SBFP Form 1 Annex 1

Department of Education
Region IV-A CALABARZON

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

Division/Province: CAVITE Name of Principal : SUSAN A. GUANZON

City/ Municipality/Barangay : CAVITE/ROSARIO/TEJEROS CONVENTION Name of Feeding Focal Person : NORMALITA B. FLORES
Name of School / School District : TEJEROS CONVENTIONES/ ROSARIO DISTRICT
School ID Number:108093
For August 2019 Gr. 3
Beneficiary
Date of Weighing / Age in Years BMI for 6 Nutritional Participation in of SBFP in
Date of Birth (yes or
No. Name Sex Grade/Section (MM/DD/YYYY) Measuring
/ Months
Weight (Kg) Height (cm) y.o. and
Status (NS)
4Ps Name of Parents Previous
(MM/DD/YYYY) above no) Years (yes or
no)

WASTED
1 Aquino, Mylene F 3- Aguinaldo 5/1/2008 6/7/2019 23 131 Wasted NO Christopher Aquino YES

2 CRUDO, JOHN ERICK G. M 3- Mabini 4/9/2009 6/7/2019 24 132 Wasted NO Gelus B. Corazon YES

3 ESPANOL, CHRISTOPHER CAJETA M 3- Mabini 12/28/2008 6/7/2019 24 133 Wasted NO Anne Español NO

4 CAWALING, PINKY JANE C. F 3- Mabini 6/29/2010 6/7/2019 22 129 Wasted NO Merlita Campo NO

5 ESTAPIA, CAILIE JEAN C. F 3- Mabini 10/8/2011 6/7/2019 19 123 Wasted NO Luzviminda Estapia YES

6 PERALTA, ALTHEA T. F 3- Mabini 7/3/2010 6/7/2019 22 130 Wasted NO Nelia P. Tabuclao YES

7 VILLACERAN, ROSE VEN B. F 3- Mabini 8/8/2011 6/7/2019 20 122 Wasted NO April Rose Villaceran YES

8 ARAYATA , MICOH J. M 3- Bonifacio 6/20/2011 6/7/2019 19 119 Wasted NO Mildred Arayata YES

9 PANTA, MARK BENJAMIN M. M 3- Bonifacio 11/13/2010 6/7/2019 20 121 Wasted NO Marilyn M. Panta YES

10 CHAVEZ, THRIXIE B. F 3- Bonifacio 10/19/2011 6/7/2019 16 11 Wasted NO Ronald T. Chavez YES

11 ALFORTE, JARED M 3- Rizal 11/7/2010 6/7/2019 19 116 Wasted NO Janice Gamayon YES

12 CAJETA, CHARLES C. M 3- Rizal 12/15/2009 6/7/2019 21 124 Wasted NO Analiza Cajeta YES

13 MADAMBA, GABRIELLE P. M 3- Rizal 8/2/2010 6/7/2019 19 116 Wasted NO Anna Madamba No

14 MUTILAN, MOSLIMEN M 3- Rizal 5/12/2010 6/7/2019 23 131 Wasted NO Norlaonie H. Baraiman NO

15 SOLANO, VERLAN M 3- Rizal 1/12/2008 6/7/2019 23 128 Wasted NO Eden B. Solano YES

16 NIPOLO, DANICA F 3- Rizal 1/6/2010 6/7/2019 21 126 Wasted NO Dante Nipolo YES

17
19
23 SEVERELY WASTED
24 PERSONA, JOHN NETHAN M 3-Mabini 12/28/2010 6/7/2019 16 117 Severely wasted NO Rusela Persona NO

25 SUNICO, LOVELY KAYE N. F 3- Mabini 10/15/2008 6/7/2019 22 135 Severely wasted NO Evelyn Niviar NO

26 VISCAYA, ALIYAH NICOLE C. F 3- Bonifacio 9/30/2010 6/7/2019 19 123 Severely wasted NO Richelle C. Viscaya YES

27
28
29
30 Grade 3- Chairman
31
32
33
34
36
37
38
39
40
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157 3- Mabini yes
158 3- Mabini yes

Grade Chairman