SFP Form 2.

a
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES

Name of Child Development Center : Mambog 4

Name of Child Development Worker : Flor P. Conde Date of Weighing: Dece
Location : Brgy Mambog 4
City/Municipality/Province: City of Bacoor Cavite

4Ps ID BIRTHDATE AGE

NAME OF CHILD
HEIGHT
No. SEX Ethnicity Disability Number (if (in (in cm)
Ext. applicable)
First Name Middle Name Last Name Name Year Month Day mos.)
1 Jacob Maethan Sajul Agustin N/A M N/A N/A N/A 2019 3 20 112.0
2 Zane Hasvey DeLeon N/A M N/A N/A N/A 2019 2 8 110.0
3 Isaiah Joseph Dela Torre Dizon N/A M N/A N/A N/A 2019 2 8 99.8
4 Rhenzo Jacob D. De Vera Jurado N/A M N/A N/A N/A 2019 6 28 100.0
5 Heinrich Mathew Fernandez lacson N/A M N/A N/A N/A 2019 1 28 110.3
6 John David Lanzar N/A M N/A N/A N/A 2019 1 15 109.5
7 Bryel Nithaniel Sumaya Hanginon N/A M N/A N/A N/A 2019 3 20 99.8
8 Prince Timothy P. Pamatian Galang N/A M N/A N/A N/A 2019 10 23 98.4
9 Giann Lucas V. Villaluna Lim N/A M N/A N/A N/A 2019 6 10 96.5
10 Luke Nickolai L. Lopez Lontok N/A M N/A N/A N/A 2019 12 18 100.0
11 Dave Cedric Cantos Mendoza N/A M N/A N/A N/A 2019 7 21 100.2
12 Lorenzo III Uzaraga Moreno N/A M N/A N/A N/A 2019 5 1 97.8
13 Chrix Oliver Rabino Natividad N/A M N/A N/A N/A 2019 7 10 99.5
14 Dane Matthew Olarte N/A M N/A N/A N/A 2019 10 6 102.0
15 Zale Guzman Pontaniel N/A M N/A N/A N/A 2019 9 24 105.0
16 Ace Axle Delos Santos Reofrir N/A M N/A N/A N/A 2019 1 23 100.0
17 Martin Jace A. Aquino Ricafort N/A M N/A N/A N/A 2019 4 14 100.0
18 Aiel Takeo Yoshino N/A M N/A N/A N/A 2019 8 25 101.0
19 Isaiah Junie S. Subijano Ang N/A M N/A N/A N/A 2019 10 18 99.7
20 Aldrake Lander T. Tayag Beltran N/A M N/A N/A N/A 2020 5 23 99.2
21 Jayzion Angelo B. Bulanadi Dela Rosa N/A M N/A N/A N/A 2020 8 31 99.4
22 Graydelle Brielle D. Gabriz N/A M N/A N/A N/A 2020 3 3 99.6
23 Asher Rosh P. Pelobello Garcia N/A M N/A N/A N/A 2019 6 12 100.0
24 Kxian Ace C. Grande N/A M N/A N/A N/A 2020 5 19 97.5
25 Kaijan Aisher V. Hamoy N/A M N/A N/A N/A 2020 2 2 99.4

Legend: Prepared By:

WFA - Weight for Age HFA - Height for Age WFH - Weight for Height
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted Flor P. Conde
UW - Underweight S - Stunted W- Wasted
N - Normal N- Normal NAME/POSIT
N- Normal
OW - Overweight T- Tall OW- Overweight
Ob- Obese
DATE: December 12, 202
SFP Form 2.a
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES

Name of Child Development Center : Mambog 4

Name of Child Development Worker : Flor P. Conde Date of Weighing: Dece
Location : Brgy Mambog 4
City/Municipality/Province: City of Bacoor Cavite

4Ps ID BIRTHDATE AGE

NAME OF CHILD
HEIGHT
No. SEX Ethnicity Disability Number (if (in (in cm)
applicable) mos.)
Ext.
First Name Middle Name Last Name Name Year Month Day
26 Kiefer Julian Clemente Miranda III M N/A N/A N/A 2019 11 26 99.5
27 Prince John Navarro N/A M N/A N/A N/A 2020 4 16 99.5
28 Caiden Matthaios Pakinggan Papa N/A M N/A N/A N/A 2020 5 19 98.5
29 Yeshua AJ Alcoba Pagalilawan N/A M N/A N/A N/A 2019 12 14 100.0
30 John Gabriel Rodriguez N/A M N/A N/A N/A 2019 4 11 102.0
31 Kylie Leonard Villahermosa Santos N/A M N/A N/A N/A 2019 10 11 100.0
32 Migo Achilles Sta. Ana N/A M N/A N/A N/A 2019 11 10 100.5
33 Rama Azurescen R. Reyes Alfiler N/A M N/A N/A N/A 2019 12 8 99.7
34 Ravin Thaddeus F. Fernando Arce N/A M N/A N/A N/A 2019 12 22 105.0
35 Crizean Geruel Vallejo Blanca N/A M N/A N/A N/A 2019 9 21 99.5
36 Theo Raine Camacho N/A M N/A N/A N/A 2019 7 22 99.7
37 Giru Uriel Lejarde Dulay N/A M N/A N/A N/A 2019 10 10 99.5
38 Jerry Jacob Dadia Malinis N/A F N/A N/A N/A 2019 1 27 102.0
39 Ryxzell Jiro Cruz Mariano N/A F N/A N/A N/A 2019 5 19 97.2
40 Gavin Matthew Solis N/A F N/A N/A N/A 2019 9 23 98.2
41 Justine Nino Paculanang Urdaneta N/A F N/A N/A N/A 2019 3 29 97.2
42 Alexa Jace M. Magdayo Acol N/A F N/A N/A N/A 2019 11 26 101.0
43 Rein Mariella Adriatico N/A F N/A N/A N/A 2019 8 12 100.2
44 Princess Angelie Fuentes Anosa N/A F N/A N/A N/A 2019 3 22 99.3
45 Maria Ysabelle Beatingo Aquino N/A F N/A N/A N/A 2019 1 21 98.6
46 Catriona Hershel Cabato Arzadon N/A F N/A N/A N/A 2019 12 27 99.5
47 Breanne Skyla Ostaya Bautista N/A F N/A N/A N/A 2019 7 3 100.0
48 Marie Ann Ventura Belarmino N/A F N/A N/A N/A 2019 10 20 102.0
49 Marie Nel Ventura Belarmino N/A F N/A N/A N/A 2019 10 20 101.0
50 Clint Jhanzel Dela Rosa Capitan N/A F N/A N/A N/A 2019 2 28 99.8

