Department of Education – Schools Division Office of Laguna

Document Title Document No. SGOD-SME-020

Revision No. 0
MONTHLY ACCOMPLISHMENT Effectivity Date July 12, 2018
REPORT (Pro-forma 1) Page No. 1 of 3

FOR THE MONTH OF _________________________

Title of Program/Project/Activity
Inclusive Dates

Name of School

Person/s involved

Budget Allocation

Amount of Disbursement

Amount of Liquidation

Number of Beneficiaries (Please

attach separate List of Beneficiaries)

SBFP Core Group:

__________________________ _______________________ _____________________

SBFP Feeding Focal Person Parent Parent

Noted:

__________________________________
Public Schools District Supervisor

List of Beneficiaries (Severely Wasted/Wasted)

Name Grade Level

Registration Mark: Distribution Mark:

This document is updated and controlled if it bears the red
“CONTROLLED COPY” stamp. Otherwise, please refer to the
Control of Documents & Records (CDR) for your updated copy.
 Department of Education – Schools Division Office of Laguna
Document Title Document No. SGOD-SME-020
Revision No. 0
MONTHLY ACCOMPLISHMENT Effectivity Date July 12, 2018
REPORT (Pro-forma 1) Page No. 2 of 3

Certified true and correct:

____________________________
School Head

List of Procured Supplies

Item/Description Amount

Registration Mark: Distribution Mark:

This document is updated and controlled if it bears the red
“CONTROLLED COPY” stamp. Otherwise, please refer to the
Control of Documents & Records (CDR) for your updated copy.
 Department of Education – Schools Division Office of Laguna
Document Title Document No. SGOD-SME-020
Revision No. 0
MONTHLY ACCOMPLISHMENT Effectivity Date July 12, 2018
REPORT (Pro-forma 1) Page No. 3 of 3

Certified true and correct:

____________________________
School Head

Registration Mark: Distribution Mark:

This document is updated and controlled if it bears the red
“CONTROLLED COPY” stamp. Otherwise, please refer to the
Control of Documents & Records (CDR) for your updated copy.