SFP Form 1 Department of Social Welfare and Development - Field Office VII

(revised 8.14.2020)
To be accomplished by CDW SUPPLEMENTARY FEEDING PROGRAM CYCLE 10 (CY 2020)
and to be submitted to LSWDO

MASTER LIST OF BENEFICIARIES

Name of CDC / SNP Group: ________ BAKILID

Name of CDW / SNP Worker: _____ LORINA O. CABAHUG
Name of Barangay / City or Municipality / Province: __
BAKILID MANDAUE CITY CEBU

Remarks (indicate
NUTRITIONAL STATUS* If Pantawid, pls
If parent is dropped out /
BIRTHDATE If child is a Pantawid specify RCCT/ 4p's
Date of Weighing AGE HEIGHT WEIGHT STUNTING a SOLO replacement children/ Name of Mother/ Household
NAME OF CHILD SEX (year/month/ WEIGHT WASTING (Weight for PARENT PWD Member or MCCT and Head (indicate complete
(year/month/day) (in mos) (in cm.) (in kilos) (Height for Ethnicity if applicable
day) FOR AGE height) (pls put 1 ) (pls put 1) indicate reference name)
Age) (pls put 1) e.g. Aeta, Ita, Bajao,
number
Igorot, Moro etc.) Aguinaldo,
1 Aguinaldo, Yhazie M 15-10-17 20-01-22 57 101.1 18.2 N N N 0 SAP
Rubelyn

2 Ajero, Jhea M. F 17-03-02 20-01-22 24 90.2 14.4 N N N 0 SAP Ajero, Ana Lunna

3 Ardon, Kent Celle M 17-08-08 20-01-22 29 89.9 15.7 N N N 0 SAP Ardon, Christine

4 Balbero, Franklin Jr. M 17-09-22 20-01-22 28 91 14.6 N N N 0 SAP Balbero, Stella

5 Barrientos, Jeth Michael F 15-06-09 20-01-22 54 103.6 16.8 N N N 0 SAP Barrientos, Hazel

6 Basatas, Michael M 17-11-03 20-01-22 27 95.5 14.4 N N N 0 SAP Basatas, Erodelisa

7 Bartose, Jeth Michael M 15-08-16 20-01-22 53 107 16.3 N N N 0 SAP Bartose, Jahlee

8 Bonilla, Rhea F 17-09-22 20-01-22 28 86.7 14 N N N 0 SAP Bonilla, Rhea

9 Brizo, Jane Lee F 16-11-30 20-01-22 37 89.4 11.6 N N N 0 SAP Brizo, Ann

10 Cabatingan, Keisha Amarah F 17-07-15 20-01-22 30 98.7 15 N N N 0 SAP

Cabatingan,
Jennelyn

11 Candelada, Margareth F 15-12-31 20-01-22 49 102.9 19.2 N N N 0 SAP Candelado, Rizza

12 Candelada, Sophia Alexel F 15-12-18 20-01-22 49 101.2 18.7 N N N 0 SAP

Candelado,
Sherlou

13 Cane, John Marco M 17-06-05 20-01-22 31 97.9 16.2 N N N 0 SAP Cane, Elisa

14 Carbon, Sabrina F 16-07-23 20-01-22 42 92.6 14.7 N N N 0 SAP Carbon, Monique

15 Catag, Mary Sabriah Bliss F 16-09-08 20-01-22 41 97 16 N N N 0 SAP Catag. Ma. Len

16 Cator, Kathleen F 17-08-19 20-01-22 29 85.1 12.8 N N N 0 SAP Cator, Evangeline

17 Ceniza, Levi Javob M 15-10-23 20-01-22 34 101.2 17.8 N N N 0 SAP Ceniza, Dizel

Colegado,
18 Colegado, Ma. Alexis F 15-04-28 20-01-22 57 107 15.5 N N N 0 SAP
Lenevic