Legend: Prepared By:

WFA - Weight for Age HFA - Height for Age WFH - Weight for Height
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted
UW - Underweight S - Stunted Flor P. Conde
W- Wasted
N - Normal N- Normal N- Normal NAME/POSIT
OW - Overweight T- Tall OW- Overweight
Ob- Obese
DATE: December 12, 202
SFP Form 2.a
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES

Name of Child Development Center : Mambog 4

Name of Child Development Worker : Flor P. Conde Date of Weighing: Dece
Location : Brgy Mambog 4
City/Municipality/Province: City of Bacoor Cavite

BIRTHDATE AGE
NAME OF CHILD 4Ps ID
HEIGHT
No. SEX Ethnicity Disability Number (if (in (in cm)
Ext.
applicable) mos.)
First Name Middle Name Last Name Name Year Month Day

51 Scarlet Beatingo Aquino N/A F N/A N/A N/A 2020 8 24 97.2

52 Arlinda Capitan N/A F N/A N/A N/A 2020 1 27 97.5
53 Maria Leslyn Tadeo King N/A F N/A N/A N/A 2019 12 19 98.6
54 Amara Mirae Posadas Roxas N/A F N/A N/A N/A 2020 9 18 97.2
55 Aya Isabelle San Jose N/A F N/A N/A N/A 2019 11 18 100.0
56 Althea Hope Tomas N/A F N/A N/A N/A 2020 8 14 97.2
57 Lucia Amaris Cruz N/A F N/A N/A N/A 2019 2 26 101.0
58 Joana Mae Cuevas N/A F N/A N/A N/A 2019 12 9 99.4
59 Madison Magbanlag del Mundo N/A F N/A N/A N/A 2018 6 12 101.5
60 Margaux Jeila Posadas Divino N/A F N/A N/A N/A 2019 9 14 99.5
61 Dayne Sabile Estanislao N/A F N/A N/A N/A 2019 7 28 100.0
62 Ryka Ellise Galang Ferrer N/A F N/A N/A N/A 2019 10 4 101.0
63 Ryka Quinn Galang Ferrer N/A F N/A N/A N/A 2019 10 4 99.8
64 Franchesca Magat lauron N/A F N/A N/A N/A 2019 11 3 98.5
65 Rianna Ortega Nungay N/A F N/A N/A N/A 2019 6 20 101.0
66 Savannah Minguito Silverio N/A F N/A N/A N/A 2019 9 29 100.0
67 Ma. Althea Brianne Francisco Sobretodo N/A F N/A N/A N/A 2019 1 31 102.0
68 Aaliyah Therese Valera Abagon N/A F N/A N/A N/A 2019 10 16 99.8
69 Mia Fijer Aguilar N/A F N/A N/A N/A 2019 7 7 100.0
70 Allison Mae Guevarra Amos N/A F N/A N/A N/A 2019 5 23 99.5
71 Arriana Jane Dante Arcasitas N/A F N/A N/A N/A 2019 1 26 100.0
72 Nathalie Mae Galagnara Cabello N/A F N/A N/A N/A 2019 11 25 102.0
73 Cattleya Fernandez Celedio N/A F N/A N/A N/A 2019 7 11 100.0
74 Jaymie Ann Bulanadi Dela Rosa N/A F N/A N/A N/A 2019 11 21 102.0
75 Sophia Abegail Eborda N/A F N/A N/A N/A 2019 10 6 101.0

Legend: Prepared By:

WFA - Weight for Age HFA - Height for Age WFH - Weight for Height
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted
UW - Underweight S - Stunted Flor P. Conde
W- Wasted
N - Normal N- Normal N- Normal NAME/POSIT
OW - Overweight T- Tall OW- Overweight
Ob- Obese
DATE: December 12, 202
SFP Form 2.a
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES

Name of Child Development Center : Mambog 4

Name of Child Development Worker : Flor P. Conde Date of Weighing: Dece
Location : Brgy Mambog 4
City/Municipality/Province: City of Bacoor Cavite

BIRTHDATE AGE
NAME OF CHILD 4Ps ID
HEIGHT
No. SEX Ethnicity Disability Number (if (in (in cm)
Ext. applicable)
First Name Middle Name Last Name Name Year Month Day mos.)

