DIPLAHAN CENTRAL ELEMENTARY SCHOOL

School Based Feeding Program S.Y. 2020-2021

Nutrious Food Packs/Milk

Week 1 week 2 Week 3 Week 4

Date: Date: Date: Date:
NO. Name of beneficiary
Name & Signature of Name & Signature of Name & Signature of Name & Signature of
parents/guardian parents/guardian parents/guardian parents/guardian

1
2
3
4
5
6
7
8
9
10

Prepare by; Certified correct;

___________________________________ _____________________________________
School Feeding Coordinator School Head