implementation:
Completed: 120 DAYS (Indicate number of days completed)
Discontinued:
for continuation:
No. of Pupils who are

No. of Beneficiaries
No. of Beneficiaries Previous
Number of Beneficiaries Dewormed
who are also 4Ps
Beneficiaries of
Grade Level Beneficiaries
SBFP
Target Actual No. % No. % No. %
Kindergarten 22 22 22 100% 0 0% 0 0%
Grade 1-3 80 80 80 100% 11 13.75% 20 25%
Grade 4-6 34 34 34 100% 8 23.53% 22 64.7
TOTAL: 136 136 136 100% 19 13.97% 42 30.88%
Financial Status
Amount Allocated Amount Received fr. SDO Amount Disbursed Amount Liquidated
B. Nutritional Status
Before Feeding After Feeding

Nutritional Status
SW/SU W/U Normal Ow Obese
Severely Wasted/ Underweight
(SW/ SU) 29 0 0 29 0 0
Wasted/ Underweight (W/U) 107 0 0 107 0 0
Normal (N) 0 0 0 0 0 0
Overweight (Ow) 0 0 0 0 0 0
Obese (O) 0 0 0 0 0 0
Total: 136 0 0 136 0 0
C. Percentage Attendance
Average
Month 0 Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 of Moths
1-7
% Attendance of Beneficiaries
0 100% 100% 100% 100% 100% 100% 100% 100%
D. Monitoring Findings/ Issues Encountered and Actions Taken

The School-Based Feeding Program (SBFP) in MIS was served during breakfast for the A.M. onwards, it started last July 03,2019 until
January 21, 2020. The said program was participated by parents. They are the ones who prepare and serve the food for the children. Du-
ring the orientation of the SBFP beneficiaries, parent were given a schedule to assist during feeding proper. Surevest was in charge for
the delivery of the goods every day with receipts. Liquidation of funds was done by the disbursement officer, the School Head, the SBAC
members, inspectorate team and other teachers involved. The said program was very effective because most if not all severely wasted
children become normal during the midline weighing. It also enhanced the bonding of the school, community and the parents.
E. Procurement Process
Throuh the help of the Schools Division Office, Technical Working Group which includes the School Head, Feeding Coordinator and the
SBAC Chairman, the procurement of food items, food preparation, liquidation of funds met the target date on time with transparency.
F. Good Practices or Lesson Learned
Feeding proper starts by hand washing afterward the children will entere the feeding room. Food are already served at the table. The
meal will start with a a prayer and ended with prayer as well. The teacher will empart some knowledge about the nutrional facts and
benefits that can get in eating nutritious foods.
G. Personnel Involved
*School Head *SBFP Coordinator *School Health Leader *SBAC Chairman
*Volunteered parents *MPTA Officers
H. Pictorials
Prepared by: Noted:

Roy B. Manguyot Lourdes D. Eusebio
Feeding Coordinator School Principal
SBFP Form 6-A
SCHOOL BASED FEEDING CONSOLIDATED PROGRAM TERMINA

SY 2019 - 2020
Region: III
Division: SDO - CITY OF SAN FERNANDO (P)
SBFP
No. of Beneficiaries
Previous
4Ps
Name of School School ID Number of Dewormed Beneficiaries
Beneficiaries
Actual % of SBFP
Beneficiaires
No. % No. % No. %

MAIMPIS I/S 500145 136 36 0 36 100 19 14 42 31
TOTAL 136 36 0 36 100 19 14 42 31
Prepared by:
Roy B. Manguyot
Feeding Coordinator
OLIDATED PROGRAM TERMINAL REPORT- PROGRAM ACCOMPLISHMENT
SY 2019 - 2020
SBFP
GPP
Financial Status (School)
Status of Implementation Amount

(completed, discontinue, Sustained/
for continuation or number Feeding Modality Amount Downloade
Disbursed Liquidated Year Round
of feeding days completed) Allocated d/ Garden
Received
COMPLETED SCHOOL LED 293,760.00 293,760.00 293,760.00 293,760.00 ∕
Noted:
Lourdes D. Eusebio
School Principal
GPP
Total No. of Remarks

Vegetable
Used for
Feeding
OKRA 25KG
EGGPLANT 25KG
TOMATOM 10KG
SILI HABA 1KG
PECHAY 8KG
MUSTASA 9KG
MALUNGGAY 13KG
SBFP Form 6-C
SCHOOL BASED FEEDING PROGRAM MIDLINE REPORT

SY 2019 - 2020
Region: III
Division: SDO - SAN FERNANDO CITY
School: MAIMPIS INTEGRATED (SCHOOL ELEM)
No. of Before Feeding Midline (after 60 feeding days)

