SBFP Form 1 (2020)

Department of Education
Region III

Master List Beneficiaries for School-Based Feeding Program (SBFP) (SY 2020-2021)

Division/Province: ______________________________________ Name of Principal : ____________________________________

City/ Municipality/Barangay : ____________________________ Name of Feeding Focal Person : _________________________
Name of School / School District : _________________________
School ID Number: _________________________

Date of Weighing / Age in Weight Height BMI for 6 Nutritional Status (NS)
Date of Birth
No. Name Sex Grade/ Section (MM/DD/YYYY)
Measuring Years / y.o. and
(MM/DD/YYYY) Months (Kg) (cm) above
BMI-A
1 Soriano, Manuel Iii Rosal M I-Camellia (SSES) 03/14/2014 6/6/2019 6.6 13 1.18 9.35 SW

2 Cariazo, Terence David M I-Camellia ( SSES) 05/15/2014 6/6/2019 6.4 14 1.1 11.57 W

3 Somera, Gabriel Tayag M I-Camellia ( SSES) 04/14/2014 6/6/2019 6.5 14 1.09 11.76 W

4 Belardo, Maria Julie Saura F I-Camellia (SSES) 01/28/2014 6/6/2019 6.8 13 1.16 9.63 SW

5 Manansala, Lenard P. M ONE-MARIGOLD 07/28/2013 6/6/2019 7.2 14 1.1 11.57 W

6 Bejarin, Kendra S. F ONE-MARIGOLD 04/06/2014 6/6/2019 6.5 13 1.08 11.11 W

7 Bautista, Jonas M ONE-MARIGOLD 07/25/2014 6/6/2019 6.2 14 1.1 11.57 W

8 Vinluan, Jericho R, M 1-Bluebell 7-26-2012 6/6/2019 8.2 14 1.12 11.2 W

9 Abella, Raven Baldonado M I-BLUEBELL 05/20/2014 6/6/2019 6.4 14 1.12 11.2 W

10 Gamit, Ikee M I- BUTTERCUP 04/02/2013 6/6/2019 7.5 15 1.09 12.61 W

11 Vergara, Hannah Kaatlyn F I-BUTTERCUP 11/22/2013 6/6/2019 6.1 13 1.1 10.74 W

12 Guevarra, Janra Dennise T. M II- DAFFODIL 10/22/2013 6/6/2019 6.4 14 105 12.45 W

13 Andres, Carmela A. F II- DAFFODIL 10/31/2012 6/6/2019 7.4 16 114 12.3 W

14 Vinluan, Mikaela F II POPPY 3/1/2011 3/6/2019 8/5 16 111 12.9 W

15 Brigino, Jobern Jhay M II POPPY 7/27/2009 3/6/2019 9/11 18 127 11.18 W

16 Millano, Shawn Martin N. M II POPPY 07/12/2012 3/6/2019 6/6 15 108 12..86 W

17 Montoya, Algian P. M II POPPY 10/16/2012 3/6/2019 7.4 18 118 12.93 W

18 Ilingan, Paul Symon V. M II POPPY 10/17/2012 6/6/2019 6 17 115 12.8 W

19 Mamaradlo, Cliff Andi L. M II ADELFA 05/08/2013 3/6/2019 7/0 15 108 12.86 W

20 Manzon, Alleyah Timdale M. F II ADELFA 2/3/2013 3/6/2019 43896 14 106 12.46 W

21 Quiambao, Camille Riene E. F II ADELFA 09/23/2012 6/6/2019 44049 14 108 12 W

22 Obcena , Alejandro Josh M II SSES 10/11/2012 6/6/2019 8.1 14 108 12 W

23 Somera, Germain Ivan T. M II CATLEYA 12/30/2012 3/6/2019 43988 18 118 12.95 W

24 Narra, Nicky Jane D. F II-SSES 03/19/2013 6/6/2019 43867 16 113 12.5 W

25 Calibo, Carina Silvino B. F II -SSES 09/04/2013 6/6/2019 6.6 18 123 11.92 W

26 Macapagal, Justine B. M II-Rosemary 10/07/2013 6/6/2019 6.4 14 106 12 W

27 Ramos, Princess Jeniel N. F II DAISY 08/08/2013 3/6/2019 41518 17 115 12.88 W

28 Gabriel, Marc Raven Dela Cruz M III- ROSAL 01/02/2012 06/03/2019 7.5 15 1.18 10.7 SW

29 Jenelyn F. Domingo F. III- DANDELION 01/21/2012 6/3/2019 7.4 14 1.11 11.3 SW

30 Kristel Ann Mae O. Cañero F. III- DANDELION 06/28/2012 6/3/2019 6 15 1.14 11.5 SW

31 Precious Kate P. Martinez F. III- ROSAL 7/18/2011 6/6/2019 7 16 1.12 12.7 W

32 Rowan Roweb. Abella M III- HEATHER 07/31/2011 6/6/2019 7 21 1.28 12.8 W

33 Almark James P. Soriano M III- ASTER 03/03/2012 6/6/2019 7 19 1.23 10.51 SW

34 Quiel Raffa B. Ramos F. III- ASTER 01/24/2012 6/6/2019 7 17 1.16 10.35 SW

35 Kim Adriana C. Jose F. III- ASTER 12/31/2011 06/03/2019 7 18 1.17 10.37 SW

36 Athena P. Zabala F. III- ASTER 07/16/2012 06/03/2019 7 19 1.18 10.61 SW

37 Justine Isabel B. Santos F IV-CAMIA 12/27/2010 6/6/2019 9,9 24 1.34 13.3 W

38 Bautista,Jay D. M IV-SUNFLOWER 08/26/2009 6/6/2019 11,1 29 1.1.2732 16.6 N

39 Macaraeg,Gio M IV-SUNFLOWER 08/08/2010 6/6/2019 10,1 22 1.3 13 W

40 Ronquillo,Aries D. M IV-SUNFLOWER 05/23/2011 6/6/2019 9,4 16 1.12 15.1 W

41 Lomboy,Jack C. M IV-SUNFLOWER 06/22/2010 6/6/2019 10,3 21 1.26 13.2 W

42 Dejino,John Nijel M IV-SUNFLOWER 13/8/2011 6/6/2019 9,1 23 1.33 13 W

43 Pablo,Christian S. M IV-SUNFLOWER 15/4/2011 6/6/2019 9,1 23 1.33 13 W

44 Garcia,Gerald A. M IV-ROSE 04/20/2011 6/6/2019 9.5 22 1.28 13.4 W

45 Galapia,King Jensen M IV-Ilang-ilang 16/11/2010 6/6/2019 9,11 19 1.2 13.1 W

46 Castillo,Jeffrey C. M IV-Ilang-ilang 12/14/2010 6/6/2019 9,9 22 1.3 13 W

47 Aron, Kc Pearl V. F IV-Ilang-ilang 01/24/2009 6/6/2019 9,9 22 1.32 12.6 W

48 Clemente,Jenny F IV-Ilang-ilang 12/26/2010 6/6/2019 9,9 18 1.26 11.3 W

49 Palma,Jilian Zia F IV-Ilang-ilang 04/09/2011 6/6/2019 9,5 19 1.26 11.9 SW

50 Bacerdo,Rafael E. M V-Daphne 11/22/2009 6/6/2019 9,6 22 132 12.6 SW

51 Albarracin, Gabriel Jacob M V-Daphne 12/14/2009 6/10/2019 9.5 18 135 9.8 SW

52 Tolentino,Isiah Dwayne P. M V-Daphne 02/04/2010 6/6/2019 9,2 19 124 12.3 SW

53 Cedenio, Princess Nica F. F V-Daphne 08/17/2010 6/6/2019 8,9 22 130 13 W

54 Daileg,Mark Aivan B. M V-Yellowbell 03/12/2010 6/6/2019 9,2 20 131 11.6 SW

55 Clemente,Joshua C. M V-Yellowbell 12/1/2006 6/6/2019 12,6 25 134 13.9 W

56 Baylon, Elia Aster F V-Yellowbell 06/29/2010 6/6/2019 8, 11 19 1.22 12.77 W

57 Reyes, Renalyn Q. F V-Yellowbell 10/20/2009 6/6/2019 9, 7 18 1.23 11.9 W

58 Castillo,Mary Jane V. F V-Yellowbell 12/30/2009 6/6/2019 9,5 21 128 12.8 W

59 Soriano,Christopher S. M V-Gardenia 03/18/2010 6/11/2019 9,2 23 134 12.8 W

60 Bondoc,Lady Samantha T. F V-Gardenia 09/23/2009 6/6/2019 9,8 19 122 12.7 W

61 Tomas,Paul Jerwin S. M V-Gardenia 03/02/2010 6/6/2019 9,4 20 123 13.2 W

