SBFP Form 1 (2023)

Department of Education
Region ___

Master List Beneficiaries for School-Based Feeding Program (SBFP) (SY________)

Schools Division Office: _ZAMBOANGA DEL SUR Name of Principal : EVA MARIA S. ROSLINDA
City/ Municipality/Barangay : BEGONG, TIGBAO Name of Feeding Focal Person : MAGDALINA S. GILBUENA
Name of School / School District : BEGONG ELEMENTARY SCHOOL
School ID Number: 125449 Benef
Paren
iciary
t's Partic
Dewo of
Grad Date of Age in BMI Nutritional conse ipatio
rmed SBFP
Weighing / Years Weig for 6 nt for n in
No. Name Sex e/ (MM/DD/YYYY)
Date of Birth
Measuring / ht
Heigh
y.o. Status (NS)
?
milk? 4Ps
in
Secti (MM/DD/Y Mont (Kg)
t (cm)
and
Previ
on (yes ous
YYY) hs above (yes
BMI-A HFA or no) Years
(yes or no)
(yes
or no)
1 Batoy, Rochelle F K 2/10/2018 9/25/2023 6,7 13 1.05 - SW N Yes Yes Yes orNo
no)
2 Panganoron, Melojane L. F K 11/27/2016 9/25/2023 6,9 13 1.07 - SW S Yes Yes Yes No
3 Pancho, Marc Aeron M 1 4/24/2017 9/25/2023 6,4 15 1.12 - SW M Yes Yes Yes Yes
4 Bantilan, John Kenneth P. M 1 6/25/2016 9/25/2023 7,3 14 1.1 11.5 SW S Yes Yes Yes Yes
5 Quinones, Kate Xyrelle F 1 9/19/2017 9/25/2023 6,0 13 1.07 11.3 SW M Yes Yes Yes Yes
6 Taclas, Cheryl Jane F 1 5/31/2016 9/25/2023 7,3 15 1.15 11.3 SW M Yes Yes Yes No
7 Ostelano, Noe Elga F 2 11/30/2014 9/25/2023 8,9 17 1.18 12.2 SW S Yes Yes No Yes
8 Pata, Kenneth Earl M 2 10/11/2015 9/25/2023 7,11 15 1.12 11.9 SW S Yes Yes Yes Yes
9 Tondo, Jerson S. M 2 11/26/2015 9/25/2023 7,9 15 1.1 12.3 SW S Yes Yes Yes Yes
10 Tantan, Charissa Jane F 2 1/14/2015 9/25/2023 8,8 18 1.24 11.7 SW M Yes Yes Yes No
11 Mondido, Ashley mae F 4 6/21/2014 9/25/2023 9,3 17 1.2 11.8 SW S Yes Yes Yes Yes
12 Pico, Christian4 M 5 11/14/2010 9/25/2023 12,10 26 1.38 13.6 SW S Yes Yes Yes Yes
13 Capos, Eliezar James M 6 12/13/2012 9/25/2023 11,07 34 1.75 11.1 SW T Yes Yes Yes Yes
14 Limbarok, Justin Jay M 6 9/15/2012 9/25/2023 11,02 28 1.52 12.1 SW N Yes No Yes Yes
15 Paglinawan, Kyle Justine M 6 7/7/2012 9/25/2023 11,3 22 1.3 13 SW S Yes Yes Yes Yes
16 Gallardo, Jerom G. M K 5/9/2018 9/25/2023 6,4 14 1.04 - W S Yes Yes Yes No
17 Mangubat, Drake Zander M K 7/27/2018 9/25/2023 6,1 14 1.04 - W N Yes Yes Yes No
18 Obial, Jared Ace B. M K 7/26/2018 9/25/2023 6,1 14 1.01 - W S Yes Yes No No
19 Halagat, Pricey Seth Marvy F K 7/26/2018 9/25/2023 6,1 14 1.06 - W N Yes Yes Yes No
20 Lumadang, Aljen G. F K 5/22/2018 9/25/2023 6,4 13 1 - W S Yes Yes Yes No
21 Posadas, Aira L. F K 5/10/2018 9/25/2023 6,4 13 1.01 - W S Yes Yes Yes No
22 Amaro, Jake C. M 1 10/12/2016 9/25/2023 6,11 15 1.1 12.3 W S Yes Yes Yes No
23 Bago, MJ C. M 1 3/16/2017 9/25/2023 6,6 17 1.16 12.6 W N Yes Yes Yes No
24 Sumamban, Ashly F 1 7/29/2017 9/25/2023 6,1 15 1.1 12.3 W M Yes Yes Yes Yes
25 Villegas, Mark Harvey M 2 10/9/2016 9/25/2023 6,11 15 1.1 12.3 W S Yes Yes Yes Yes
26 Banca, Jonah Jane F 2 6/29/2015 9/25/2023 8,2 17 1.18 12.2 W N Yes Yes Yes No
27 Baquero, Rhia Mae G. F 2 8/24/2015 9/25/2023 8,1 16 1.12 12.7 W S Yes Yes Yes No
28 Tape, Ashley Patoy F 2 1/2/2016 9/25/2023 7,8 15 1.11 12.1 W S Yes Yes Yes Yes
29 Gasip, Rico G M 3 12/27/2012 9/25/2023 10,8 21 1.2 13.2 W S Yes Yes Yes Yes
30 Loviano, Erielle B. M 3 10/3/2013 9/25/2023 9,11 20 1.25 12.8 W N Yes Yes Yes Yes
31 Panganoron, Jea May F 3 10/28/2013 9/25/2023 9,10 21 1.29 12.6 W M Yes Yes Yes No
32 Talpis, Xyriel F 4 12/7/2013 9/25/2023 9,9 22 1.33 12.4 W N Yes Yes Yes Yes
33 Andiason, Cristell Jane F 4 1/30/2013 9/25/2023 10,7 22 1.31 12.8 W N Yes Yes Yes Yes
34 Dumajog, Reena F 4 12/20/2012 9/25/2023 10,3 18 1.16 13.8 W SS Yes Yes Yes Yes
35 Duyana, Ella Star F 5 5/8/2013 9/25/2023 10,4 20 1.25 12.8 W S Yes Yes Yes Yes