76 Jana Ellise Ramirez Garcia N/A F N/A N/A N/A 2019 4 10 99.5
77 Lora Sky Yoshino Mendoza N/A F N/A N/A N/A 2020 5 20 97.2
78 Catriona Sedayon Paclibar N/A F N/A N/A N/A 2019 7 3 100.0
79 Allanis Judith Garcia Paragas N/A F N/A N/A N/A 2019 11 1 98.5
80 Cassandra Athena Santos N/A F N/A N/A N/A 2019 1 25 101.0
81 Sevy Ilham Sanchez Sigua N/A F N/A N/A N/A 2019 12 18 102.4
82 Precious Heart Pagdanganan Yarte N/A F N/A N/A N/A 2019 7 10 100.0
83 Blessed Alvarado Acebuche N/A F N/A N/A N/A 2019 1 1 103.0
84 Shekinah Therese Penecilla Azana N/A F N/A N/A N/A 2019 1 6 100.0
85 Maelyn Bea Baricuatro N/A F N/A N/A N/A 2019 9 7 99.2
86 Jayla Alison Calibat N/A F N/A N/A N/A 2019 1 5 100.0
87 Zhavia Blyte Duenog N/A F N/A N/A N/A 2019 5 28 98.2
88 Franckesca Aguinde Fernandez N/A F N/A N/A N/A 2019 10 21 99.2
89 Maeka Ella Hamili N/A F N/A N/A N/A 2019 4 27 102.0
90 Meagan Louise Ilo 2019 8 15 100.0
91 Maria Herbie Rose Magdato 2019 10 31 99.5
92 Leigh Jewel De Ocampo Maandal 2019 9 1 103.0
93 Yazz Renniezel Martinez Odchimar 2019 4 12 100.0
94 Ruby Anne Olaes 2019 11 4 101.0
95 Rhian Mae Tiambao Rellama 2019 3 27 99.5
96 Aaliyah Serene Luna Reyes 2019 11 12 102.0
97 Kareena Vielle Ramos San Juan 2018 5 11 100.0
98 Gabriella Marae Saulo 2019 7 5 98.5
99 Jauncey Allison Ramos Sulla 2019 3 3 100.0
100 Kylie Kirsten Lozares 100.0

Legend: Prepared By:

WFA - Weight for Age HFA - Height for Age WFH - Weight for Height
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted
UW - Underweight S - Stunted Flor P. Conde
W- Wasted
N - Normal N- Normal N- Normal NAME/POSIT
OW - Overweight T- Tall OW- Overweight
Ob- Obese
DATE: December 12, 202
CIAL WELFARE AND DEVELOPMENT
entary Feeding Program
LIST OF BENEFICIARIES

Date of Weighing: December 9, 2022

NUTRITIONAL NUTRITIONAL NUTRITIONAL

WEIGHT
STATUS (using STATUS (using STATUS (using
NAME OF
(in Kilos) weight-for-age) height-for-age) weight-for-height) PARENT/GUARDIAN

18.1 John Mark/Shienalyn

17.1 Harvey/jasmine Kkyle
16.1 Joey/Rose
17 Analyn Jurado
17 Chinkee Lacson
20.1 Jhunalyn/Joyce
16.2 Jessybel Sumaya
15.2 Lilian Joy
15.9 Leo Angelo/Ma. Clarissa
18.5 Romeo/Ira
18.2 Juvylyn Mendoza
14.9 Lorenzo Jr/Glorimae
16.3 Dayvid/Christian Luxy
15.2 Katrina
15.4 Auggie/Laila
14.5 Melvin/Shedra Mae
15.3 Jose Carlo/Ma.Angelita
13.5 Ayie Yoshino
13.2 Darryl/Syra
13.5 Alvin/Mayeth
13.2 Jayrome/ Ann Veronica
13.5 Garry/Andrea
13.8 Raychelle/Giselle
13.2 Christine Ann Conde
11.1 Ramon Erwin/Joanna

Flor P. Conde/CDW
NAME/POSITION

DATE: December 12, 2022

CIAL WELFARE AND DEVELOPMENT
entary Feeding Program
LIST OF BENEFICIARIES

Date of Weighing: December 9, 2022

NUTRITIONAL NUTRITIONAL NUTRITIONAL

WEIGHT
STATUS (using STATUS (using STATUS (using
NAME OF
(in Kilos) weight-for-age) height-for-age) weight-for-height) PARENT/GUARDIAN

15.1 Kevin Miranda

14.5 Debbie Dela Cruz
14.3 Cristalyn Pakinggan
15.2 Analyn Ferrer
15.2 Loralie Rodriguez
16.2 Erwin Leonard/Emilee
14.3 Maureen Sta. Ana
15.3 Mharjerry Reyes
17.2 Arvin/Ma. Criselda
17.4 Marites Vallejo
15.3 Jaemar/Teressa
16.2 Micheal/Ohhara
14.3 Jesrael/Anna Ruth
15.2 Jenny Cruz
16.1 Erwin/Charo Solis
14.2 Ian Victor/Jocelyn
16.3 John Vincent/Johanna
15.2 Mayette Mananita
14.3 Donald/Angelie
14.5 Rosabelle Aquino
14.9 Greggy/Ma. Cristina
15.4 Rodessa
17.2 Rachelle Ventura
15.3 Rachelle Ventura
16.1 Jonathan/Maria