GRADE LEVEL Beneficiaries SW % W % N % OW % OB % TOTAL SW % W % N % OW % OB % TOTAL
KINDER 22 10 45.50% 12 54.50% 0 0% 0 0% 0 0% 22 5 22.72% 3 13.64% 14 63.64% 0 0% 0 0% 22
GRADE 1 36 6 16.70% 30 83.30% 0 0% 0 0% 0 0% 36 2 5.56% 10 27.77% 24 66.67% 0 0% 0 0% 36
GRADE 2 26 6 23.00% 20 77.00% 0 0% 0 0% 0 0% 26 2 7.69% 5 19.23% 19 73.08% 0 0% 0 0% 26
GRADE 3 19 5 26.30% 14 73.70% 0 0% 0 0% 0 0% 19 1 5.26% 3 15.79% 15 78.95% 0 0% 0 0% 19
GRADE 4 13 2 15.40% 11 84.60% 0 0% 0 0% 0 0% 13 0 0% 2 15.38% 11 84.62% 0 0% 0 0% 13
GRADE 5 10 0 0% 10 100% 0 0% 0 0% 0 0% 10 0 0% 2 20% 8 80% 0 0% 0 0% 10
GRADE 6 10 0 0% 10 100% 0 0% 0 0% 0 0% 10 0 0% 1 10% 9 90% 0 0% 0 0% 10
SPED 0 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 0% 0 0% 0 0% 0 0% 0 0% 0
TOTAL 136 29 21.32% 107 78.68% 0 0% 0 0% 0 0% 136/100% 10 7.35% 26 19.12% 100 73.53% 0 0% 0 0% 136/100%
Prepared by: Noted:
Roy B. Manguyot Lourdes D. Eusebio

Feeding Coordinator School Principal
SBFP Form 6-D
SCHOOL BASED FEEDING CONSOLIDATED PROGRAM TERMINAL REPORT-

SY 2019-2020
Region: III
Division: SD0-SAN FERNANDO (P)
No. of Before Feeding Midline (after 60 feeding d

Division Beneficiaries SW % W % N % OW % OB % TOTAL SW % W % N
TOTAL
TERMINAL REPORT- CONSOLIDATED NUTRITIONAL STATUS
019-2020
Midline (after 60 feeding days) After Feeding

% OW % OB % TOTAL SW % W % N % OW % OB % TOTAL
SBFP Form 6-E
SCHOOL BASED FEEDING CONSOLIDATED PROGRAM TERMINAL REPORT- % ATTENDANCE

SY 2019-2020
Region: III
Division: SDO-SAN FERNANDO CITY (P)
% of Attendance
Division/ Schools Month 0 Month 1 Month 2 Month 3 Month 4 Month 5 Month 6

MAIMPIS I/S 0 23-100% 20-100% 21-100% 18-100% 20-100% 6-100%
REPORT- % ATTENDANCE
Average of
Month 7 Month 1-7
12-100% 120-100%
SBFP Form 6-F
SCHOOL BASED FEEDING CONSOLIDATED PROGRAM TERMINAL REPORT- PROCUREMENT PROC

SY 2019-2020
Region: III
Procurement Process Presence/ Use of Documents

Small Value Request for Abstract of
Bidding PHILGEPS Cert PO or Contract
Procurement Quotation Quotation
(/) or (X) (/) or (X) (/) or (X)
Division/ Schools (/) or (X) (/) or (X) (/) or (X)
MAIMPIS I/S ∕ X ∕ ∕ ∕ ∕
PROCUREMENT PROCESS
Documents
Official Receipt RER
(/) or (X) (/) or (X)
∕ X
SBFP Form 6-G
SCHOOL BASED FEEDING CONSOLIDATED PROGRAM TERMINAL REPORT-

SY 2019-2020
Region: III
Name of School Personnel Involved Name of Parents Involved

Division/ Schools
MAIMPIS I/S LOURDES D. EUSEBIO ARLENE NUCUP
ROY B.MANGUYOT AUREA D. SANTOS
ANGELICA MERIAN P. BACLIG
MARITA PARAS
LANIE B. DIZON
ROXANNE M. SULA
M TERMINAL REPORT- PERSONNEL INVOLVED
020
Other Persons, Organizations

Name of Barangay Officials Involved
involved
BRGY.CAPT. SUSAN SERRANO MIS MPTA OFFICERS
SBFP Form 7
School- Based Feeding Program

QUESTIONAIRE FOR THE PROGRESS MONITORING AND EVALUATION
(Central Office)
SY ___________________
Region: ____ Date:____________
I. INTERVIEW/ FOCUS GROUP; DISCUSSION WITH SBFP FOCAL PERSON
1. What are the preeparatory activities done by the Regional Office with regards to the implementation
of SBFP for SY__________?
2. Of the activities mentioned, in what part were you involved and to what extent? If you were not involved,
in what part do you think you should have been involved?
3. Was there a Technical Working Group formed in the RO? Who created it? Who are the persons involved?
What is the role of each member of the TWG? Was the expected role accomplished by the TWG members?
If not, cite the reasons and instances.
4. Is/ Are there SBFP Focal Person/s designated by the Regional Director? Who is/are the Focal Persons?
What are the roles of the SBFP Focal Person/s?
5. As SBFP Focal Person, do you have the support of the Regional Office?
6. When was the Funds for capability- building released to DepEd RO?
* Date Received
*Amount Received
7. Were you involved in the division-level orientation for school implementers?

