Republic of the Philippines

Department of Education
Region V
DIVISION OF ALBAY
TIBABO ELEMENTARY SCHOOL
PIODURAN WEST DISTRICT
SCHOOL- BASED FEEDING PROGRAM
WORK AND FINANCIAL PLAN
SY 2019-2020

Target Financial Requirements for SY 2020-2021

PROGRAM/ACTIVITY/PROJECT Beneficiaries Cy 2020 RESPONSIBILITY SOURCE REM
CENTER OF FUND
SY 2020-2021 January AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
Days 18 18
I. Procurement of Food Commodities for
School-Based feeding Beneficiaries 6,480.00
Total No. of Beneficiaries 20 5,760.00 5,760.00
KINDER 0
Grade 1-6 (SW/W) 20
Total 43

II. Operational Expenses

Orientation of stakeholders
Supplies & materials related to feeding prog. 720.00 720.00
LPG & other cooking materials
Mineral/purified warer
Set of related feeding utensils
TOTAL SUPPLIES & MATERIALS 720.00 720.00

III. Management Program Operation

Minimal transportation expenses,xerox
Other priority related expenses
Photocopying & other supplies for docs
TOTAL MNGT. PROGRAM EXPENSES

TOTAL OPERATIONAL EXPENSES 6,480.00 0.00 0.00 0.00 0.00 0.00 6,480.00

TOTAL ESTIMATED COST 6,480.00 0.00 0.00 0.00 0.00 0.00 6,480.00

Prepared by: Noted By: Recommending Approval Approved By:

CHERRY O. OLAGUERA ALMA M. OSIA ALBERTO E. SERRANO NORMA B. SAMANTELA

Feeding Coordinator Principal/ School head Public Schools District Supervisor Schools Division Superintendent
SBFP FORM 1
Department of Education
Region V

MASTER LIST BENEFICIARY FOR SCHOOL- BASED FEEDING PROGRAM (SBFP)

Division/ Province: ALBAY Name of Principal/Head of School: ALMA M. OSIA
City/Municipality/Barangay: PIODURAN/TIBABO Name of Feeding Focal Person: CHERRY O. OLAGUERA
Name of School/ School District: TIBABO ELEMENTARY/ PIODURAN WEST
School ID Number: 111977
SPED, KINDERGARTEN - NORMAL PUPILS BASELINE
Age in Years/ Participation Benificiary of SBFP in
Date of Birth Date of Weighing/ Measuring Months Weight Height BMI for 6 y.o Nutritional
No. Name Sex Grade Sections (MM/DD/YYYY) (MM/DD/YYYY) Ethnicity in 4Ps Name of Parents Previous Years
(kg) (cm) and above Status (NS) (yes/no) (yes/no)
Y M
1 ADINO, STEVEN JAKE O. M KINDERGARTEN 13-Nov-14 Michael Adino
2 BRONZAL, ANGELO A. M KINDERGARTEN 12-Jan-15 Angie Bronzal
3 BRONZAL, JOHN JOSEPH C. M KINDERGARTEN 14-Jun-15 Erlinda Chaneco
4 LUZON, JAY EM O. M KINDERGARTEN 5-Jan-15 Beverly Luzon
5 MUELLA, YHUHAN P. M KINDERGARTEN 13-Oct-14 Chrsity Muella
6 NUÑEZ, JAZZ ALLEN M KINDERGARTEN 18-Sep-14 Jeanelyn Nunez
7 ONO, JHON RICK V. M KINDERGARTEN 1-Sep-14 Ricardo Ono
8 PABELONIA, PRINCE ALBERT O. M KINDERGARTEN 6-Oct-15 Genalyn Pabelonia
9 REYES, ANGELO O. M KINDERGARTEN 12-Aug-15 Jessie Reyes
10 ANDAYA, SABRINA CYRILLE D. F KINDERGARTEN 31-Jul-15 Janice Andaya
11 BRONZAL, ANGELA A. F KINDERGARTEN 12-Jan-15 Angie Bronzal
12 ESPLANA, CZAHUMIE REIGN P. F KINDERGARTEN 14-Oct-15 Ranair Esplana
13 GORDO, JANINE M. F KINDERGARTEN 7-Jan-15 Rechelle Gordo
14 GORDO, JESSA F KINDERGARTEN 9-Aug-15 Salve Gordo
15 LUZON, MARIEL P. F KINDERGARTEN 15-Aug-15 Maricar Luzon
16 MECALLER, JAMILEEN ANGEL O. F KINDERGARTEN 12-Oct-14 Ailen Mecaller
17 MOLINA, MARY SEPHLENE O. F KINDERGARTEN 26-Sep-14 Marissa Molina
18 ODEÑA, LOVELY V. F KINDERGARTEN 13-Feb-15 Mary Grace Odena
19 OLIVER, LOVELY ANN KATE R. F KINDERGARTEN 26-Mar-15 Eden Reyteran
20 ONO, HAZLEY A. F KINDERGARTEN 30-Aug-15 Hazel Ono
21 PRECONCILLO, JENNEBETH P. F KINDERGARTEN 2-Oct-14 Lilibeth Preconcillo
22 VOSOTROS, MARIA JULIA A. F KINDERGARTEN 2-Jul-15 Marivel Vosotros