Flor P. Conde/CDW
NAME/POSITION

DATE: December 12, 2022

CIAL WELFARE AND DEVELOPMENT
entary Feeding Program
LIST OF BENEFICIARIES

Date of Weighing: December 9, 2022

NUTRITIONAL NUTRITIONAL NUTRITIONAL

WEIGHT
STATUS (using STATUS (using STATUS (using
NAME OF
(in Kilos) weight-for-age) height-for-age) weight-for-height) PARENT/GUARDIAN

13.2 Melvin/Rosabelle
13.4 Rommel/Ashley
15.2 Vevilyn Tadeo
13.5 Rodelyn Posadas
15.2 Glisselle San Jose
13.2 Christian Jayson/Camila
18.2 Mary Joy Cristine Cruz
15.2 Jonald/Annabelle
16.2 Jordan/Mary Ann
15.2 Jonalyn Posadas
15.3 Rodelio/Melane
15.4 Ryan Mel/Katrina
14.6 Ryan Mel/Katrina
14.6 Francisco/Cecilla
17.2 Ricky/Annaliza
16.5 Micheal Jay/Leah
17.5 Joel/Rosally
16.4 Leo Rey/Danika Mae
17.5 Allan/Michelle
16.2 Gina Guevarra
16.8 Jayson/Anselma
17.5 Nichelle Cabello
16.2 Ligaya C. Chouward
18.2 Jayrome/ Ann Veronica
17.5 Kassandra Gezreel

Flor P. Conde/CDW
NAME/POSITION

DATE: December 12, 2022

CIAL WELFARE AND DEVELOPMENT
entary Feeding Program
LIST OF BENEFICIARIES

Date of Weighing: December 9, 2022

NUTRITIONAL NUTRITIONAL NUTRITIONAL

WEIGHT
STATUS (using STATUS (using STATUS (using
NAME OF
(in Kilos) weight-for-age) height-for-age) weight-for-height) PARENT/GUARDIAN

13.1 Jesille Garcia

13.2 Arisa Yoshino
14.3 Antonio Jr./Jennifer
14.2 Allan/Josephine
15.3 Colleen Santos
16.2 Virginia Sanchez
15.3 Jenemil Pagdangalan
18.2 Kimberly Mae
15.2 Randy/Janeth
12.5 Marjun/Jovelyn
14 Jefferson/Jennie Rose
14.2 Jeselie/Nerrissa
14.1 Mark/Silvestra
16.2 Jovannel/Swalyn
14.2 Winjulie
15.2 Rse Ann Magdato
25 Walter/Evelyn
14.2 Martinez/Yaracel
14.5 Jeffrey/Baby Jean
14.5 Alex/Lily Mae
16.2 Eric/Justine May
15.2 Anthony Rod/Angeline
14.7 Ellaine Joy Estrada
15.2 Jarex/Angela Marie
14.6

Flor P. Conde/CDW
NAME/POSITION

DATE: December 12, 2022

SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
1 Mambog 4 37 53 0 0 0 0 0 0 0
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
SFP Form 2.b
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
SUMMARY

Province: Region :
City/Municipality: SY :

Number of children who

Number of Pantawid
Number of Children Number of PWDs are members of ethnic Ethnic Group
No. Name of Child Development Center Beneficiaries
group/s Present in CDC

M F M F M F M F
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
TOTAL: 37 53 0 0 0 0 0 0

Prepared by:

__________________________________
Name/Position

Date Prepared: ________________

IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative

Flor P. Conde 0956-4159441

IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative
IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative
IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative
IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative
IAL WELFARE AND DEVELOPMENT
ntary Feeding Program

IST OF BENEFICIARIES
SUMMARY

Name of Child Development

Contact Number
Worker/ Authorized Representative
 SFP Form 3
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
SUPPLEMENTARY FEEDING PROGRAM

WEIGHT MONITORING FORM

Name of DCC : Mambog 4

Name of DCW : Flor P. Conde
Location: Brgy Mambog 4

N U T R I T I O N A L S T A T U
UPON ENTRY/ INITIAL After 60 Days
No. NAME OF CHILDREN SEX December 09, 2022 March 13, 2023 to April 26, 2023
DATE OF AGE HEIGHT WEIGHT NUTL. STATUS DATE OF AGE HEIGHT WEIGHT NUTL. STAT
WEIGHING (in mos.) (in cm) (in Kilos) WEIGHING (in mos.) (in cm) (in Kilos)
WFA HFA WFH WFA

1 Agustin Jacob Maethan S. M

2 De Leon Zane Hasvey M
3 Dizon Isaiah Joseph D. M
4 Jurado Rhenzo Jacob D. M
5 Lacson Heinrich Mathew F. M
6 Lanzar John David M
7 Galang Prince Timothy P. M
8 Hanginon Bryel Nithaniel M
9 Lim Giann Lucas V. M
10 Lontok Luke Nickolai L. M
11 Mendoza Dave Cedric C. M
12 Moreno Lorenzo III U. M
13 Natividad Chrix Oliver R. M
14 Olarte Dane Matthew P. M
15 Pontaniel Zale G. M
16 Reofrir Ace Axle M
17 Ricafort Martin Jace A. M
18 Yoshino Aiel Takeo M
19 Ang,Isaiah Junie S. M
20 Beltran,Aldrake Lander T. M
21 Dela Rosa, Jayzion Angelo B. M
22 Gabriz, Graydelle Brielle D. M
23 Garcia,Asher Rosh P. M
24 Grande, Kxian Ace C. M
25 Hamoy, Kaijan Aisher V. M

