SBFP Form 1

Department of Education
Region VI

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

Division/Province: AKLAN Name of Principal: IDY R. PEDRI

City/Municipality/Barangay: IBAJAY WEST Name of Feeding Focal Person: N
Name of School/School District: IBAJAY CENTRAL SCHOOL

Date of BMI for

Age in
Date of Birth Weighing/ Weight Height 6 y.o. Nutritional
No. Name Sex (MM/DD/YYYY) Years/
Measuring (Kg) (cm) and Status (NS)
Months
MM/DD/YYYY above

1 Calizo, Jenevive L. F 12/17/2008 06/06/2014 65 12 Severely Underweight

2 Ayong, Jhon Lorenz R. M 02/11/2009 06/06/2014 63 12 Severely Underweight
3 Sevilla, Mark Sylvan M. M 07/25/2009 06/06/2014 58 12 Severely Underweight
4 Melo, Danrobel R. M 09/07/2009 06/06/2014 56 12 Severely Underweight
5
6
7
8
9
10
11
12
13
14
15
Prepared by:

NIEVA G. GELITO
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
 SBFP Form 1

Department of Education
Region VI

ies for School-Based Feeding Program (SBFP)

Name of Principal: IDY R. PEDRITA

Name of Feeding Focal Person: NIEVA G. GELITO

Beneficiary of SBFP
4Ps ID
Ethnicity Disability Name of Parents in Previous Years
Number (yes or no)

Noted by:

IDY R. PEDRITA
School Principal / Officer-In-Charge

d for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.
SBFP Form 1

Department of Education
Region VI

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

Division/Province: AKLAN Name of Principal: IDY R. PEDRI

City/Municipality/Barangay: IBAJAY WEST Name of Feeding Focal Person: N
Name of School/School District: IBAJAY CENTRAL SCHOOL

Date of BMI for

Age in
Date of Birth Weighing/ Weight Height 6 y.o. Nutritional
No. Name Sex (MM/DD/YYYY) Years/
Measuring (Kg) (cm) and Status (NS)
Months
MM/DD/YYYY above

1 Gindap, Gerald M 11/10/2008 06/06/2014 66 14 Underweight

2 Ibea, Rica Nicole S. F 03/08/2009 06/06/2014 62 14 Underweight
3 Sescar, Angel Anne S. F 09/16/2009 06/06/2014 56 13 Underweight
4 Tuazon, Trisha Dhel R. F 04/04/2009 06/06/2014 62 13 Underweight
5 Castillo, Revenier S. F 11/16/2008 06/06/2014 66 14 Underweight
6 Fernandez, Jessica T. F 01/06/2009 06/06/2014 65 14 Underweight
7 Oczon, Heriana-Del R. F 02/16/2009 06/06/2014 63 13 Underweight
8 Asunta, Rico Jone D. M 01/02/2009 06/06/2014 65 14 Underweight
9 Gregorio, James Bryan D. M 05/21/2009 06/06/2014 60 13.5 Underweight
10 Pagayunan, John D. M 02/18/2009 06/06/2014 63 14.2 Underweight
11 Alvarez, Dave Ashly S. M 08/15/2009 06/06/2014 57 13 Underweight
12 Castro, Christian C. M 03/22/2009 06/06/2014 62 14 Underweight
13 Ruiz,John Lyndon P. M 07/14/2009 06/06/2014 58 13 Underweight
14 Sexiona, Colm Kian P. M 04/14/2009 06/06/2014 61 13 Underweight
15 Gregorio, Princess Angel P. F 03/22/2009 06/06/2014 62 14 Underweight
Prepared by:

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
 SBFP Form 1

Department of Education
Region VI

ies for School-Based Feeding Program (SBFP)

Name of Principal: IDY R. PEDRITA

Name of Feeding Focal Person: NIEVA G. GELITO

Beneficiary of SBFP
4Ps ID
Ethnicity Disability Name of Parents in Previous Years
Number (yes or no)

Noted by:

IDY R. PEDRITA
School Principal / Officer-In-Charge

d for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.
SBFP Form 1

Department of Education
Region VI

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

Division/Province: AKLAN Name of Principal: IDY R. PEDRI

City/Municipality/Barangay: IBAJAY WEST Name of Feeding Focal Person: N
Name of School/School District: IBAJAY CENTRAL SCHOOL

Date of BMI for

Age in
Date of Birth Weighing/ Weight Height 6 y.o. Nutritional
No. Name Sex (MM/DD/YYYY) Years/
Measuring (Kg) (cm) and Status (NS)
Months
MM/DD/YYYY above

16 Pablo, Kimberly N. 10/18/2009 06/06/2014 55 13 Underweight

17 Soguilon, Charmain Mae T. 07/28/2009 06/06/2014 58 13 Underweight
18 Cabales, Jay Lou C. 10/06/2009 06/06/2014 56 13 Underweight
19 Lalisan, John Lloyd M. 09/10/2009 06/06/2014 56 13 Underweight

Prepared by:

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
 SBFP Form 1

Department of Education
Region VI

ies for School-Based Feeding Program (SBFP)