Prepared By:

CHERRY O. OLAGUERA
Feeding Focal Person

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished Deped-HNC
SBFP FORM 1
Department of Education
Region V

MASTER LIST BENEFICIARY FOR SCHOOL- BASED FEEDING PROGRAM (SBFP)

Division/ Province: ALBAY Name of Principal/Head of School: ALMA M. OSIA
City/Municipality/Barangay: PIODURAN/TIBABO Name of Feeding Focal Person: CHERRY O. OLAGUERA
Name of School/ School District: TIBABO ELEMENTARY/ PIODURAN WEST
School ID Number: 111977
SPED, GRADE 1 TO 6 - WASTED PUPILS BASELINE
Age in Years/ Participation Benificiary of SBFP in
Date of Birth Date of Weighing/ Measuring Months Weight Height BMI for 6 y.o Nutritional
No. Name Sex Grade Sections (MM/DD/YYYY) (MM/DD/YYYY) Ethnicity in 4Ps Name of Parents Previous Years
(kg) (cm) and above Status (NS) (yes/no) (yes/no)
Y M
1 BINONDO, TEJAY B. M GRADE 1 13-Sep-13 06/13/2019 . 69 15 1.05 W NO TEDDY JR. BINONDO NO
2 BULACAN, CIA C. F GRADE 1 26-Feb-14 06/13/2019 . 63 13 1.00 W NO LOLITA BULACAN NO
3 Mataba, Jerome B. M GRADE 2 14-Apr-13 06/13/2019 6 . 1 15 1.08 12.80 W NO RIZZA MATABA YES
4 Otano, John Lloyd S. M GRADE 2 20-Mar-12 06/13/2019 7 . 2 19 1.20 13.10 W NO SELEDONIO OTANO YES
5 Chaneco, Erlyn Joy F GRADE 2 6-Dec-13 06/13/2019 66 14 1.05 W NO ERLINDA CHANECO YES
6 Ono, Rea May N. F GRADE 2 20-May-13 06/13/2019 6 . 0 12 1.00 12.00 W NO EDEN ONO YES
7 Relloris, Hannah Andrea L. F GRADE 2 28-Sep-13 06/13/2019 68 14 1.03 W NO EVA LLAMES YES
8 CALLOPE, KIAN XAVIER O. M GRADE 4 06-06-2011 06/13/2019 8 . 0 16 1.13 12.50 W NO MELY CALLOPE YES
9 CALLOPE, JAMES KERBY O. M GRADE 5 27-Jun-10 06/13/2019 8 , 11 19 1.21 12.90 W NO MELY CALLOPE YES
10 OPALDA, ANGELU M GRADE 5 6-Apr-10 06/13/2019 9 , 2 22 1.29 13.20 W NO ILENE OPALDA YES
11 PESITO, KIAN RAIN O. M GRADE 5 10-Sep-10 06/13/2019 8 , 9 19 1.21 12.90 W YES BERNADETTE PESITO YES
12 GORDO, KEIZY M. F GRADE 5 21-Jan-10 06/13/2019 9 , 4 17 1.16 12.60 W YES RECHELE GORDO YES
13 MATABA, STEPHANIE L. F GRADE 5 1-Aug-10 06/13/2019 8 , 10 18 1.18 12.90 W NO MAYLENE MATABA YES
14 OTANO, SHARA MIE S. F GRADE 5 18-Sep-10 06/13/2019 8 , 8 19 1.21 12.90 W YES DOMINGA OTANO YES
15 ATOLE,KYLE M. M GRADE 6 9-Mar-09 06/13/2019 10 , 3 25 1.36 13.50 W NO DELIA ATOLE NO
16 PABELONIA,JAY AR M. M GRADE 6 27-Dec-07 06/13/2019 11 , 5 24 1.32 13.70 W YES MARJERIE PABELONIA YES
17 OCFEMIA,JAICA A. F GRADE 6 17-Oct-09 06/13/2019 9 , 7 18 1.17 13.10 W YES CATHERINE OCFEMIA YES