19 Cortes, Jusha Nicole F 16-07-19 20-01-22 42 98 17 N N N 0 SAP Cortes, Rhea Mae

20 Dabon, Jhon Derick M 17-01-16 20-01-22 36 95 14 N N N 0 SAP Dabon, Sarah

21 Del Castillo, Aying Christopher M 16-08-12 20-01-22 42 95 12.6 N N N 0 SAP

Del Castillo,
Bobby

22 Eballe, Andrea Kate F 18-01-14 20-01-22 24 89.1 13.8 N N N 0 SAP Eballe, Daisy

23 Esmero, Gyle F 16-12-08 20-01-22 37 96.3 16 N N N 0 SAP Esmero, Jecell

24 Esmero, Nicole F 17-03-10 20-01-22 35 90.3 15.2 N N N 0 SAP Esmero, Jecell

25 Espina. Jenny Ann F 17-01-19 20-01-22 35 88.3 13 N N N 0 SAP Espina, Jelly

26 Galbizo, Suzette F 17-03-08 20-01-22 36 85.2 11.3 N N N 0 SAP Galbizo, Ann

27 Gemel, Xia Maria M. F 18-07-14 20-01-22 35 86.1 12.7 N N N 0 SAP Gemal, Vame

28 Hisoler, Sol Shenzu M 16-11-17 20-01-22 38 99.7 13.8 N N N 0 SAP Hisoler, Sheryl

Jayme, Anne
29 Jayme, Arthur Joseph M 15-05-24 20-01-22 56 107 18 N N N 0 SAP
Marie

30 Jayme, Christian M 16-10-04 20-01-22 39 90.5 11.2 N N N 0 SAP Jayme, Lucelyn

31 Jayme, Christopher M 16-10-04 20-01-22 39 92.1 11.6 N N N 0 SAP Jayme, Lucelyn

32 Jayme, John Michael M 16-05-24 20-01-22 43 92.8 13.4 N N N 0 SAP Jayme, Ellaine

Jayme,
33 Jayme, Niña Gel F 16-01-22 20-01-22 47 58.5 5.62 N N N 0 SAP
Evangeline

34 Jayme, Starah F 16-07-31 20-01-22 42 104 15 N N N 0 SAP Jayme, Sarah

35 Jayme. Yhunon Ly F 18-09-28 20-01-22 15 75.3 9 N N N 0 SAP

Jayme,
Evangeline

36 Jumao-as, Niña F 16-07-27 20-01-22 42 92.3 15.5 N N N 0 SAP Jumao-as, Merlie

Leones, Ma.
37 Leones, Steve Lawrence M 16-10-06 20-01-22 40 97.2 14 N N N 0 SAP
Sheila

38 Lepiten, Danielle Margarette F 15-12-18 20-01-22 49 107.1 18.5 N N N 0 SAP Lepiten, Jeocell

39 Lerios, Jassy F 15-09-14 20-01-22 53 99 12.6 N N N 0 SAP Lerios, Rosalie

 Cocos. Ma.
40 Cocos, Zhydrix Clark M 15-10-05 20-01-22 52 98 15 N N N 0 SAP
Clarissa
Maloloy-on,
41 Maloloy-on, Crystal Jade F 16-16-01 20-01-22 40 93 13.3 N N N 0 SAP
Claire
Maquillan, Ana
42 Maquillan, Lexus M 17-05-09 20-01-22 32 99.7 16.8 N N N 0 SAP
Fe
Maraasin,
43 Maraasin, Erica Jean F 16-10-15 20-01-22 29 90.2 16.2 N N N 0 SAP
Maryjean
Marababol,
44 Marababol, Marcia Aña Love F 16-01-06 20-01-22 49 99 12 N N N 0 SAP
Lovely Ann