62 Baun, Johniel S. M V-SSES 07/09/2010 6/6/2019 8,8 22 129 13.2 W

63 Dela Cruz,Hannah Lexi L. F V-SSES 01/12/2009 6/7/2019 9,6 25 139 12.9 W

64 Lambino,Loraine C. F V-Lilac 12/30/2009 6/9/2019 9,5 19 121 12.9 W

65 Cruz,Katriel Kinsley G. F V-Lilac 03/03/2009 6/8/2019 10,3 21 136 11.3 SW

66 Carino, Joel T. M VI-Sampaguita 10/23/2009 6/6/2019 9, 2 23 1.31 13.4 W

67 Evangelista, Quint Rave G. M VI-Sampaguita 10/01/2009 6/6/2019 9, 3 21 1.25 13.4 W

68 Teofilo, Darren Rave F. M VI-Sampaguita 11/19/2008 6/6/2019 9, 2 22 1.31 12.8 W

69 John Mark O. Solidum M VI-Gladioli 04/08/2009 6/6/2019 9, 7 18 1.23 11.9 W

70 Angelo Y. Bungay M VI-Gladioli 06/21/2009 6/4/2019 8, 11 19 1.22 12.77 W

71 Vinluan, Princess F VI-Gladioli 08/22/2008 6/6/2019 9, 11 23 1.33 13 W

72 Tarronas, Gerard Miguel M VI-Gladioli 03/12/2008 1/9/2019 10.9 23 1.35 12.6 SW

73 Rufino, Marijan F. F VI-Gladioli 01/02/2009 1/9/2019 10 20 1.23 13.2 W

74 Janie Lee B. David F VI-Poinsettia 07/19/2009 6/5/2019 10, 3 25 1.36 13.5 W

75 Jose, Zhack Iñigo C. M VI-Poinsettia 03/30/2009 1/9/2019 9.9 22 1.29 13.2 W

76 Indolos, Faith Myka Lopez F VI-Magnolia 09/22/2009 6/6/2019 9, 8 19 1.21 12.9 W

77 Leslie Ann C. Lagman F VI-Dahlia 10/07/2009 6/6/2019 10, 4 20 1.23 13.2 W

78 Aiza C. Bechayda F VI-Dahlia 07/15/2009 6/7/2019 9, 10 21 1.32 12 SW

79 Angelo P. Sarmiento M VI-Dahlia 07/30/2009 6/8/2019 9, 9 21 1.37 11.1 SW

80 Bautista, Alvin Cantillo M VI-Dahlia 01/24/2009 6/8/2019 11, 9 21 1.32 12 SW

81 Galang, Shiela May Partido F VI-Dahlia 05/29/2009 6/6/2019 10, 0 20 1.28 12.2 SW

82 Mendoza, Lady Anne Bautista F VI-Dahlia 07/10/2009 6/6/2019 9, 11 20 1.25 12.8 W

83 Arian P. Agdeppa F VI-Dahlia 06/08/2009 6/6/2019 9, 8 22 1.32 12.6 W

84 Santos, Justine S. M VI-Dahlia 05/17/2009 1/9/2019 9.7 18 1.19 12.7 W

85 Agatep, Azer Jan B. M Kinder-Lavander 01-15-2015 5.5

86 Alipio, Mark Aaron S. M Kinder-Lavander 08-27-2015 5

87 Aquino, Kaizer Jeff A. M Kinder-Lavander 05/03/2015 0.4

88 Bravo, Lian Francis L. M Kinder-Lavander 05/05/2015 5.3

89 Castel, Paul Syrus M Kinder-Lavander 11-22-2014 5.11

 90 Castillo JM Vellegas M Kinder-Lavander 10-23-2014 5.1

91 Clemente, Clark Lawrence A M Kinder-Lavander 06/07/2015 5.2

92 David, Rhon E. M Kinder-Lavander 03/03/2015 5

93 David Rogelio, Jr., L. M Kinder-Lavander 01/10/2015 5

94 Fernandez, Daniel Jhansien L. M Kinder-Lavander 09-15-2015 5

95 Labador, Xander V. M Kinder-Lavander 01-18-2015 5.5

96 Lingan, Suresh David M Kinder-Lavander 09-19-2014 6

97 Macaraeg, Mark Ezekiel E. M Kinder-Lavander 11-18-2014 6.7

98 Mediola, Rai James C. M Kinder-Lavander 08-15-2015 5.2

99 Mendoza, DJ S. M Kinder-Lavander 10-18-2014 6

100 Palencia, Yui D. M Kinder-Lavander 06/10/2015 5

101 Ramos, Christian RoyJr. G. M Kinder-Lavander 01-14-2015 5.5

102 Sta. Maria Anthony Jay A. M Kinder-Lavander 02/02/2015 5.4

103 Velasco, John Ronald V. M Kinder-Lavander 09-26-2014 6

104 Portin, RJ M Kinder-Lavander 03/08/2015 0.53

105 Panes, Nathaniel Jhon Kurt Manalo M Kinder-Lavander 04/05/2015 5.2

106 Alvarez, Briiana Keila V. F Kinder-Lavander 06-21-2015 5.5

107 Araullo, Jezmiel Dane I. F Kinder-Lavander 08/10/2015 5

108 Asuncion, Angel Joy E. F Kinder-Lavander 08/12/2014 6.6

109 Capitly Chloe Mykhaylla C. F Kinder-Lavander 12-22-2014 5.8

110 Castillo, Eloisa A. F Kinder-Lavander 08/01/2015 5.1

111 Chichioco, Juana Mikaela U. F Kinder-Lavander 05-30-2015 5.3

112 Cresencia, Rio Nathalia E. F Kinder-Lavander 07/06/2015 5.3

113 Dayrit, Alliyah Xandra W. F Kinder-Lavander 09-17-2015 5

114 De Leon, Caisley Dominique V. F Kinder-Lavander 09-17-2015 5

115 Dion, Jean Zen P. F Kinder-Lavander 08/06/2015 5.5

116 Dom, Angel A. F Kinder-Lavander 01/12/2014 5.8

117 Galicia, Ma. Althea P F Kinder-Lavander 02-23-2015 5.3

118 Hilario, Louli Scarlet S F Kinder-Lavander 06/04/2015 5.3

119 Marucot, Mary Jane DC F Kinder-Lavander 01/09/2014 6

120 Oabel, Stacy Margarette O. F Kinder-Lavander 07-24-2015 5.3

121 Sumaoang, Ivy Giezel P. F Kinder-Lavander 08-30-2015 5.2

122 Tamayo, Princess Jane C. F Kinder-Lavander 10-16-2015 5

123 Asuncion, John Edward M. M K-Jasmine 11-26-2014 6

124 Cabasa, Tristom Dhiem Nool M K-Jasmine 06-23-2015 6.6

125 Custodio, Emmanuel N. M K-Jasmine 11/12/2014 5.8

126 Gamboa, Glen Y. M K-Jasmine 08/09/2015 5.1

127 Ibuyat, Ronel A M K-Jasmine 11-17-2014 5.11

128 Lacayanga, Carl Raphael M K-Jasmine 11/04/2015 5.5

129 Lomboy, Clark Kent M K-Jasmine 10-20 2015 5

130 Macaraeg John Cynder P M K-Jasmine 0617-2015 5.4

131 Mananquil, Jhonel Ovedo M K-Jasmine 03-21-2015 5.7

132 Manansala, Adrian Theodore T. M K-Jasmine 07-13-2015 5.5

133 Masangkay, Andrie Y. M K-Jasmine 10-13-2014 6

134 Mendiola, John David A. M K-Jasmine 08/12/201 5.2

135 Ongsico, Jann Edward C. M K-Jasmine 11-24-2014 5.11

136 Orpilla, Colin Eli Guiang M K-Jasmine 07-30-2015 5.3

137 Pangan, Xyrus Moses Q. M K-Jasmine 04/10/2015 5

138 Pasungin, Kian Kyle I. M K-Jasmine 03/11/2014 5.6

139 Quidangen, Jiyo Khaiser M. M K-Jasmine 01-31-2015 5.9

140 Rabadon, Jhay Adrian M. M K-Jasmine 07-30-2019 5.4

141 Rosaros, Miguel Viray M K-Jasmine 03-17-2015 5.8

142 Sobremonte, Prince Allen A. M K-Jasmine 09-27-2015 6

143 Tacsay, Yshaan E. M K-Jasmine 08-28-2015 5.2

144 Sudaria, Jhared Carbonel k-Jasmine 11-28-2014 6

145 Bartolo, Keisha Vin S. F K-Jasmine 12/10/2015 6

146 Cortez, Nicolee Dypiangco F K-Jasmine 09-14-2015 5

147 Crisostomo, Zahara Lee A. F K-Jasmine 09/09/2015 5