Prepared By:

CHERRY O. OLAGUERA
Feeding Focal Person

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished Deped-HNC
SBFP FORM 1
Department of Education
Region V

MASTER LIST BENEFICIARY FOR SCHOOL- BASED FEEDING PROGRAM (SBFP)

Division/ Province: ALBAY Name of Principal/Head of School: ALMA M. OSIA
City/Municipality/Barangay: PIODURAN/TIBABO Name of Feeding Focal Person: CHERRY O. OLAGUERA
Name of School/ School District: TIBABO ELEMENTARY/ PIODURAN WEST
School ID Number: 111977
SPED, GRADE 1 TO 6 - SEVERLY WASTED PUPILS BASELINE
Age in Years/ Participation Benificiary of SBFP in
Date of Birth Date of Weighing/ Measuring Months Weight Height BMI for 6 y.o Nutritional
No. Name Sex Grade Sections Ethnicity in 4Ps Name of Parents Previous Years
(MM/DD/YYYY) (MM/DD/YYYY) (kg) (cm) and above Status (NS) (yes/no) (yes/no)
Y M
1 ESPLANA, LORENCE R. M Grade 1 22-Jun-13 06/13/2019 . 67 13 1.06 SW NO MAYLEN ESPLANA NO
2 OCMER, ROMNICK M. M Grade 1 5-Oct-13 06/13/2019 . 68 13 0.99 SW NO MARICEL OCMER NO
3 REYTERAN, KURT AXEL C. M Grade 1 15-Feb-14 06/13/2019 . 63 13 0.98 SW NO MELODY FAIR REYTERAN NO
4 LLAMES,JAYCEL ANN P. F GRADE 6 18-Dec-08 06/13/2019 10.0 . 5.0 19 1.25 12.10 SW YES MILA LLAMES YES

Prepared By:

CHERRY O. OLAGUERA
Feeding Focal Person

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished Deped-HNC
SBFP FORM 1
Department of Education
Region V

MASTER LIST BENEFICIARY FOR SCHOOL- BASED FEEDING PROGRAM (SBFP)