* Date of orientation conducted
* No. of Schools oriented
* Number of Schools with no orientation
8. Have you monitored the implementation of SBFP & Schools?

If yes, what are the major findings? If no, cite the reasons for not monitoring.
9. What are the strengths

10. What are the opportunities and threats?
11. What are the best practices of the region in SBFP implementation?
12. What are the issues and concerns you have encountered? How did the RO resolved it?
13. Do you think you will have a successful implementation of SBFP this year? Why?
14. What are your suggestions for program improvement?
II. DOCUMENTARY ANALYSIS - Regional Level
AVAILABILITY
DOCUMENT ( / if Available, X if not available) REMARKS
1. Regional Action Plan
2. Regional Allocation per Division
3. Submission of SBFP Form 1
6. Submission of SBFP Terminal
Report for previous year
Identify the Divisions that have poor compliance in the submission of required reports.
REGION:
No. of Beneficiaries:
Budget:
Number of Beneficiaries
Divisions Budget Allocation
SW W Total
How many SWs were not covered by the program? ________________
How many Ws were not covered? _______________
III. ANALYSIS AND RECOMMENDATIONS OF THE MONITORS:

SBFP Form 8 Annex 10

(Regional Level)
SY 2019-2020
Division: SDO-CITY OF SAN FERNANDO (P) Date: FEBRUARY 6,2020
I. INTERVIEW/ FOCUS GROUP; DISCUSSION WITH SBFP FOCAL PERSON
1. What are the preeparatory activities done by the Division Office with regards to the implementation
of SBFP for SY__________?
PREPARATORY ACTIVITIES WERE DISCUSS THROUGH GROUP CHATS AND IN THE FACEBOOK
PAGE CREATED BY THE AUTHORIZING PERSONNEL IN THE DIVISION OFFICE.
2. Of the activities mentioned, in what part were you involved and to what extent? If you were not involved,
in what part do you think you should have been involved?
I HAD PREPARED THE NEEDED DOCUMENTS REGARDING THE SBFP IMPLEMENTATION.
3. Was there a Technical Working Group formed in the SDO? Who created it? Who are the persons involved?
What is the role of each member of the TWG? Was the expected role accomplished by the TWG members?
If not, cite the reasons and instances.
YES, IT WAS MADE UP OF NURSES IN SGOD THAT MONITORED THE SBFP REGULARLY.
4. Is/ Are there SBFP Focal Person/s designated by the SDS? Who is/are the Focal Persons?
What are the roles of the SBFP Focal Person/s?
IN THE DIVISION LEVEL, NURSE GHERINE JOY TAYAG AND NURSE RICO SORIANO WERE THE
FOCAL PERSONS. AND ROY B. MANGUYOT WAS THE FOCAL PERSON IN THE SCHOOL.
5. As SBFP Focal Person, do you have the support of the SDO?

AS A SBFP FOCAL PERSON, I FELT THE 100% SUPPORT COMING FROM THE DIVISION
OFFICE IN TERMS OF PROCUREMENT AND IMPLEMENTATION OF THE SAID PROGRAM.
6. Is there proper coordination & communication with RO and SDO? Were there issues encountered with the
coordination with RO? Was it resolved? How?
7. When was the Funds for SBFP from CO released to SDO?

* Date Received
*Amount Received
8. Did you conduct orientation for school implementers?

* Date of orientation conducted JUNE 28,2019
* No. of Schools oriented
* Number of Schools with no orientation
9. Have you monitored the implementation of SBFP in SDOs and Schools?

If yes, what are the major findings? If no, cite the reasons for not monitoring.
10. What are the strengths and weaknesses of the program?
11. What are the opportunities and threats?
12. What are the best practices of the region in SBFP implementation?
13. What are the issues and concerns you have encountered? How did the SDO resolved it?
SOMETIMES WE HAD EXPERIENCE A DELAYED DELIVERY OF THE GOODS.
14. Do you think you will have a successful implementation of SBFP this year? Why?
YES BECAUSE 100% OF THE BENEFICIARIES ACHIEVED NORMAL NUTRITIONAL STATUS.
15. What are your suggestions for program improvement?

TO INCREAS THE AMOUNT OF THE ALLOCATED BUDGET FROM 18 TO 20 PESOS.
16. Have you created Municipal/ City level local alliance?