148 Lacayanga, Mary Rose T. F K-Jasmine 01-15-2015 5.9

149 Laurzano, Ray Jean O. F K-Jasmine 05-18-2015 5.4

150 Mislang, Andrea Isabel O. F K-Jasmine 09-23-2015 5

151 Munoz, Chantel R. F K-Jasmine 07-31-2015 5.3

152 Nool, Hermoine Reese D. F K-Jasmine 03/10/2014 5

153 Pinto, Aethana Keila Lambino F K-Jasmine 07-30-2031 5.2

154 Ramos, Chleo E. F K-Jasmine 05/10/2015 5

155 Sicat, Prince Montana S. F K-Jasmine 06-23-2015 5.5

156 Tipay, Chriselyn Joy D. F K-Jasmine 02/06/2015 5.5

157 Tipay, Princess Ann B. F K-Jasmine 07/01/2015 5.9

158 Vigilia, Stacy Faith Mancilla F. K-Jasmine 09/01/2015 5.9

159 Borja, Jhanela Louise Ortaliza F. K-Jasmine 09-14-2015 5

160 De Vera, Kyrie F. K-Jasmine 09/09/2015 5.2

161 Escobar, Sarah Jane F. K-Jasmine 01-15-2015 5.11

162 Dela Cruz, Anicah Zairelle Ramones F. K-Jasmine 05-18-2015 5.5

163 Payumo, Marianne Dela Cruz F. K-Jasmine 09-23-2015 5.1

164 Coles, Jhassey Gabriel E. F. K-Jasmine 07-31-2015 5.4

165 Calosing, Angelica F. K-Jasmine 09/01/2015 5.1

166 Bautista, Gian Paulo, - M K-Orchids 07/09/2014 6.1

167 Beguir, Cyrus, Pabalate M K-Orchids 12/25/2014 5.1

168 Boado, Kheeir John Miguel, Perez M K-Orchids 10/08/2015 5.2

169 Borromeo, Jeremy, Labasan M K-Orchids 07/09/2013 7.1

170 Bulosan, Ross Timothy Nielle, Ofrecio M K-Orchids 01/31/2015 5.9

171 Calura, Marc Raym, Antonio M K-Orchids 01/13/2015 5.9

172 Cangco, Prince Robbie, Tangonan M K-Orchids 05/02/2015 5.9

173 Cruz, Zac Nathaniel Rain, Liwanag M K-Orchids 11/05/2015 5.5

174 Dacumos, Jhon Cyrel, Cabalar M K-Orchids 05/14/2015 5.5

175 De Guzman, Carl Nathan Banaga M K-Orchids 07/11/2014 5.11

176 Dela Cruz, John Vincent, Nono M K-Orchids 08/26/2015 5.2

177 Dela Cruz, Marco, Gragasin M K-Orchids 02/17/2015 5.8

178 Guevarra, Adrian Justine, Soriano M K-Orchids 05/28/2015 5.5

179 Labasan, Joshua, Paclian M K-Orchids 12/03/2015 5.7

180 Nunag, Ezekiel Drake, Bamba M K-Orchids 07/21/2015 5.3

181 Prado, Arison Jr., Palaganas M K-Orchids 05/23/2015 5.5

182 Ramos, Jaymer, Salvador M K-Orchids 11/16/2014 5.11

183 Reyes, Andrew, Quitiquit M K-Orchids 04/11/2015 5.5

184 Rullan, Melvin, Ibangga M K-Orchids 01/03/2015 5.8

185 Salarzon, Khyle Xhian, Catbagan M K-Orchids 09/21/2015 5.1

186 Santos, Paul Ezekiel, Martinez M K-Orchids 12/20/2014 5.1

187 Vergara, Gerald, Tecson M K-Orchids 06/19/2015 5.4

188 Yandoc, Prince Nathaniel, Baking M K-Orchids 03/08/2015 5.3

189 Arellano, Jade, Yuson F K-Orchids 03/19/2015 5.7

190 Baccay, Krisha May, Arellano F K-Orchids 05/20/2015 5.5

191 Bimbo, Princess Ivy, Calison F K-Orchids 02/25/2015 5.8

192 Corpuz, Kylyn Denise, Morales F K-Orchids 11/18/2014 5.11

193 David, Princess Janwella, Alcantara F K-Orchids 05/10/2014 6.1

194 De Guzman, Jurein, Banag F K-Orchids 06/17/2015 5.4

195 Dela Cruz, Dawn Xavriya, Uson F K-Orchids 10/09/2014 6.1

196 Dela Cruz, Jillian, Gragasin F K-Orchids 12/02/2013 7.8

197 Exiomo, Andrea Marie, Valdez F K-Orchids 02/19/2015 5.8

198 Franciso, Angel Faith, Dela Cruz F K-Orchids 02/13/2015 5.8

199 Gundayao, Chrystell Jean, Lacayanga F K-Orchids 12/14/2014 5.1

200 Ichon, Stacy, Bumanlag F K-Orchids 08/11/2014 5.11

201 Mercado, Iya Kaila, Liban F K-Orchids 07/09/2015 5.1

202 Pazcoguin, Aquinna, Pangilinan F K-Orchids 01/06/2015 5.5

203 Reyes, Irene Mae, Oliver F K-Orchids 08/05/2015 5.5

204 Baroga, Alfred, Colisao M K-Tulips 06/11/2014 6

205 Bartolo, Dion Louis, Pilar M K-Tulips 11/18/2014 5.11

206 De Vera, Kiel Ezekiel, Placido M K-Tulips 05/17/2015 5.5

207 Dom, Daniel, Jr., Mariano M K-Tulips 08/22/2014 6.2

208 Duldulao, Sean Matthew, Maynigo M K-Tulips 03/02/2015 5.9

209 Furton, Prince Alvien, Fernando M K-Tulips 02/15/2015 5.9

210 Galatierra, Tristan Jay, Patao M K-Tulips 05/12/2014 6

211 Juan, Rainiel, Sunga M K-Tulips 07/16/2014 6.3

212 Lomboy, Jas, Cajan M K-Tulips 11/14/2014 5.11

213 Losito, Xander Gil, - M K-Tulips 08/05/2015 5.5

214 Mendiola, Aevron Kyle, Rivera M K-Tulips 12/05/2015 5.5

 215 Mendoza, Miguel, Bautista M K-Tulips 12/26/2014 5.1

216 Pangilinan, Nestor Dylan, Manalo M K-Tulips 01/08/2015 5.3

217 Pascual, Raphael Jaden, Tiamzon M K-Tulips 10/01/2015 5.9

218 Peralta, Reinz Arrone, Manuel M K-Tulips 09/17/2014 6.1

219 Pineda, Matt Jacob, Krutsch M K-Tulips 12/06/2015 5.4

220 Ramos, Prince Niel, Natura M K-Tulips 02/14/2015 5.8

221 Roduta, Luxien Kai, Molina M K-Tulips 04/10/2015 5.1

222 Santos, Ian Kiel, Salvador M K-Tulips 10/13/2014 5.11

223 Sonza, Liam James, Lopez M K-Tulips 02/03/2015 5.8

224 Tulabot, Baron Ithiel, Manalo M K-Tulips 09/25/2014 6.1

225 Castro, Ashlyn Ella Jane, Santos F K-Tulips 10/19/2015 5

226 Cordero, Jae Maine, Rosario F K-Tulips 09/24/2015 5.1

227 Dela Cruz, Anicah Zairielle, Ramones F K-Tulips 06/26/2015 5.4

228 Facun, Jasmine, Dimarucut F K-Tulips 08/27/2015 5.2

229 Mendoza, Vashnee Kyandra, Manalo F K-Tulips 08/31/2014 6.2

230 Morazo, Myka Lourise, Castillo F K-Tulips 04/06/2015 5.5

231 Navarro, Leera Shy, Gundayao F K-Tulips 04/20/2015 5.6

232 Paginag, Angelica, German F K-Tulips 04/20/2014 5.11

233 Palencia, Alliah Mae F K-Tulips 10/27/2014 6

234 Pascua, Maria Dhiemren, Pasion F K-Tulips 02/07/2015 5.4

235 Roxas, Princess Viktoria, Magbujos F K-Tulips 03/06/2015 5.5

236 Samson, Xyrene Tan, Javier F K-Tulips 09/25/2015 5.1

237 Sunga, Elise May, Rosario F K-Tulips 05/31/2015 5.5

238 Sunga, Kyla Alexa, Servino F K-Tulips 08/21/2015 5.2

Prepared by: Approved by:

 MARITES U. DELENA
HAYDEE T. CASTANO School Head
Feeding Focal Person
Y 2020-2021)

_______________________
_______________________

Nutritional Status (NS) Dewormed? Parent's Participation in Beneficiary of

(yes consent for 4Ps (yes SBFP in
or no) milk? or no) Previous Years
(yes or no) (yes or no)
HFA
1.18 YES YES NO YES
1.1 YES YES NO YES
1.09 YES YES NO YES
1.16 YES YES NO YES
1.1 YES YES NO YES
1.08 YES YES NO YES
1.1 YES YES NO YES
1.12 YES YES NO YES
1.12 YES YES NO YES
1.09 YES YES NO YES
1.1 YES YES NO YES
105 YES YES NO YES
114 YES YES NO YES
111 YES YES NO YES
 127 YES YES NO YES
108 YES YES NO YES
118 YES YES NO YES
115 YES YES YES YES
108 YES YES NO YES
106 YES YES NO YES
108 YES YES NO YES
108 YES YES NO YES
118 YES YES NO YES
113 YES YES NO YES
123 YES YES NO YES
106 YES YES No YES
115 YES YES NO YES
1.18 YES YES NO YES
1.11 YES YES Yes YES
1.14 YES YES Yes YES
1.12 YES YES Yes YES
1.28 YES YES Yes YES
1.23 YES YES Yes YES
1.16 YES YES Yes YES
1.17 YES YES Yes YES
1.18 YES YES Yes YES
1.34 YES YES Yes YES
1.1.2732 YES YES YES YES
1.3 YES YES YES YES
1.12 YES YES YES YES
1.26 YES YES YES YES
1.33 YES YES YES YES
1.33 YES YES YES YES
1.28 YES YES YES YES
1.2 YES YES YES YES
1.3 YES YES YES YES
1.32 YES YES YES YES
1.26 YES YES YES YES
1.26 YES YES YES YES
132 YES YES YES YES
135 YES YES YES YES
124 YES YES Yes YES
130 YES YES Yes YES
131 YES YES Yes YES
134 YES YES Yes YES
1.22 YES YES No YES
1.23 YES YES No YES
128 YES YES Yes YES
134 YES YES Yes YES
122 YES YES Yes YES
123 YES YES Yes YES
129 YES YES Yes YES
139 YES YES Yes YES
121 YES YES Yes YES
136 YES YES Yes YES
1.31 YES YES NO YES
1.25 YES YES NO YES
1.31 YES YES NO YES
1.23 YES YES YES YES
1.22 YES YES YES YES
1.33 YES YES NO YES
1.35 YES YES NO YES
1.23 YES YES NO YES
1.36 YES YES YES YES
1.29 YES YES NO YES
1.21 YES YES NO YES
1.23 YES YES NO YES
1.32 YES YES YES YES
1.37 YES YES NO YES
1.32 YES YES NO YES
1.28 YES YES NO YES
1.25 YES YES NO YES
1.32 YES YES NO YES
1.19 YES YES NO YES
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No Yes No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
Yes No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
Yes No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No Yes No
No No Yes No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
Yes No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No Yes No
No No No No
Yes No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
Yes No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No No No
No No Yes No
SBFP Form 2 (2020)
Department of Education
Region III

SCHOOL-BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS (SY 2020-2021)

Division/Province: SDO TARLAC PROVINCE

School District/City/ Municipality : PANIQUI SOUTH

Name of Schools BEIS ID No. School Address Name of Barangay

PANIQUI SOUTH CENTRAL ES 106585 ZAMORA ST. POBLACION SUR, PANIQUI, TARLAC POBLACION SUR

Prepared by:

SBFP DepED Focal

Note: This form shall be prepared by the SDO before the start of feeding, for final consolidation by the RO.
OLS (SY 2020-2021)

Name of District
Contact Number or & Total
Supervisors/
Email Address Beneficiaries
School Principal or OICs

MARISSA 09291001228 /
T.CUCHAPIN/ NANCY nancy.garcia009@dep 238
B. GARCIA ed.gov.ph

Approved by:

RONALDO A. POZON, PhD., CESO V

Schools Division Superintendent
SBFP Form 3 (2020)
Department of Education
Region III

SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING (SY 2020-2021)
Division/Province: SDO TARLAC PROVINCE
City/ Municipality/Barangay : POBLACION SUR, PANIQUI, TARLAC
Name of School / School District : PANIQUI SOUTH CENTRAL ES/ PANIQUI SOUTH DISTRICT
School ID Number: 106585
Date of Start of Feeding: November 9, 2020
Last Mile School: ___Y _x_N
Nutritional Status at Start/End of Feeding No. of Secondary Targets
SW W N OW+O SS S N T No. of Pupils-at- No. of No. of No. of
Number of Undernourished School risk-of- Stunted/ Indigent Indigenous
Children by Grade Level dropping-out Severely Learners Peoples (IPs)
(PARDOs) Stunted

1. Kinder 0 0 0 0 0 0 0 0 0 0 0 0

2. Grade I 2 9 0 0 0 0 0 11 0 0 0 0

3. Grade II 16 0 0 0 0 0 0 16 0 0 0 0

4. Grade III 6 3 0 0 0 0 0 9 0 0 0 0

5. Grade IV 1 11 1 0 0 0 0 13 0 0 0 0

6. Grade V 6 10 0 0 0 0 0 16 0 0 0 0

7. Grade VI 6 13 0 0 0 0 0 19 0 0 0 0

Total 37 46 1 0 0 0 0 84 0 0 0 0

Prepared by: Approved by:

NEIL E. DUGAY NANCY B. GARCIA,PhD.

 SBFP DepEd Focal School Head

Note: This form shall be prepared by the school before the start of feeding and after feeding, to be compiled by the SDO, and for final compilation by the RO
FEEDING (SY 2020-2021)

No. of No. of 4 Ps No. of Pupils Date Feeding

Learners Beneficiaries who are Started/Ended
Dewormed beneficiaries in
previous years
(Repeaters)

November 9, 2020
0 0 0 -February 19, 2021
November 9, 2020
11 0 11 -February 19, 2021
November 9, 2020
16 1 16 -February 19, 2021
November 9, 2020
9 8 9 -February 19, 2021
November 9, 2020
13 13 13 -February 19, 2021
November 9, 2020
16 13 16 -February 19, 2021
November 9, 2020
19 4 19 -February 19, 2021

89 43 84

Y B. GARCIA,PhD.
School Head

al compilation by the RO, for submission to DepEd BLSS-SHD

 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF NOVEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: TWO Section: DAFFODIL. POPPY, ADELFA, CATLEYA, DAISY, HOYA
School ID Number: 106585
ACTUAL FEEDING