Legend:
WFA - Weight for Age HFA - Height for Age WFH - Weight for Height DROPPED - transferred resid
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted WRNA - Weight Records Not Ava
UW - Underweight S - Stunted W- Wasted
N - Normal N- Normal N- Normal
OW - Overweight T- Tall OW- Overweight
Ob- Obese
 SFP Form 3
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
SUPPLEMENTARY FEEDING PROGRAM

WEIGHT MONITORING FORM

Name of DCC : Mambog 4

Name of DCW : Flor P. Conde
Location: Brgy Mambog 4

No. NAME OF CHILDREN SEX

26 Miranda,Kiefer Julian M
27 Navarro, Prince John M
28 Papa,Caiden Matthaios M
29 Pagalilawan, Yeshua AJ A. M
30 Rodriguez, John Gabriel M
31 Santos, Kylie Leonard D. M
32 Sta. Ana, Migo Achilles M
33 Alfiler, Rama Azurescen R. M
34 Arce, Ravin Thaddeus F. M
35 Blanca,Crizean Geruel V. M
36 Camacho, Theo Raine M
37 Dulay,Giru Uriel L. M
38 Malinis,Jerry Jacob D. M
39 Mariano,Ryxzell Jiro C. M
40 Solis, Gavin Matthew C. M
41 Urdaneta, Justine Nino P. M
42 Acol, Alexa Jace M. F
43 Adriatico, Rein Mariella M. F
44 Anosa,Princess Angelie F
45 Aquino Maria Ysabelle F
46 Arzadon, Catriona Hershel F
47 Bautista, Breanne Skyla O. F
48 Belarmino,Marie Ann V. F
49 Belarmino,Marie Nel V. F
50 Capitan, Clint Jhanzel D. F

Legend:
WFA - Weight for Age HFA - Height for Age WFH - Weight for Height DROPPED - transferred resid
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted WRNA - Weight Records Not Ava
UW - Underweight S - Stunted W- Wasted
N - Normal N- Normal N- Normal
OW - Overweight T- Tall OW- Overweight
Ob- Obese
 SFP Form 3
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
SUPPLEMENTARY FEEDING PROGRAM

WEIGHT MONITORING FORM

Name of DCC : Mambog 4

Name of DCW : Flor P. Conde
Location: Brgy Mambog 4

No. NAME OF CHILDREN SEX

51 Aquino Scarlet F
52 Capitan,Arlinda P. F
53 King Maria Leslyn T. F
54 Roxas,Amara Mirae P. F
55 San Jose, Aya Isabelle F
56 Tomas Althea Hope A. F
57 Cruz,Lucia Amaris F
58 Cuevas,Joana Mae L. F
59 Del Mundo Madison M. F
60 Divino Margaux Jeila F
61 Estanislao,Dayne S. F
62 Ferrer F
63 Ferrer F
64 Lauron, Franchesca M. F
65 Nungay,Rhianna O. F
66 Silverio Savannah F
67 Sobretado,Ma. Althea Brianne F. F
68 Abagon,Aaliyah Therese V. F
69 Aguilar,Mia Fijer F
70 Amos,Allison Mae G. F
71 Arcasitas, Arriana Jane F
72 Cabello,Nathalie Mae F
73 Celedio, Cattleya F. F
74 Dela Rosa, Jaymie Ann B. F
75 Eborda, Sophia Abegail R. F

Legend:
WFA - Weight for Age HFA - Height for Age WFH - Weight for Height DROPPED - transferred resid
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted WRNA - Weight Records Not Ava
UW - Underweight S - Stunted W- Wasted
N - Normal N- Normal N- Normal
OW - Overweight T- Tall OW- Overweight
Ob- Obese
 SFP Form 3
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
SUPPLEMENTARY FEEDING PROGRAM

WEIGHT MONITORING FORM

Name of DCC : Mambog 4

Name of DCW : Flor P. Conde
Location: Brgy Mambog 4

No. NAME OF CHILDREN SEX

76 Furigay, Renesmee Audrey L. F

77 Garcia, Jana Ellise R. F
78 Mendoza, Lora Sky Y. F
79 Paclibar, Catriona S. F
80 Paragas, Allanis Judith G. F
81 Santos, Cassandra Athena F
82 Sigua, Sevy Ilham S. F
83 Yarte,Precious Heart F
84 Acebuche,Blessed A. F
85 Azana,Shekinah Therese P. F
86 Baricuatro, Maelyn B. F
87 Calibat,Jayla Alison F
88 Duenog, Zhavia Blyte F
89 Fernandez, Franckesca A. F
90 Hamili,Maeka Ella B. F
91 Ilo, Meagan Louise B. F
92 Magdato,Maria Herbie Rose M. F
93 Maandal,Leigh Jewel D. F
94 Odchimar, Yazz Renniezel M. F
95 Olaes,Ruby Anne F
96 Rellama,Rhian Mae T. F
97 Reyes, Aaliyah Serene L. F
98 San Juan, Kareena Vielle R. F
99 Saulo,Gabriella Marae E. F
100 Sulla,Jauncey Allison R. F

