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SBFP Form 5 (2020)

DEPARTMENT OF EDUCATION
Region VII

Schools Division of Passi City

REGION/ DIVISION/DISTRICT: ________________________________________________________


NAME OF SCHOOL : ________________________________________________________
SCHOOL ID NO. : ________________________________________________________

SCHOOL-BASED FEEDING PROGRAM-MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES

SPECIMEN
NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD
SIGNATURE
1. School Head

2. School Feeding Coordinator

3. School Property Custodian


SBFP Form 5 (2020)

DEPARTMENT OF EDUCATION
Region VII

Schools Division of Passi City

REGION/ DIVISION/DISTRICT: ________________________________________________________


NAME OF SCHOOL : ________________________________________________________
SCHOOL ID NO. : ________________________________________________________

SCHOOL-BASED FEEDING PROGRAM-MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES

SPECIMEN
NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD
SIGNATURE
1. School Head

2. School Feeding Coordinator

3. School Property Custodian

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