9/11/2020

10/11/2020

11/11/2020

12/11/2020

11/13/2020

11/16/2020

11/17/2020

11/18/2020

11/19/2020

11/20/2020

11/23/2020

11/24/2020

11/25/2020

11/26/2020

11/27/2020

11/30/2020
NAME OF PUPIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Guevarra, Janra Dennise T. ( Daffodil ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H
2 Andres, Carmela A. ( Daffodil ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M O
3 Vinluan, Mikaela ( Poppy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M L
4 Brigino, Jobern Jhay ( Poppy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M I
5 Millano, Shawn Martin N. ( Poppy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M D
6 Montoya, Algian P. ( Poppy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M A
7 Ilingan, Paul Symon V. ( Poppy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M Y
8 Mamaradlo, Cliff Andi L. ( Adelfa ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Manzon, Alleyah Timdale M. ( Adelfa ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Quiambao, Camille Riene E. ( Adelfa ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Obcena , Alejandro Josh ( SSES ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
12 Somera, Germain Ivan T. ( Catleya ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
13 Narra, Nicky Jane D. ( SSES ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
14 Calibo, Carina Silvino B. ( SSES ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
15 Macapagal, Justine B. ( Rosemary ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
16 Ramos, Princess Jeniel N. ( Daisy ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
TOTAL: 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF DECEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: TWO Section: DAFFODIL. POPPY, ADELFA, CATLEYA, DAISY, HOYA
School ID Number: 106585

ACTUAL FEEDING
1/12/2020

2/12/2020

3/12/2020

4/12/2020

7/12/2020

8/12/2020

9/12/2020

10/12/2020

11/12/2020

NAME OF PUPIL
 NAME OF PUPIL

17 18 19 20 21 22 23 24 25
1 Guevarra, Janra Dennise T. ( Daffodil ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
2 Andres, Carmela A. ( Daffodil ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
3 Vinluan, Mikaela ( Poppy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
4 Brigino, Jobern Jhay ( Poppy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
5 Millano, Shawn Martin N. ( Poppy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
6 Montoya, Algian P. ( Poppy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
7 Ilingan, Paul Symon V. ( Poppy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
8 Mamaradlo, Cliff Andi L. ( Adelfa ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
9 Manzon, Alleyah Timdale M. ( Adelfa ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
10 Quiambao, Camille Riene E. ( Adelfa ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
11 Obcena , Alejandro Josh ( SSES ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
12 Somera, Germain Ivan T. ( Catleya ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
13 Narra, Nicky Jane D. ( SSES ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
14 Calibo, Carina Silvino B. ( SSES ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
15 Macapagal, Justine B. ( Rosemary ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
16 Ramos, Princess Jeniel N. ( Daisy ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
TOTAL: 32 32 32 32 32 32 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF JANUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: TWO Section: DAFFODIL. POPPY, ADELFA, CATLEYA, DAISY, HOYA
School ID Number: 106585

ACTUAL FEEDING
11/1/2021

12/1/2021

01/13/2021

01/14/2021

01/15/2021

01/18/2021

01/19/2021

01/20/2021

01/21/2021

01/22/2021

01/25/2021

01/26/2021

01/27/2021

01/28/2021

01/29/2021
NAME OF PUPIL

26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Guevarra, Janra Dennise T. ( Daffodil ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
2 Andres, Carmela A. ( Daffodil ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
3 Vinluan, Mikaela ( Poppy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
4 Brigino, Jobern Jhay ( Poppy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
5 Millano, Shawn Martin N. ( Poppy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
6 Montoya, Algian P. ( Poppy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
7 Ilingan, Paul Symon V. ( Poppy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
8 Mamaradlo, Cliff Andi L. ( Adelfa ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Manzon, Alleyah Timdale M. ( Adelfa ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Quiambao, Camille Riene E. ( Adelfa ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Obcena , Alejandro Josh ( SSES ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
12 Somera, Germain Ivan T. ( Catleya ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
13 Narra, Nicky Jane D. ( SSES ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
14 Calibo, Carina Silvino B. ( SSES ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
15 Macapagal, Justine B. ( Rosemary ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
 16 Ramos, Princess Jeniel N. ( Daisy ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
TOTAL: 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF FEBRUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: TWO Section: DAFFODIL. POPPY, ADELFA, CATLEYA, DAISY, HOYA
School ID Number: 106585

ACTUAL FEEDING ATTENDANCE

1/2/2021

2/2/2021

3/2/2021

4/2/2021

5/2/2021

8/2/2021

9/2/2021

10/2/2021

11/2/2021

12/2/2021

02/15/2021

02/16/2021

02/17/2021

02/18/2021

02/19/2021
No. of
No. of Days
NAME OF PUPIL Feeding Percentage
Present
Days

41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 (A) (B) (A/B)*100

1 Guevarra, Janra Dennise T. ( Daffodil ) H H H H H H H H H H H2 H H H H 60 60 100%
2 Andres, Carmela A. ( Daffodil ) H H H H H H H H H O H2 H H H H 60 60 100%
3 Vinluan, Mikaela ( Poppy ) H H H H H H H H H L H2 H H H H 60 60 100%
4 Brigino, Jobern Jhay ( Poppy ) H H H H H H H H H I H2 H H H H 60 60 100%
5 Millano, Shawn Martin N. ( Poppy ) H H H H H H H H H D H2 H H H H 60 60 100%
6 Montoya, Algian P. ( Poppy ) H H H H H H H H H A H2 H H H H 60 60 100%
7 Ilingan, Paul Symon V. ( Poppy ) H H H H H H H H H Y H2 H H H H 60 60 100%
8 Mamaradlo, Cliff Andi L. ( Adelfa ) H H H H H H H H H H2 H H H H 60 60 100%
9 Manzon, Alleyah Timdale M. ( Adelfa ) H H H H H H H H H H2 H H H H 60 60 100%
10 Quiambao, Camille Riene E. ( Adelfa ) H H H H H H H H H H2 H H H H 60 60 100%
11 Obcena , Alejandro Josh ( SSES ) H H H H H H H H H H2 H H H H 60 60 100%
12 Somera, Germain Ivan T. ( Catleya ) H H H H H H H H H H2 H H H H 60 60 100%
13 Narra, Nicky Jane D. ( SSES ) H H H H H H H H H H2 H H H H 60 60 100%
14 Calibo, Carina Silvino B. ( SSES ) H H H H H H H H H H2 H H H H 60 60 100%
15 Macapagal, Justine B. ( Rosemary ) H H H H H H H H H H2 H H H H 60 60 100%
16 Ramos, Princess Jeniel N. ( Daisy ) H H H H H H H H H H2 H H H H 60 60 100%
TOTAL: 16 16 16 16 16 16 16 16 16 0 16 16 16 16 16 AVERAGE 100%
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF NOVEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: ONE Section: CAMELLIA. BLUEBELL, BUTTERCUP
School ID Number: 106585
ACTUAL FEEDING

9/11/2020

10/11/2020

11/11/2020

12/11/2020

11/13/2020

11/16/2020

11/17/2020

11/18/2020

11/19/2020

11/20/2020

11/23/2020

11/24/2020

11/25/2020

11/26/2020

11/27/2020

11/30/2020
NAME OF PUPIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Soriano, Manuel III Rosal ( Camellia ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H
2 Cariazo, Terence David ( Camellia ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M O
3 Somera, Gabriel Tayag ( Camellia ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M L
4 Belardo, Maria Julie Saura ( Camellia ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M I
5 Bautista, Jonas ( Marigold ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M D
6 Vinluan, Lovely Joy ( Marigold ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M A
7 Abella, Raven Baldonado ( Bluebell ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M Y
8 Dela Cruz, Angel C. ( Bluebell ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Payumo, Mark D. ( Bluebell ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Gamit, Ikee ( Buttercup ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Vergara, Hannah Cathtlyn T. ( Buttercup ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
TOTAL: 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF DECEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: ONE Section: CAMELLIA. BLUEBELL, BUTTERCUP
School ID Number: 106585

ACTUAL FEEDING
1/12/2020

2/12/2020

3/12/2020

4/12/2020

7/12/2020

8/12/2020

9/12/2020

10/12/2020

11/12/2020

NAME OF PUPIL

17 18 19 20 21 22 23 24 25
1 Soriano, Manuel III Rosal ( Camellia ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
2 Cariazo, Terence David ( Camellia ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
3 Somera, Gabriel Tayag ( Camellia ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
4 Belardo, Maria Julie Saura ( Camellia ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
 5 Bautista, Jonas ( Marigold ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
6 Vinluan, Lovely Joy ( Marigold ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
7 Abella, Raven Baldonado ( Bluebell ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
8 Dela Cruz, Angel C. ( Bluebell ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
9 Payumo, Mark D. ( Bluebell ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
10 Gamit, Ikee ( Buttercup ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
11 Vergara, Hannah Cathtlyn T. ( Buttercup ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
TOTAL: 22 22 22 22 22 22 11 11 11
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF JANUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: ONE Section: CAMELLIA. BLUEBELL, BUTTERCUP
School ID Number: 106585

ACTUAL FEEDING
11/1/2021

12/1/2021

01/13/2021

01/14/2021

01/15/2021

01/18/2021

01/19/2021

01/20/2021

01/21/2021

01/22/2021

01/25/2021

01/26/2021

01/27/2021

01/28/2021

01/29/2021
NAME OF PUPIL

26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Soriano, Manuel III Rosal ( Camellia ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
2 Cariazo, Terence David ( Camellia ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
3 Somera, Gabriel Tayag ( Camellia ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
4 Belardo, Maria Julie Saura ( Camellia ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
5 Bautista, Jonas ( Marigold ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
6 Vinluan, Lovely Joy ( Marigold ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
7 Abella, Raven Baldonado ( Bluebell ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
8 Dela Cruz, Angel C. ( Bluebell ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Payumo, Mark D. ( Bluebell ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Gamit, Ikee ( Buttercup ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Vergara, Hannah Cathtlyn T. ( Buttercup ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
TOTAL: 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.