Division/ Province: ALBAY Name of Principal/Head of School: ALMA M. OSIA
City/Municipality/Barangay: PIODURAN/TIBABO Name of Feeding Focal Person: CHERRY O. OLAGUERA
Name of School/ School District: TIBABO ELEMENTARY/ PIODURAN WEST
School ID Number: 111977
SPED, KINDERGARTEN - NORMAL PUPILS BASELINE
Age in Years/ Participation Benificiary of SBFP in
Date of Birth Date of Weighing/ Measuring Months Weight Height BMI for 6 y.o Nutritional
No. Name Sex Grade Sections (MM/DD/YYYY) (MM/DD/YYYY) Ethnicity in 4Ps Name of Parents Previous Years
(kg) (cm) and above Status (NS) (yes/no) (yes/no)
Y M
1 AMPARADO,ANDREI A. M Grade 1 29-Mar-13 JACKIELYN O. ABAINZA
2 PUJOL,ELIESON JAMES N. M Grade 1 22-Feb-14 GLAIZA C. NUÑEZ
3 GORDO,JENNEFER M. F Grade 2 24-Nov-12 MARGIE M. GORDO
4 OCFEMIA,JANE M. F Grade 2 5-Jul-12 CESAR O. OCFEMIA
5 ODEÑA,RAYZA JOY D. F Grade 2 21-May-13 MARY JOY D. ODENA
6 BON,JAMES ERICK M. M GRADE 3 16-May-11 ERLINA M. BON
7 GORDO,JAY L. M GRADE 3 21-Aug-12 SALVE L. GORDO
8 MIRABETE,GIBBY CARLOS L. M GRADE 3 29-Dec-06 SEVERINA L. MIRABETE
9 OCMER,ADRIAN, M. M GRADE 3 2-Apr-10 MARICEL M. OCMER
10 ABION,CLARISSE P. F GRADE 3 6-Oct-11 MERLE P. ABION
11 CASIL,KIM HEART M. F GRADE 3 17-Feb-12 MAILYN M. CASIL
12 WARDE,AXZEL C. M GRADE 4 6-Apr-11 ANNALIZA C. WARDE
13 ALTAJARA,REA ROSE N. F GRADE 4 19-Oct-08 JOSIE N. ALTAJARA
14 ORDIZ,AINA MERL C. F GRADE 4 23-Jul-11 JULIE C. ORDIZ
15 OCFEMIA,EMIE M. F GRADE 4 19-Oct-10 CESAR O. OCFEMIA
16 BARONA,MANNY P. M GRADE 5 24-Jul-10 MELANY P. BARONA
17 ORDIZ,MARIEL C. F GRADE 5 3-Jan-09 JULIE C. ORDIZ
18 LUCILA,ORWELL ROSS C. M GRADE 6 16-Oct-09 ROSECHEL C. LUCILA
19 ABAINZA,SHARMIEN N. F GRADE 6 20-Apr-09 SUNSHINE N. ABAINZA
20 PALAJE,ASHLY C. F GRADE 6 9-Oct-08 IRMA C. PALAJE
21
22

Prepared By:

CHERRY O. OLAGUERA
Feeding Focal Person

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to DSWD-FO, copy furnished Deped-HNC
 Department of Education
Region V

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

Division/Province: ALBAY
City/Municipality/Barangay: TIBABO, PIODURAN
Name of School/School District: TIBABO ELEMENTARY SCHOOL/ PIODURAN WEST
School ID Number: 111977
Date of Start of Feeding: January , 2021
Kinder to Grade 6

Nutritional Status of Start of Feeding

Number of Undernourished School Children No. Of Pupils who are
by Grade Level No. Of Severely No. Of Normal Beneficiaries in Previous Years Remarks
Wasted No. Of Wasted (Kindegarten only) Total Beneficiaries No. Of 4 Ps Beneficiaries

1. Kinder
2. Grade I 2 2 0 0
3. Grade II 3 3 1 0
4. Grade III 6 6 2 0
5.Grade IV 4 4 1 0
6. Grade V 2 2 0 0
7. Grade VI 3 3 1 0
Total 20 20 5 0

Prepared by: Noted:

CHERRY O. OLAGUERA ALMA M. OSIA

SBFP Deped Focal SDS/ School Head

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to Deped-HNC
SBFP Form 3
Department of Education
Region V

SCHOOL BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS

Division/Province: ALBAY_______________________________________
School District/City/Municipality/Barangay: PIODURAN, TIBABO_________

Nutritional Status of Start of Feeding

Name of School Name of District Supervisors/ School Principal

BEIS No. School Address Name of Barangay Contact Number Total Beneficiaries
or OICs

TIBABO ES (Regular) 111977 TIBABO, PIODURAN, ALBAY TIBABO ALBERTO E. SERRANO 20

TOTAL 20

Prepared by: Noted:

CHERRY O. OLAGUERA ALMA M. OSIA

SBFP Deped Focal SDS/ School Head

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to Deped-HNC
 Republic o
Departmen
Regio
Schools Divis
Pioduran
TIBABO ELEM
Piodu

20 DAYS CYCLE MENU FOR NUTR

WEEK 1
2 pcs Medium size Toasted Siopao BANANA BREAD

WEEK 2
4 pcs Malunggay Pandesal 2 Medium Size Ensaymada

WEEK 3
3 pcs Medium Monay Bread 1 pc regular size Apple

WEEK 4
2 pcs Medium size Toasted Siopao 4 pcs Malunggay Pandesal

Prepared by:

CHERRY O. OLAGUERA
SBFP Coordinator

Tibabo, Pio Duran, Albay

09974604670
111977@deped.gov.ph
 
 
Tibabo, Pio Duran, Albay
09974604670
111977@deped.gov.ph
 
 
 Republic of the Philippines
Department of Education
Region V (Bicol)
Schools Division Office of Albay
Pioduran West District
TIBABO ELEMENTARY SCHOOL
Pioduran, Albay

E MENU FOR NUTRITIOUS FOOD PRODUCTIONS (NFP)

ANA BREAD 3 regular size Ube Cheese Bread 1 pc regular size Apple

Size Ensaymada 3 pcs. Regular size Mongo Bread 4 regular size Pandecoco

ular size Apple 3 pcs. Spanish Bread 1 pc regular size Apple

unggay Pandesal 4 pcs Regular Size Cheese Bread 2 pcs. Medium Raisin Bread

Approved by

ALMA M. OS
Teacher-in-Cha
 2 pcs large size Star Mamon

4 pcs Regular Size Cheese Bread

2 pcs. medium Banana Bread

3 pcs. Regular size Mongo Bread

Approved by:

ALMA M. OSIA
Teacher-in-Charge
 Republic of the Phil
Department of Edu
Region V
DIVISION OF ALB
TIBABO ELEMENTARY
PIODURAN WEST DI
SCHOOL- BASED FEEDING
WORK AND FINANCI
SY 2019-2020

Target Financial Requ

PROGRAM/ACTIVITY/PROJECT Beneficiaries
SY 2020-2021 JULY AUGUST
Days
I. Procurement of Food Commodities for
School-Based feeding Beneficiaries 51,600.00
Total No. of Beneficiaries 43 0.00 0.00
KINDER 22
Grade 1-6 (SW/W) 21
Total 43

II. Operational Expenses

Orientation of stakeholders
Supplies & materials related to feeding prog.
LPG & other cooking materials
Mineral/purified warer
Set of related feeding utensils
TOTAL SUPPLIES & MATERIALS 0.00 0.00

III. Management Program Operation

Minimal transportation expenses,xerox
Other priority related expenses
Photocopying & other supplies for docs
TOTAL MNGT. PROGRAM EXPENSES

TOTAL OPERATIONAL EXPENSES 0.00 0.00

TOTAL ESTIMATED COST 0.00 0.00

Prepared by: Noted By:

CHERRY O. OLAGUERA ALMA M. OSIA
Feeding Coordinator Principal/ School head
 Republic of the Philippines
Department of Education
Region V
DIVISION OF ALBAY
TIBABO ELEMENTARY SCHOOL
PIODURAN WEST DISTRICT
SCHOOL- BASED FEEDING PROGRAM
WORK AND FINANCIAL PLAN
SY 2019-2020

Financial Requirements for SY 2020-2021

RESPONSIBILITY
Cy 2020
CENTER
SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
5 33 22 60

0.00 3,870.00 25,542.00 17,028.00 46,440.00

430.00 2,838.00 1,892.00 5,160.00

0.00 430.00 2,838.00 1,892.00 5,160.00

0.00 4,300.00 28,380.00 18,920.00 51,600.00

0.00 4,300.00 28,380.00 18,920.00 51,600.00

Recommending Approval Approved By:

ALMA M. OSIA ALBERTO E. SERRANO NORMA B. SAMANTELA
cipal/ School head Public Schools District Supervisor Schools Division Superintende
SOURCE
REM
OF FUND
 NORMA B. SAMANTELA
Schools Division Superintendent
 SCHOOL WORK AND FINANCIAL PLAN
SCHOOL- BASED FEEDING PROGRAM
SY 2020-2021

Region V
Schools Division Office of Albay
Name of School: TIBABO ELEMENTARY SCHOOL
BEIS School ID: 111977

Objectives: To rehabilitate at least 70% of the beneficiaries to normal nut

ensure 85-100% attendance among target beneficiaries
to improve the children's health and nutrition values and beha

Performance Target B
Indicator/Unit
measure kinder
PROGRAM/ACTIVITIES/PROJECT
GAS/STO/Project
1. Procurement of
No. of BFP
Food Commodities for School Based feeding Beneficiares beneficiaries fed
(see attached lists of commodities
with estimated amount and Cycle Menu) 20
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Total No. of Beneficiaries 20 0
 RK AND FINANCIAL PLAN
SED FEEDING PROGRAM
SY 2020-2021

st 70% of the beneficiaries to normal nutritional status

ndance among target beneficiaries
en's health and nutrition values and behavior.

Target Beneficiaries SY 2020-2021

3rd Quarter & 4th
Grade 1 to Grade 6 1st Quarter 2021 TOTAL TARGET
Quarter 2020

Beneficiaries Beneficiaries Beneficiaries

2 0 2
3 0 3
6 0 6
4 0 4
2 0 2
3 0 3
20 0 20
 Department of Education
Region V

SCHOOL BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICI

Division/Province: ALBAY
City/Municipality/Barangay: TIBABO, PIODURAN
Name of School/School District: TIBABO ELEMENTARY SCHOOL/ PIODURAN WEST
School ID Number: 111977
Date of Start of Feeding: October 26, 2020
Kinder to Grade 6

Nutritional Status of Start of Feeding

Number of Undernourished School Children
by Grade Level No. Of Severely No. Of Normal
Wasted No. Of Wasted (Kindegarten only)

1. Kinder 22
2. Grade I 3 2
3. Grade II 0 5
4. Grade III 0 0
5.Grade IV 0 1
6. Grade V 0 6
7. Grade VI 1 3
Total 4 17

Prepared by:

CHERRY O. OLAGUERA
SBFP Deped Focal

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to Deped-HNC
 Department of Education
Region V

OGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING

Kinder to Grade 6

l Status of Start of Feeding

No. Of Pupils who are
Beneficiaries in Previous Years Remarks
Total Beneficiaries No. Of 4 Ps Beneficiaries

22 0 0
5 0 0
5 0 5
0 0 0
1 0 1
6 3 6
4 2 2
43 5 14

Noted:

ALMA M. OSIA
SDS/ School Head

r submission to Deped-HNC
SBFP Form 3
Department of Education
Region V

SCHOOL BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS

Division/Province: ALBAY_______________________________________
School District/City/Municipality/Barangay: PIODURAN, TIBABO_________

Nutritional Status of Start of Feeding

Name of School
BEIS No. School Address Name of Barangay

TIBABO ES (GRADE 1 TO 6) 111977 TIBABO, PIODURAN, ALBAY TIBABO

TIBABO ES (KINDERGARTEN) 111977 TIBABO, PIODURAN, ALBAY TIBABO

Prepared by:

CHERRY O. OLAGUERA
SBFP Deped Focal

Note: This form shall be prepared by the school, to be compiled by the DO, and for final compilation by the RO, for submission to Deped-HNC
ucation

(SBFP) LIST OF SCHOOLS

ritional Status of Start of Feeding

Name of District Supervisors/ School Principal

Contact Number Total Beneficiaries
or OICs

ALBERTO E. SERRANO 21
ALBERTO E. SERRANO 22

TOTAL 43

Noted:

ALMA M. OSIA
SDS/ School Head

ped-HNC