45 Marata, Kent Ivan M 16-09-13 20-01-22 40 94.1 13.5 N N N 0 SAP Marata, Amor

46 Masong, Aiyezza G. F 18-07-28 20-01-22 18 101.5 8.5 N N N 0 SAP Masong, Nezzy

47 Mauro, Rea Ben F 15-12-05 20-01-22 50 110.4 19.8 N N N 0 SAP Mauro, Verginia

48 Navales, Heinz Hazelly F 16-03-02 20-01-22 46 100.9 19 N N N 0 SAP

Navales, Maria
Luz

49 Navaja, Rina Ysabelle F 16-08-24 20-01-22 41 99.8 16 N N N 0 SAP Navaja, Amie

50 Macachor, Yosha F 16-06-10 20-01-22 43 93.5 13.9 N N N 0 SAP Macachor, Jade

51 Pajaron, Hanamiah F 16-10-12 20-01-22 39 95 15 N N N 0 SAP Pajaron, Carla

52 Embazaldo, Fenicole F 15-11-29 20-01-22 50 99.9 15.8 N N N 0 SAP Embazaldo, Fe

53 Peralta, Chloe Mae F 17-10-17 20-01-22 27 85 12.8 N N N 0 SAP Peralta, Gina

54 Petalcorin, Ralph Lawrence M 16-06-25 20-01-22 43 100.3 15 N N N 0 SAP Petalcorin, Lelit

55 Pielago, Jofranz M 17-08-05 20-01-22 30 96.1 16 N N N 0 SAP Pielago, Jolioie

56 Ponte, Tristan M 17-11-04 20-01-22 26 84.5 12.5 N N N 0 SAP Ponte, Sadam

Guimpan, Ana
57 Quimpan, Hazel Ann F 16-04-04 20-01-22 45 102 17.1 N N N 0 SAP
Marie

58 Raboy, Sofia Theresa P. F 17-08-03 20-01-22 29 98.2 16.7 N N N 0 SAP Raboy, Cristito

59 Ramires, Ayesha Yun F 18-01-01 20-01-22 25 85.7 12 N N N 0 SAP Ramures, Marites

60 Rodrigo, David Kurt M 16-07-13 20-01-22 42 102.1 10 N N N 0 SAP Rodrigo, Charlene

61 Rosal, Janelle F 16-01-28 20-01-22 48 105 17.7 N N N 0 SAP Rosal. Melody

Rosales,
62 Rosales, Yogie Brylle M 17-02-03 20-01-22 36 93 14 N N N 0 SAP
Rosemarie

63 Santillan, Angeline F 17-01-06 20-01-22 37 100.2 18.5 N N N 0 SAP Santillan, Lenie

64 Tagalog, Azrael M 16-02-06 20-01-22 38 89.8 13..9 N N N 0 SAP Tagalog, Marielle

65 Torrenocha, Curt James M 16-05-14 20-01-22 44 96.3 16 N N N 0 SAP Torrenocha, Lita

Tribonalo,
66 Tribonalo, Kian Vinee M 16-08-04 20-01-22 42 107 15 N N N 0 SAP
Donabel

67 Veracruz, Jhon Arvie M 16-01-12 20-01-22 48 100.2 18.5 N N N 0 SAP Veracruz, Alexa

68 Villacorte, Erika Shane F 15-07-30 20-01-22 54 107 15 N N N 0 SAP

Villacorte,
Maricar

69 Villamor, Ma. Louisse F 17-05-04 20-01-22 33 93.7 12.1 N N N 0 SAP Villamor, Cindy

70 Zafra, Sophia Rylle F 17-01 20-01-22 37 94 13.9 N N N 0 SAP Zafra, Vanessa

TOTAL: 0 0 0
13 /16
PRIVACY AND CONFIDENTIAL STATEMENT: All personal information provided will be kept strictly confidential and will only be used for official purposes.

LEGEND FOR NUTRITIONAL STATUS*

Age Group Total no. of Total no. of TOTAL
Nutritional Status: (Weight for Age) Male Female
SU - Severly Underweight
UW - Underweight
2 8 14 22
N - Normal
Nutritional Status: (Height for Age)
3 15 15 30
SS - Severly Stunted
S- Stunted
4 7 11 18
N - Normal
T- Tall 5 0 0 0
Nutritional Status: (Wasting) TOTAL 30 40 70
SW - Severly Wasted Prepared by: Approved by: Concurred by:
W- Wasted
N - Normal LORINA O. CABAHUG SEPT 14,2020 ROY C. LUMAPAS SEPT 14,2020
Child Development Worker / SNP Worker Date Barangay Captain Date C / MSWDO Date