SBFP Form 4 (2020)

 SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF FEBRUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: ONE Section: CAMELLIA. BLUEBELL, BUTTERCUP
School ID Number: 106585

ACTUAL FEEDING ATTENDANCE

1/2/2021

2/2/2021

3/2/2021

4/2/2021

5/2/2021

8/2/2021

9/2/2021

10/2/2021

11/2/2021

12/2/2021

02/15/2021

02/16/2021

02/17/2021

02/18/2021

02/19/2021
No. of
No. of Days
NAME OF PUPIL Feeding Percentage
Present
Days

41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 (A) (B) (A/B)*100

1 Soriano, Manuel III Rosal ( Camellia ) H H H H H H H H H H H2 H H H H 60 60 100%
2 Cariazo, Terence David ( Camellia ) H H H H H H H H H O H2 H H H H 60 60 100%
3 Somera, Gabriel Tayag ( Camellia ) H H H H H H H H H L H2 H H H H 60 60 100%
4 Belardo, Maria Julie Saura ( Camellia ) H H H H H H H H H I H2 H H H H 60 60 100%
5 Bautista, Jonas ( Marigold ) H H H H H H H H H D H2 H H H H 60 60 100%
6 Vinluan, Lovely Joy ( Marigold ) H H H H H H H H H A H2 H H H H 60 60 100%
7 Abella, Raven Baldonado ( Bluebell ) H H H H H H H H H Y H2 H H H H 60 60 100%
8 Dela Cruz, Angel C. ( Bluebell ) H H H H H H H H H H2 H H H H 60 60 100%
9 Payumo, Mark D. ( Bluebell ) H H H H H H H H H H2 H H H H 60 60 100%
10 Gamit, Ikee ( Buttercup ) H H H H H H H H H H2 H H H H 60 60 100%
11 Vergara, Hannah Cathtlyn T. ( Buttercup ) H H H H H H H H H H2 H H H H 60 60 100%
TOTAL: 11 11 11 11 11 11 11 11 11 0 22 11 11 11 11 AVERAGE 100%
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF NOVEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: FIVE Section: DAPHNE, YELLOWBEL, ADENIUM, GARDENIA, LILAC
School ID Number: 106585
ACTUAL FEEDING

9/11/2020

10/11/2020

11/11/2020

12/11/2020

11/13/2020

11/16/2020

11/17/2020

11/18/2020

11/19/2020

11/20/2020

11/23/2020

11/24/2020

11/25/2020

11/26/2020

11/27/2020

11/30/2020
NAME OF PUPIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Bacerdo,Rafael E.( Daphne ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H
2 Albarracin, Gabriel Jacob .( Daphne ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M O
3 Tolentino,Isiah Dwayne P. .( Daphne ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M L
4 Cedenio, Princess Nica F. .( Daphne ) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M I
5 Daileg,Mark Aivan B. (Yellowbell) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M D
6 Clemente,Joshua C. (Yellowbell) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M A
7 Baylon, Elia Aster (Yellowbell) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M Y
8 Reyes, Renalyn Q. (Yellowbell) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Castillo,Mary Jane V. (Yellowbell) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Soriano,Christopher S.(Gardenia) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Bondoc,Lady Samantha T. .(Gardenia) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
12 Tomas,Paul Jerwin S. .(Gardenia) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
13 Baun, Johniel S.(Adenium) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
14 Dela Cruz,Hannah Lexi L.(Adenium) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
15 Lambino,Loraine C.(Lilac) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
16 Cruz,Katriel Kinsley G. (Lilac) H H H H H H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M

TOTAL: 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF DECEMBER , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: FIVE Section: DAPHNE, YELLOWBEL, ADENIUM, GARDENIA, LILAC
School ID Number: 106585

ACTUAL FEEDING

1/12/2020

2/12/2020

3/12/2020

4/12/2020

7/12/2020

8/12/2020

9/12/2020

10/12/2020

11/12/2020
NAME OF PUPIL

17 18 19 20 21 22 23 24 25
1 Bacerdo,Rafael E.( Daphne ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
2 Albarracin, Gabriel Jacob .( Daphne ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
3 Tolentino,Isiah Dwayne P. .( Daphne ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
4 Cedenio, Princess Nica F. .( Daphne ) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
5 Daileg,Mark Aivan B. (Yellowbell) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
6 Clemente,Joshua C. (Yellowbell) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
7 Baylon, Elia Aster (Yellowbell) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
8 Reyes, Renalyn Q. (Yellowbell) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
9 Castillo,Mary Jane V. (Yellowbell) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
10 Soriano,Christopher S.(Gardenia) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
11 Bondoc,Lady Samantha T. .(Gardenia) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
12 Tomas,Paul Jerwin S. .(Gardenia) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
13 Baun, Johniel S.(Adenium) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
14 Dela Cruz,Hannah Lexi L.(Adenium) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
15 Lambino,Loraine C.(Lilac) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M
16 Cruz,Katriel Kinsley G. (Lilac) H/M2 H/M2 H/M2 H/M2 H/M2 H/M2 H/M H/M H/M

TOTAL: 32 32 32 32 32 32 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF JANUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: FIVE Section: DAPHNE, YELLOWBEL, ADENIUM, GARDENIA, LILAC
School ID Number: 106585

ACTUAL FEEDING

11/1/2021

12/1/2021

01/13/2021

01/14/2021

01/15/2021

01/18/2021

01/19/2021

01/20/2021

01/21/2021

01/22/2021

01/25/2021

01/26/2021

01/27/2021

01/28/2021

01/29/2021
NAME OF PUPIL

26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Bacerdo,Rafael E.( Daphne ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
2 Albarracin, Gabriel Jacob .( Daphne ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
3 Tolentino,Isiah Dwayne P. .( Daphne ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
4 Cedenio, Princess Nica F. .( Daphne ) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
5 Daileg,Mark Aivan B. (Yellowbell) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
6 Clemente,Joshua C. (Yellowbell) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
7 Baylon, Elia Aster (Yellowbell) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
8 Reyes, Renalyn Q. (Yellowbell) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
9 Castillo,Mary Jane V. (Yellowbell) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
10 Soriano,Christopher S.(Gardenia) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
11 Bondoc,Lady Samantha T. .(Gardenia) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
12 Tomas,Paul Jerwin S. .(Gardenia) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
13 Baun, Johniel S.(Adenium) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
14 Dela Cruz,Hannah Lexi L.(Adenium) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
15 Lambino,Loraine C.(Lilac) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M
16 Cruz,Katriel Kinsley G. (Lilac) H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M H/M

TOTAL: 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16
Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF FEBRUARY , SY 2020-2021

Region III-CENTRAL LUZON
Division SDO TARLAC PROVINCE School: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
District PANIQUI SOUTH Grade: FIVE Section: DAPHNE, YELLOWBEL, ADENIUM, GARDENIA, LILAC
School ID Number: 106585