Legend:
WFA - Weight for Age HFA - Height for Age WFH - Weight for Height DROPPED - transferred resid
SU - Severely Underweight Sst - Severly Stunted SW - Severly Wasted WRNA - Weight Records Not Ava
UW - Underweight S - Stunted W- Wasted
N - Normal N- Normal N- Normal
OW - Overweight T- Tall OW- Overweight
Ob- Obese
AL WELFARE AND DEVELOPMENT
ARY FEEDING PROGRAM

MONITORING FORM

N U T R I T I O N A L S T A T U S
After 60 Days After ___ Days
March 13, 2023 to April 26, 2023 to ________ REMARKS
NUTL. STATUS DATE OF AGE HEIGHT WEIGHT (in NUTL. STATUS
WEIGHING (in mos.) (in cm) Kilos)
HFA WFH WFA HFA WFH

DROPPED - transferred residence Prepared By:

WRNA - Weight Records Not Available
FLOR P. CONDE/ CDW
NAME/POSITION
AL WELFARE AND DEVELOPMENT
ARY FEEDING PROGRAM

MONITORING FORM

DROPPED - transferred residence Prepared By:

WRNA - Weight Records Not Available
FLOR P. CONDE/ CDW
NAME/POSITION
AL WELFARE AND DEVELOPMENT
ARY FEEDING PROGRAM

MONITORING FORM

DROPPED - transferred residence Prepared By:

WRNA - Weight Records Not Available
FLOR P. CONDE/ CDW
NAME/POSITION
AL WELFARE AND DEVELOPMENT
ARY FEEDING PROGRAM

MONITORING FORM

DROPPED - transferred residence Prepared By:

WRNA - Weight Records Not Available
FLOR P. CONDE/ CDW
NAME/POSITION
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Weight-for-Age indicator)

City/Municipality: CAVITE
Province: CAVITE
School Year: 2022 - 2023
UPON ENTRY

DATE DATE SU UW N OW WRNA Total

NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 MAMBOG 4 90 37 53 3/13/2023 0 2 2 0 0 0 0
2 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0
 DATE DATE SU UW N OW WRNA Total
NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0
73 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0
76 0 0 0 0 0 0 0
77 0 0 0 0 0 0 0
78 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0
86 0 0 0 0 0 0 0
87 0 0 0 0 0 0 0
88 0 0 0 0 0 0 0
89 0 0 0 0 0 0 0
90 0 0 0 0 0 0 0
91 0 0 0 0 0 0 0
92 0 0 0 0 0 0 0
93 0 0 0 0 0 0 0
94 0 0 0 0 0 0 0
95 0 0 0 0 0 0 0
96 0 0 0 0 0 0 0
97 0 0 0 0 0 0 0
98 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
 DATE DATE SU UW N OW WRNA Total
NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 0 0 0
102 0 0 0 0 0 0 0
103 0 0 0 0 0 0 0
104 0 0 0 0 0 0 0
105 0 0 0 0 0 0 0
106 0 0 0 0 0 0 0
107 0 0 0 0 0 0 0
108 0 0 0 0 0 0 0
109 0 0 0 0 0 0 0
110 0 0 0 0 0 0 0
111 0 0 0 0 0 0 0
112 0 0 0 0 0 0 0
113 0 0 0 0 0 0 0
114 0 0 0 0 0 0 0
115 0 0 0 0 0 0 0
116 0 0 0 0 0 0 0
117 0 0 0 0 0 0 0
118 0 0 0 0 0 0 0
119 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0
TOTAL 90 37 53 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SU = Severely Underweight NUMBER OF SU + UW PREVALENCE OF MALNUTRITION Prepared by:
UW = Underweight MALE FEMALE TOTAL WEIGHED BASELINE %
N = Normal 2 0 2 2 2 1
OW = Overweight NAME/POSITION
*WRNA = Weight Record Not Available
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Weight-for-Age indicator)

City/Municipality: CAVITE
Province: CAVITE
School Year: 2022 - 2023
AFTER 60 DAYS

DATE FEEDING DATE FEEDING SU UW N OW DROPPED/WRNA Total

NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 MAMBOG 4 90 37 53 3/13/2023 12/30/1899 0 0 0 0 0 0

2 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
3 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
4 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
5 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
6 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
7 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
8 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
9 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
10 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
11 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
12 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
13 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
14 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
15 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
16 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
17 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
18 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
19 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
20 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
21 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
22 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
23 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
24 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
25 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
26 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
27 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
28 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
29 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
30 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
31 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
32 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
33 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
34 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
35 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
36 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
37 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
38 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
39 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
40 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
41 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
42 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
43 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
44 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
45 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
46 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
47 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
48 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
49 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
50 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SU UW N OW DROPPED/WRNA Total
NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
52 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
53 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
54 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
55 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
56 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
57 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
58 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
59 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
60 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
61 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
62 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
63 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
64 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
65 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
66 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
67 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
68 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
69 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
70 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
71 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
72 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
73 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
74 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
75 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
76 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
77 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
78 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
79 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
80 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
81 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
82 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
83 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
84 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
85 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
86 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
87 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
88 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
89 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
90 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
91 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
92 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
93 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
94 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
95 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
96 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
97 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
98 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
99 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
100 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SU UW N OW DROPPED/WRNA Total
NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0

