PUPILS MONTHLY RETURN FORM

SCHOOL NAME:…………………………………………………………………. …………………………………………………………….DISTRICT EDUCATION BOARD

EMIS NO:………………………………. MONTH: ------------- YEAR: 20--------- NUMBER OF SCHOOL DAYS:---- NUMBER OF FEEDING DAYS: ---

TABLE A
ENROLMENT TOTAL ATTENDANCE RE - ADMISSION TRANSFERRED IN TRANSFERRED OUT TOTAL FOOD BENEFICIARIES
GRADE STREAMS
BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL
ECCDE
1
2
3
4
5
6
7
8
9
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TABLE B
DROPOUTS IN THE MONTH BY GENDER AND REASON
DEATH PREGNANCIES MARRIAGE EXPELLED ORPHANED OTHER
BOYS GIRLS TOTAL GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL BOYS GIRLS TOTAL

Maximum number of children fed during the month BOYS GIRLS

TABLE C HOME GROWN SCHOOL FEEDING - FOOD DISTRUBUTED TO PUPILS

Source Opening Stock (Kg) Received (Kg) Used (Kg) Losses (Kg) Closing Balance (Kg)
Commodity

Cereal (Maize, Rice, Sorghum)

Pulses (beans/cowpeas)
Cooking Oil
Other (specify)

Other (specify)

Comments________________________________________________________________________________________________________________

COMPILED BY: _____________________________________________________________ School Stamp & Date

VERIFIED BY:_______________________________________________________________

1.Both the school administration and the DEBS office must verify that the information submitted is accurate
2. The school must ensure that this information is submitted to Ministry HQ theough DEBS and PEO
3. Please include commodities contributed by the community in table C