ACTUAL FEEDING ATTENDANCE

1/2/2021

2/2/2021

3/2/2021

4/2/2021

5/2/2021

8/2/2021

9/2/2021

10/2/2021

11/2/2021

12/2/2021

02/15/2021

02/16/2021

02/17/2021

02/18/2021

02/19/2021
No. of
No. of Days
NAME OF PUPIL Feeding Percentage
Present
Days

41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 (A) (B) (A/B)*100

1 Bacerdo,Rafael E.( Daphne ) H H H H H H H H H H H2 H H H H 60 60 100%
2 Albarracin, Gabriel Jacob .( Daphne ) H H H H H H H H H O H2 H H H H 60 60 100%
3 Tolentino,Isiah Dwayne P. .( Daphne ) H H H H H H H H H L H2 H H H H 60 60 100%
4 Cedenio, Princess Nica F. .( Daphne ) H H H H H H H H H I H2 H H H H 60 60 100%
5 Daileg,Mark Aivan B. (Yellowbell) H H H H H H H H H D H2 H H H H 60 60 100%
6 Clemente,Joshua C. (Yellowbell) H H H H H H H H H A H2 H H H H 60 60 100%
7 Baylon, Elia Aster (Yellowbell) H H H H H H H H H Y H2 H H H H 60 60 100%
8 Reyes, Renalyn Q. (Yellowbell) H H H H H H H H H H2 H H H H 60 60 100%
9 Castillo,Mary Jane V. (Yellowbell) H H H H H H H H H H2 H H H H 60 60 100%
10 Soriano,Christopher S.(Gardenia) H H H H H H H H H H2 H H H H 60 60 100%
11 Bondoc,Lady Samantha T. .(Gardenia) H H H H H H H H H H2 H H H H 60 60 100%
12 Tomas,Paul Jerwin S. .(Gardenia) H H H H H H H H H H2 H H H H 60 60 100%
13 Baun, Johniel S.(Adenium) H H H H H H H H H H2 H H H H 60 60 100%
14 Dela Cruz,Hannah Lexi L.(Adenium) H H H H H H H H H H2 H H H H 60 60 100%
15 Lambino,Loraine C.(Lilac) H H H H H H H H H H2 H H H H 60 60 100%
16 Cruz,Katriel Kinsley G. (Lilac) H H H H H H H H H H2 H H H H 60 60 100%

TOTAL: 16 16 16 16 16 16 16 16 16 0 32 16 16 16 16 AVERAGE 100%

Prepared by:

NEIL E. DUGAY
B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
NANCY B. GARCIA, PhD. ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
SBFP Form 5 (2020)

DEPARTMENT OF EDUCATION
Region III

REGION/DIVISION/DISTRICT: REGION III-CENTRAL LUZON/ SDO TARLAC ROVINCE /PANIQUI SOUTH

NAME OF SCHOOL: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
SCHOOL ID NO.:106585

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES (SY2020-2021)

NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD SPECIMEN
SIGNATURE
1 NANCY B. GARCIA, PhD.
ESP-II N/A 9291001228 nancy.garcia009@deped.gov.ph

2 NEIL E. DUGAY (School

Feeding Coordinator) N/A 09292278160 neil.dugay@deped.gov.ph

3 RUJU A. CORPUZ
(School Property Custodian) N/A 09772693285 ruju.aquino.corpuz@gmail.com

Note: This form shall be filled-up by School Drop-off points to be given to the NDA/Dairy Cooperative supplier on the first
delivery of milk. Only authorized consignees are allowed to receive the goods.
SBFP Form 6 (2020)

DEPARTMENT OF EDUCATION
Region ___

REGION/DIVISION/DISTRICT: REGION III-CENTRAL LUZON/ SDO TARLAC ROVINCE /PANIQUI SOUTH

NAME OF SCHOOL: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
SCHOOL ID NO.:106585

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF BENEFICIARIESClassification
(SY2020-2021)of Students in terms of Milk Tolerance
(Please check one)
Without milk With milk Not allowed by
intolerance and will intolerance but parents to
Name Grade & Section participate in milk willing to participate in milk
feeding participate in milk feeding
feeding
1 Baroga, Alfred, Colisao K-Tulips ⁄
2 Bartolo, Dion Louis, Pilar K-Tulips ⁄
3 De Vera, Kiel Ezekiel, Placido K-Tulips ⁄
4 Dom, Daniel, Jr., Mariano K-Tulips ⁄
5 Duldulao, Sean Matthew, Maynigo K-Tulips ⁄
6 Furton, Prince Alvien, Fernando K-Tulips ⁄
7 Galatierra, Tristan Jay, Patao K-Tulips ⁄
8 Juan, Rainiel, Sunga K-Tulips ⁄
9 Lomboy, Jas, Cajan K-Tulips ⁄
10 Losito, Xander Gil, - K-Tulips ⁄
11 Mendiola, Aevron Kyle, Rivera K-Tulips ⁄
12 Mendoza, Miguel, Bautista K-Tulips ⁄
13 Bautista, Gian Paulo, - K-Orchids ⁄
14 Beguir, Cyrus, Pabalate K-Orchids ⁄
15 Boado, Kheeir John Miguel, Perez K-Orchids ⁄
16 Borromeo, Jeremy, Labasan K-Orchids ⁄
17 Bulosan, Ross Timothy Nielle, Ofrecio K-Orchids ⁄
18 Calura, Marc Raym, Antonio K-Orchids ⁄
19 Cangco, Prince Robbie, Tangonan K-Orchids ⁄
20 Cruz, Zac Nathaniel Rain, Liwanag K-Orchids ⁄
21 Dacumos, Jhon Cyrel, Cabalar K-Orchids ⁄
22 De Guzman, Carl Nathan Banaga K-Orchids ⁄
23 Dela Cruz, John Vincent, Nono K-Orchids ⁄
24 Dela Cruz, Marco, Gragasin K-Orchids ⁄
25 Tipay, Chriselyn Joy D. K-Jasmin ⁄
26 Tipay, Princess Ann B. K-Jasmin ⁄
27 Vigilia, Stacy Faith Mancilla K-Jasmin ⁄
28 Borja, Jhanela Louise Ortaliza K-Jasmin ⁄
29 De Vera, Kyrie K-Jasmin ⁄
30 Escobar, Sarah Jane K-Jasmin ⁄
31 Dela Cruz, Anicah Zairelle Ramones K-Jasmin ⁄
32 Payumo, Marianne Dela Cruz K-Jasmin ⁄
33 Coles, Jhassey Gabriel E. K-Jasmin ⁄
34 Calosing, Angelica K-Jasmin ⁄
35 Alvarez, Briiana Keila V. K-Lavander ⁄
36 Araullo, Jezmiel Dane I. K-Lavander ⁄
37 Asuncion, Angel Joy E. K-Lavander ⁄
38 Capitly Chloe Mykhaylla C. K-Lavander ⁄
39 Castillo, Eloisa A. K-Lavander ⁄
40 Chichioco, Juana Mikaela U. K-Lavander ⁄
41 Cresencia, Rio Nathalia E. K-Lavander ⁄
42 Dayrit, Alliyah Xandra W. K-Lavander ⁄
43 De Leon, Caisley Dominique V. K-Lavander ⁄
44 Dion, Jean Zen P. K-Lavander ⁄
45 Soriano, Manuel Iii Rosal ( Camellia ) I-Camellia ⁄
46 Cariazo, Terence David ( Camellia ) I-Camellia ⁄
47 Somera, Gabriel Tayag ( Camellia ) I-Camellia ⁄
48 Belardo, Maria Julie Saura ( Camellia ) I-Camellia ⁄
49 Bautista, Jonas ( Marigold ) I-Marigold ⁄
50 Vinluan, Lovely Joy ( Marigold ) I-Marigold ⁄
51 Abella, Raven Baldonado ( Bluebell ) I-Bluebell ⁄
52 Dela Cruz, Angel C. ( Bluebell ) I-Bluebell ⁄
53 Payumo, Mark D. ( Bluebell ) I-Bluebell ⁄
54 Gamit, Ikee ( Buttercup ) I-Buttercup ⁄
55 Vergara, Hannah Cathtlyn T. ( Buttercup ) I-Buttercup ⁄
56 Guevarra, Janra Dennise T. ( Daffodil ) II-Daffodil ⁄
57 Andres, Carmela A. ( Daffodil ) II-Daffodil ⁄
58 Vinluan, Mikaela ( Poppy ) II-Poppy ⁄
59 Brigino, Jobern Jhay ( Poppy ) II-Poppy ⁄
60 Millano, Shawn Martin N. ( Poppy ) II-Poppy ⁄
61 Montoya, Algian P. ( Poppy ) II-Poppy ⁄
62 Ilingan, Paul Symon V. ( Poppy ) II-Poppy ⁄
SBFP Form 6 (2020)