102 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
103 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
104 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
105 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
106 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
107 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
108 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
109 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
110 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
111 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
112 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
113 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
114 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
115 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
116 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
117 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
118 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
119 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
120 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
TOTAL 90 37 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SU = Severely Underweight NUMBER OF SU + UW PREVALENCE OF MALNUTRITION IMPROVEMENT OF WEIGHT Prepared by:
UW = Underweight MALE FEMALE TOTAL WEIGHED ENDLINE % No. of Children with improved weight
N = Normal 0 0 0 0 0 #DIV/0! MALE FEMALE TOTAL %

OW = Overweight 2 0 2 1 NAME/POSITION
*WRNA = Weight Record Not Available
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Height-for-Age indicator)

City/Municipality:
Province:
School Year:
UPON ENTRY

DATE DATE SSt St N T WRNA Total

NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 Mambog 4 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0
 DATE DATE SSt St N T WRNA Total
NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0
73 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0
76 0 0 0 0 0 0 0
77 0 0 0 0 0 0 0
78 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0
86 0 0 0 0 0 0 0
87 0 0 0 0 0 0 0
88 0 0 0 0 0 0 0
89 0 0 0 0 0 0 0
90 0 0 0 0 0 0 0
91 0 0 0 0 0 0 0
92 0 0 0 0 0 0 0
93 0 0 0 0 0 0 0
94 0 0 0 0 0 0 0
95 0 0 0 0 0 0 0
96 0 0 0 0 0 0 0
97 0 0 0 0 0 0 0
98 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
 DATE DATE SSt St N T WRNA Total
NO. OF FEEDING FEEDING
CHILD DEVELOPMENT CENTER DCCh No. of Male No. of Female STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 0 0 0
102 0 0 0 0 0 0 0
103 0 0 0 0 0 0 0
104 0 0 0 0 0 0 0
105 0 0 0 0 0 0 0
106 0 0 0 0 0 0 0
107 0 0 0 0 0 0 0
108 0 5 5 0 0 0 0 0
109 0 2 2 0 0 0 0 0
110 0 0 4 4 0 0 0 0
111 0 0 0 0 0 0 0
112 0 0 0 0 0 0 0
113 0 0 0 0 0 0 0
114 0 0 0 0 0 0 0
115 0 0 0 0 0 0 0
116 0 0 0 0 0 0 0
117 0 0 0 0 0 0 0
118 0 0 0 0 0 0 0
119 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0
TOTAL 0 0 0 5 2 7 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SSt = Severely Stunted NUMBER OF SSt + St PREVALENCE OF MALNUTRITION Prepared by:
St = Stunted MALE FEMALE TOTAL WEIGHED BASELINE %
N = Normal 5 6 11 11 11 1
T = Tall NAME/POSITION
*WRNA = Weight Record Not Available
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Height-for-Age indicator)

City/Municipality:
Province:
School Year:
AFTER 120 DAYS

DATE FEEDING DATE FEEDING SSt St N T DROPPED/WRNA Total

NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 Mambog 4 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0

2 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
3 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
4 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
5 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
6 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
7 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
8 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
9 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
10 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
11 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
12 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
13 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
14 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
15 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
16 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
17 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
18 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
19 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
20 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
21 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
22 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
23 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
24 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
25 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
26 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
27 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
28 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
29 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
30 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
31 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
32 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
33 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
34 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
35 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
36 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
37 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
38 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
39 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
40 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
41 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
42 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
43 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
44 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
45 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
46 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
47 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
48 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
49 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
50 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SSt St N T DROPPED/WRNA Total
NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
52 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
53 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
54 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
55 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
56 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
57 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
58 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
59 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
60 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
61 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
62 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
63 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
64 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
65 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
66 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
67 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
68 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
69 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
70 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
71 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
72 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
73 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
74 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
75 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
76 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
77 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
78 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
79 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
80 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
81 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
82 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
83 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
84 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
85 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
86 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
87 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
88 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
89 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
90 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
91 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
92 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
93 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
94 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
95 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
96 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
97 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
98 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
99 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
100 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SSt St N T DROPPED/WRNA Total
NO. OF No. of No. of STARTED ENDS
CHILD DEVELOPMENT CENTER DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0

102 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
103 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
104 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
105 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
106 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
107 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
108 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
109 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
110 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
111 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
112 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
113 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
114 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
115 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
116 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
117 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
118 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
119 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
120 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SSt = Severely Stunted NUMBER OF SSt + St PREVALENCE OF MALNUTRITION IMPROVEMENT OF WEIGHT Prepared by:
St = Stunted MALE FEMALE TOTAL WEIGHED ENDLINE % No. of Children with improved weight
N = Normal 0 0 0 0 0 #DIV/0! MALE FEMALE TOTAL %

T = Tall 5 6 11 1 NAME/POSITION
*WRNA = Weight Record Not Available
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Weight-for-Height indicator)