* No. of preparatory meeting conducted
* Actual meeting conducted with partners
17. Who are the active partners/ stakeholder in the division?
18. How much funds were released from SDO to Schools?

* Total Amount released to Schools 293,760.00
* Number of tranches MONTHLY BASIS
19. Was there orientation to schools? Who are the participants? Who funded the activity?
* With Orientation YES
* No orientation
20. How many active partners/ stakeholders in school?

* NGO
* GO MUNICIPALITY OF CITY OF SAN FERNANDO (P)
* LGU BARANGAY OFFICIALS
* Foundation
* Others (please specify)MPTA OFFICERS, PARENTS AND BENEFICIARIES
21. Do you have complete program management data?

* Date Started 1-Jul-19
* No of feeding days as of visit 120 DAYS
* Expected no. of days of completion 120 DAYS
* Procurement method followed
* Nutrition Education in Schools
* Weighing scale used in schools
* Parent Involvement YES
22. Any complementary activities conducted?

* No. of beneficiaries dewormed 136
* With functional School garden YES
* Personal hygiene and good grooming YES
* Waste congregation and composting YES
* Adherence to food safety YES
Number of Beneficiaries
Budget Allocation
SW Wasted Total
29 107 136 293,760.00
How many SWs were not covered by the program? NONE

How many Ws were not covered: NONE
Nutritional Status S 2019-2020
Total Enrolment
Number %
SW
W
N
OW
Ob
TOTAL
II. DOCUMENTARY ANALYSIS - Division Level
AVAILABILITY
DOCUMENT ( / if Available, X if not available) REMARKS
1. Division Action Plan
2. Division Work & Financial Plan
3. School Work & Financial Plan
4. Cycle Menu from Schools
5. Project Procurement Management Plan
6. Transfer of funds from RO to SDO
7. Regional Allocation per School
8. Transfer of funds from SDO to Schools
9. Liquidation Reports from Schools
10. List of beneficiaries
14. Submission of SBFP Terminal Report for
previous year
Identify the Schools that have poor compliance in the submission of required reports.
Y 6,2020
SBFP Form 9 Annex 11

(Division Level)
SY 2019-2020
School: MAIMPIS INTEGRATED SCHOOL (ELEMENTARY) Date: FEBRUARY 6, 2020
1. Preparation of Data for the Program

* List of Beneficiaries
* Nutritional Assessment
Baseline Midline Endline
SW 29 10 0
W 107 26 0
N 0 0 0
OW 0 0 0
Ob 0 0 0
TOTAL 136 36 0
* School Work and Financial Plan

* Cycle Menu
* Project Procurement Management Plan
2. Release of funds from SDO to School

* Amount released in school
* 1st Tranche JULY P56,304.00 AUG. P48,960.00 SEPT. P51,408.00
* 2nd Tranche OCT.P44,064.00 NOV.P48,960.00 DEC. P44,064.00
* Data received
* No funds Allocated
3. Orientation of SBFP YES

* with orientation
*no orientation
4. Partnership with various stakeholders in the School

* NGO
* GO YES
* LGU YES
* Foundation
5. Program Management
*Date Started 1-Jul-19
* Expected no. of days completion 120DAYS
* Procurement method followed YES
* Nutrition Education during feeding YES
* Weighing scale used in school
* Compliance to cycle menu YES
* Attendance of the Beneficiaries 100%
* Parents Involvement YES
6. Development of Health and Nutrition Values
* Proper Handwashing YES
* Prayer before and after meal YES
* Good Grooming and personal hygiene YES
7. Complementary Activities
* No. of Beneficiaries dewormed 136
* With functional School Garden YES
* Waste segragation and composting YES
* Adherence to food safety YES
8. Submission of SBFP forms

* with report YES
* without report
9. Submission of Liquidation Report YES

* with liquidation
* without liquidation
10. Issues and concerns
Submitted by: Noted by:

SBFP Focal Coordinator School Head
Y 6, 2020

SBFP-Forms 1 TO 9

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SBFP Form 1 Annex 3

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

46 Senosin, Aldrich A. M One-Purple 9/14/2014 6/11/2019 0.56 12 103 SW no Melrichu A. Senosin no

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

ROY B. MANGUYOT LOURDES D. EUSEBIO

SCHOOL-BASED FEEDING PROGRAM (SBFP)

Division/Province: Division of City Of San Fernando, Pampanga

Prepared by: Noted by:

ROY B. MANGUYOT LOURDES D. EUSEBIO

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

Nutritional Status at Start of Feeding

4. Grade III 5 14 19 5 15 none

Total 29 107 136 22 47

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - JANUARY , SY 2019 - 2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTHS OF JULY - SEPTEMBER , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF JULY TO JANUARY , SY 2019-2020

Region: Date:________