63 Mamaradlo, Cliff Andi L. ( Adelfa ) II-Adelfa ⁄

64 Manzon, Alleyah Timdale M. ( Adelfa ) II-Adelfa ⁄
65 Quiambao, Camille Riene E. ( Adelfa ) II-Adelfa ⁄
66 Obcena , Alejandro Josh ( Catleya ) II-Catleya ⁄
67 Somera, Germain Ivan T. ( Catleya ) II-Catleya ⁄
68 Narra, Nicky Jane D. ( SSES ) II-Hoya ⁄
69 Calibo, Carina Silvino B. ( SSES ) II-Hoya ⁄
70 Macapagal, Justine B. ( Rosemary ) II-Rosemary ⁄
71 Ramos, Princess Jeniel N. ( Daisy ) II-Daisy ⁄
72 Gabriel, Marc Raven Dela Cruz ( Rosal ) III-Rosal ⁄
73 Jenelyn F. Domingo ( Dandelion ) III- DANDELION ⁄
74 Kristel Ann mae O. Cañero ( Dandelion ) III- DANDELION ⁄
75 Precious Kate P. Martinez ( Rosal ) III- ROSAL ⁄
76 Rowan Rowe B. Abella (Heather) III- HEATHER ⁄
77 Almark James P. Soriano ( Aster ) III- ASTER ⁄
78 Quiel Raffa B. Ramos ( Aster ) III- ASTER ⁄
79 Kim Adriana C. Jose ( Aster ) III- ASTER ⁄
80 Athena P. Zabala ( Aster ) III- ASTER ⁄
81 Justine Isabel B. Santos ( Camia ) IV-CAMIA ⁄
82 Bautista,Jay D. ( Sunflower ) IV-SUNFLOWER ⁄
83 Macaraeg,Gio ( Sunflower ) IV-SUNFLOWER ⁄
84 Ronquillo,Aries D. ( Sunflower ) IV-SUNFLOWER ⁄
85 Lomboy,Jack C. ( Sunflower ) IV-SUNFLOWER ⁄
86 Dejino,Jon Nijel B. ( Sunflower ) IV-SUNFLOWER ⁄
87 Pablo,Christian S. ( Sunflower ) IV-SUNFLOWER ⁄
88 Garcia,Gerald A. ( Rose ) IV-ROSE ⁄
89 Galapia,King Jensen( Ilang – Ilang ) IV-Ilang-ilang ⁄
90 Castillo,Jeffrey C. ( Ilang – Ilang ) IV-Ilang-ilang ⁄
91 Aron, KC Pearl V. ( Ilang – Ilang ) IV-Ilang-ilang ⁄
92 Clemente,Jenny ( Ilang – Ilang) IV-Ilang-ilang ⁄
93 Palma,Jilian Zia ( Ilang – Ilang ) IV-Ilang-ilang ⁄
94 Bacerdo,Rafael E.( Daphne ) V-Daphne ⁄
95 Albarracin, Gabriel Jacob .( Daphne ) V-Daphne ⁄
96 Tolentino,Isiah Dwayne P. .( Daphne ) V-Daphne ⁄
97 Cedenio, Princess Nica F. .( Daphne ) V-Daphne ⁄
98 Daileg,Mark Aivan B. (Yellowbell) V-Yellowbell ⁄
99 Clemente,Joshua C. (Yellowbell) V-Yellowbell ⁄
100 Baylon, Elia Aster (Yellowbell) V-Yellowbell ⁄
101 Reyes, Renalyn Q. (Yellowbell) V-Yellowbell ⁄
102 Castillo,Mary Jane V. (Yellowbell) V-Yellowbell ⁄
103 Soriano,Christopher S.(Gardenia) V-Gardenia ⁄
104 Bondoc,Lady Samantha T. .(Gardenia) V-Gardenia ⁄
105 Tomas,Paul Jerwin S. .(Gardenia) V-Gardenia ⁄
106 Baun, Johniel S.(SSES) V-SSES ⁄
107 Dela Cruz,Hannah Lexi L.(SSES) V-SSES ⁄
108 Lambino,Loraine C.(Lilac) V-Lilac ⁄
109 Cruz,Katriel Kinsley G. (Lilac) V-Lilac ⁄
110 Carino, Joel T. (Sampaguita) VI-Sampaguita ⁄
111 Evangelista, Quint Rave G. (Sampaguita) VI-Sampaguita ⁄
112 Teofilo, Darren Rave F. (Sampaguita) VI-Sampaguita ⁄
113 John Mark O. Solidum ( Glandioli ) VI-Gladioli ⁄
114 Angelo Y. Bungay (Gladioli) VI-Gladioli ⁄
115 Vinluan, Princess (Gladioli) VI-Gladioli ⁄
116 Tarronas, Gerard Miguel (Gladioli) VI-Gladioli ⁄
117 Rufino, Marijan F. (Gladioli) VI-Gladioli ⁄
118 Janie Lee B. David (Gladioli) VI-Poinsettia ⁄
119 Jose, Zhack Iñigo C. (Ponsettia) VI-Poinsettia ⁄
120 Indolos, Faith Myka Lopez (Magnolia) VI-Magnolia ⁄
121 Leslie Ann C. Lagman (Dahlia) VI-Dahlia ⁄
122 Aiza C. Bechayda (Dahlia) VI-Dahlia ⁄
123 Angelo P. Sarmiento (Dahlia) VI-Dahlia ⁄
124 Bautista, Alvin Cantillo (Dahlia) VI-Dahlia ⁄
125 Galang, Shiela May Partido (Dahlia) VI-Dahlia ⁄
126 Mendoza, Lady Anne Bautista (Dahlia) VI-Dahlia ⁄
127 Arlan P. Agdeppa (Dahlia) VI-Dahlia ⁄
128 Santos, Justine S. (Dahlia) VI-Dahlia ⁄
Prepared by: APPROVED BY:

NEIL E. DUGAY NANCY B. GARCIA, PhD.

School Feeding Coordinator School Head
SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region ___

REGION/DIVISION/DISTRICT: REGION III-CENTRAL LUZON/ SDO TARLAC ROVINCE /PANIQUI SOUTH

NAME OF SCHOOL: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
SCHOOL ID NO.:106585

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020-2021)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 44 0 0
Grade 1 11 0 0
Grade 2 16 0 0
Grade 3 9 0 0
Grade 4 13
Grade 5 16
Grade 6 19
TOTAL: 128
Prepared by: APPROVED BY:

School Feeding Coordinator School Head

SBFP Form 7 (2020)

Remarks
SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region III

REGION/DIVISION/DISTRICT: REGION III-CENTRAL LUZON/ SDO TARLAC ROVINCE /PANIQUI SOUTH

NAME OF SCHOOL: PANIQUI SOUTH CENTRAL ELEMENTARY SCHOOL
SCHOOL ID NO.:106585

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY2020-2021) FOR DROP-OFF POINTS

Date and Time No. of Packs Received Allocation per School

Delivered
New Replacement Total (New + Number of
Replacement) Schools Beneficiaries
1
2
3
4
5
6
7
8
9
10

TOTAL:

Prepared by: APPROVED BY:

SBFP Form 7 (2020)

School Feeding Coordinator School Head

 SBFP Form 7 (2020)

K COMPONENT
P-OFF POINTS

Allocation per School

Number of Milk No. of Packs Time

Allocation Received by: Received
Received
SBFP Form 8 (2020)

DEPARTMENT OF EDUCATION
Region III

SCHOOL-BASED FEEDING PROGRAM MONTHLY/QUARTERLY REPORT (SY 2020-2021)

Region/Division: III-CENTRAL LUZON/SDO TARLAC PROVINCE

Financial Status

Status of Implementation Status of downloading of funds to Schools

(when Amount Received from SDO Liquidation
(Amount downloaded to schools)
Target No. of Actual No. of started, completed,
Schools Remarks
Beneficiaries Beneficiaries discontinue, for continuation Total Amount
or number of feeding days Allocated
completed) 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th

PSCES 238 238 Completed 285,600.00 76, 160.00 66, 640.00 71400.00 71400.00 76,160.00 66, 640.00 71400.00 71400.00 76, 160.00 66, 640.00 71400.00 71400.00

Prepared by: Approved by:

NEIL E. DUGAY NANCY B. GARCIA, PhD.

SBFP Focal Person School Head