City/Municipality:
Province:
School Year:
UPON ENTRY

DATE DATE SW W N OW OB WRNA Total

CHILD DEVELOPMENT CENTER NO. OF No. of Male No. of Female FEEDING FEEDING
DCCh STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 Mambog 4 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0
 DATE DATE SW W N OW OB WRNA Total
CHILD DEVELOPMENT CENTER NO. OF No. of Male No. of Female FEEDING FEEDING
DCCh STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0 0
73 0 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0 0
76 0 0 0 0 0 0 0 0
77 0 0 0 0 0 0 0 0
78 0 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0 0
86 0 0 0 0 0 0 0 0
87 0 0 0 0 0 0 0 0
88 0 0 0 0 0 0 0 0
89 0 0 0 0 0 0 0 0
90 0 0 0 0 0 0 0 0
91 0 0 0 0 0 0 0 0
92 0 0 0 0 0 0 0 0
93 0 0 0 0 0 0 0 0
94 0 0 0 0 0 0 0 0
95 0 0 0 0 0 0 0 0
96 0 0 0 0 0 0 0 0
97 0 0 0 0 0 0 0 0
98 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
 DATE DATE SW W N OW OB WRNA Total
CHILD DEVELOPMENT CENTER NO. OF No. of Male No. of Female FEEDING FEEDING
DCCh STARTED ENDS
dd/mm/yyyy dd/mm/yyyy
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 0 0 0 0
102 0 0 0 0 0 0 0 0
103 0 0 0 0 0 0 0 0
104 0 0 0 0 0 0 0 0
105 0 0 0 0 0 0 0 0
106 0 0 0 0 0 0 0 0
107 0 0 0 0 0 0 0 0
108 0 0 0 0 0 0 0 0
109 0 0 0 0 0 0 0 0
110 0 0 0 0 0 0 0 0
111 0 0 0 0 0 0 0 0
112 0 0 0 0 0 0 0 0
113 0 0 0 0 0 0 0 0
114 0 0 0 0 0 0 0 0
115 0 0 0 0 0 0 0 0
116 0 0 0 0 0 0 0 0
117 0 0 0 0 0 0 0 0
118 0 0 0 0 0 0 0 0
119 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SW = Severely Wasted NUMBER OF SW + W PREVALENCE OF MALNUTRITION Prepared by:
W = Wasted MALE FEMALE TOTAL WEIGHED BASELINE %
N = Normal 0 0 0 0 0 #DIV/0!
OW = Overweight NAME/POSITION
Ob = Obese
*WRNA = Weight Record Not Available
 Department of Social Welfare and Development
Field Office IV-A
Supplementary Feeding Program
Summary of Nutritional Status (Using Weight-for-Height indicator)

City/Municipality:
Province:
School Year:
AFTER 120 DAYS

DATE FEEDING DATE FEEDING SW W N OW OB DROPPED/WRNA Total

CHILD DEVELOPMENT CENTER NO. OF No. of No. of STARTED ENDS
DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

1 Mambog 4 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0

2 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
3 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
4 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
5 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
6 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
7 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
8 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
9 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
10 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
11 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
12 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
13 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
14 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
15 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
16 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
17 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
18 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
19 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
20 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
21 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
22 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
23 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
24 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
25 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
26 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
27 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
28 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
29 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
30 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
31 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
32 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
33 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
34 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
35 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
36 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
37 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
38 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
39 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
40 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
41 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
42 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
43 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
44 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
45 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
46 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
47 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
48 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
49 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
50 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SW W N OW OB DROPPED/WRNA Total
CHILD DEVELOPMENT CENTER NO. OF No. of No. of STARTED ENDS
DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

51 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
52 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
53 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
54 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
55 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
56 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
57 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
58 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
59 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
60 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
61 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
62 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
63 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
64 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
65 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
66 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
67 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
68 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
69 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
70 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
71 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
72 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
73 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
74 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
75 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
76 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
77 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
78 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
79 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
80 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
81 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
82 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
83 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
84 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
85 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
86 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
87 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
88 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
89 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
90 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
91 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
92 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
93 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
94 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
95 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
96 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
97 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
98 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
99 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
100 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
 DATE FEEDING DATE FEEDING SW W N OW OB DROPPED/WRNA Total
CHILD DEVELOPMENT CENTER NO. OF No. of No. of STARTED ENDS
DCCh Male Female dd/mm/yyyy dd/mm/yyyy

Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

101 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0

102 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
103 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
104 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
105 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
106 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
107 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
108 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
109 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
110 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
111 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
112 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
113 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
114 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
115 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
116 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
117 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
118 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
119 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
120 0 0 0 0 12/30/1899 12/30/1899 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Legend:
SW = Severely Wasted NUMBER OF SW + W PREVALENCE OF MALNUTRITION IMPROVEMENT OF WEIGHT Prepared by:
W = Wasted MALE FEMALE TOTAL WEIGHED ENDLINE % No. of Children with improved weight
N = Normal 0 0 0 0 0 #DIV/0! MALE FEMALE TOTAL %
OW = Overweight 0 0 0 #DIV/0! NAME/POSITION
Ob = Obese
*WRNA = Weight Record Not Available
 DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplementary Feeding Program

Status of Fund Transfer

Physical and Financial Accomplishment Report

Province:________________________
City/Municipality:________________________

PHYSICAL ACCOMPLISHMENT FINANCI

Number Date of
No of No. of Amount
of Day Date Start Date feeding funds Amount Amount spent
No. Name of Day Care Center DCCh Feeding spent for
Care of Feeding will end released to Allocated for Viand
Served Days Rice
Children DCC
1
2
3
4
5
6
7
8
9
10
TOTAL:

Prepared by:

__________________________________
Name / Position

Date Prepared: ________________

 Region : __________
SY : _____________________

FINANCIAL ACCOMPLISHMENT

Amount
Utilized (Viand Amount Liquidated Balance Remarks
and Rice)

Noted By:

____________________________________
Name / Position