Name of Principal: IDY R. PEDRITA

Name of Feeding Focal Person: NIEVA G. GELITO

Beneficiary of SBFP
4Ps ID
Ethnicity Disability Name of Parents in Previous Years
Number (yes or no)

Noted by:

IDY R. PEDRITA
School Principal / Officer-In-Charge

d for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.
SBFP Form 1

Department of Education
Region VI

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

Division/Province: AKLAN Name of Principal: IDY R. PEDRI

City/Municipality/Barangay: IBAJAY WEST Name of Feeding Focal Person: N
Name of School/School District: IBAJAY CENTRAL SCHOOL

Date of BMI for

Age in
Date of Birth Weighing/ Weight Height 6 y.o. Nutritional
No. Name Sex (MM/DD/YYYY) Years/
Measuring (Kg) (cm) and Status (NS)
Months
MM/DD/YYYY above

1 SIMERA, KYVEE JAMES D. F 12/17/2008 06/06/2014 70 15 1.05 Wasted/U

2 Abada, Nico Jess S. M 09/26/2008 06/06/2014 68 15 1.19 Wasted/U
3 Aquino, Nino Donard T. M 08/02/2008 06/06/2014 70 15 1.19 Wasted/U
4 Calizo, Jhan Justine S. M 01/02/2008 06/06/2014 77 17 1.18 12.2 Wasted/U
5 Macahilig, Richard S. M 12/30/2007 06/06/2014 77 14 1.07 12.2 Wasted/U
6 Masangcay, James B. M 12/30/2007 06/06/2014 78 14 1.04 12.9 Wasted/U
7 Sastre, Reymundo M. M 08/15/2008 06/06/2014 69 15 1.16 Wasted/U
8 Zaulda, Reymar T. M 02/21/2008 06/06/2014 75 15 1.1 12.3 Wasted/U
9 Camacho, Clariz Yna C. F 10/25/2008 06/06/2014 67 14 1.11 Wasted/U
10 Fernandez, Charlotte F 06/24/2008 06/06/2014 71 15 1.2 Wasted/U
11 Salazar, Janine Cairyl F 02/01/2008 06/06/2014 76 17 11.8 11.8 Wasted/U
12 Canja, Mark Angelo I. M 10/02/2008 06/06/2014 68 15 1.12 Wasted/U
13 Gelito, Aron C. M 04/17/2008 06/06/2014 73 15 1.11 12.1 Wasted/U
14 Briones, Nicca May A. F 05/14/2008 06/06/2014
15 06/06/2014
Prepared by:

NIEVA G. GELITO
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
 SBFP Form 1

t of Education
ion VI

ool-Based Feeding Program (SBFP)

Name of Principal: IDY R. PEDRITA

Name of Feeding Focal Person: NIEVA G. GELITO

Beneficiary of SBFP
4Ps ID
Ethnicity Disability Name of Parents in Previous Years
Number (yes or no)

6
12
72

Noted by:

IDY R. PEDRITA
School Principal / Officer-In-Charge

ompilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.

SBFP Form 2

Department of Education
Region VI

SCHOOL-BASED FEEDING PROGRAM (SBFP)

Division/Province: AKLAN
City/Municipality/Barangay: IBAJAY WEST
Name of School/School District: IBAJAY CENTRAL SCHOOL

Nutritional Status at Start of Feeding Ethnici

Number of Undernourished School

Children by Grade Level No. of No. of Total
Severely No. of Ethnic Ben.
Wasted Beneficiaries
Wasted

1. Kinder

2. Grade I

3. Grade II

4. Grade III

5. Grade IV

6. Grade V

7. Grade VI

Total
Prepared by:

NIEVA G. GELITO
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 submissio
 SBFP Form 2

Department of Education
Region VI

-BASED FEEDING PROGRAM (SBFP)

Ethnicity 4 Ps Beneficiaries in previous years

No. of Pupils who

No. of 4 Ps Ben. are beneficiaries in Remarks
previous years

Noted by:

IDY R. PEDRITA
Unit Chief

for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.
SBFP Form 2

Department of Education
Region VI

SCHOOL-BASED FEEDING PROGRAM (SBFP)

Division/Province: AKLAN
City/Municipality/Barangay: IBAJAY WEST
Name of School/School District: IBAJAY CENTRAL SCHOOL

Nutritional Status at Start of Feeding Ethnici

Number of Undernourished School

Children by Grade Level No. of No. of Total
Severely No. of Ethnic Ben.
Wasted Beneficiaries
Wasted

1. Kinder

2. Grade I

3. Grade II

4. Grade III

5. Grade IV

6. Grade V

7. Grade VI

Total 0 0 0 0
Prepared by:

NIEVA G. GELITO
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 submissio
 SBFP Form 2

Department of Education
Region VI

-BASED FEEDING PROGRAM (SBFP)

Ethnicity 4 Ps Beneficiaries in previous years

No. of Pupils who

No. of 4 Ps Ben. are beneficiaries in Remarks
previous years

0 0
Noted by:

IDY R. PEDRITA
Unit Chief

for final compilation by the RO, for submission to DSWD-FO, copy furnished DepEd-HNC.