School Based Feeding Program

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SCHOOL BASED FEEDING PROGRAM

RECORD OF DAILY MILK/BREAD FEEDING

FOR THE MONTH OF _________________________, 2022


S.Y. 2021-2022

Region: VIII School: Lagoma Elementary School


Division: Southern Leyte School ID Number: 122056
District: Silago
Actual Feeding
Day 19 Day 20 Day 21 Signature
Name of Beneficiary Grade Signature Signature

Prepared By: Approved by:

WENNA S. LOQUINTE MILAGROS S. FELIZARTA


Feeding Coordinator School Head

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