Prepared by: Approved by:

MAGDALINA S. GILBUENA EVA MARIA S. ROSLINDA

Feeding Focal Person School Head

Note: This form shall be prepared by the school before the start of feeding to be compiled by the SDO.
SBFP Form 2 (2023)
Department of Education
Region IX

SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING (SY 2023)
Schools Division Office: Zamboanga del Sur
City/ Municipality/Barangay : Tigbao
Name of School / School District : Begong ES - Tigbao
School ID Number: 125449
Date of Start of Feeding: September 25, 2023
Last Mile School: ___Y aN
Nutritional Status at Start/End of Feeding No. of Secondary Targets No. of 4 No. of 4 Ps No. of Pupils Date Feeding
Learners Beneficiari who are Started/Ended
Number of SW W N OW+O SS S N T No. of Pupils- No. of No. of No. of Dewormed es beneficiaries in
Undernourished School at-risk-of- Stunted/ Indigent Indigenous previous years
dropping-out (Repeaters)
Children by Grade Level Severely Learners Peoples (IPs)
(PARDOs) Stunted

1. Kinder 2 6 0 0 0 4 4 0 0 4 7 0 8 7 0 23-Sep-23

2. Grade I 4 3 0 0 0 2 5 0 0 2 7 0 7 7 4 23-Sep-23

3. Grade II 4 4 0 0 0 6 2 0 0 6 6 0 8 8 5 23-Sep-23

4. Grade III 0 3 0 0 0 1 2 0 0 1 3 1 3 3 2 23-Sep-23

5. Grade IV 1 3 0 0 1 1 2 0 0 2 4 0 4 4 4 23-Sep-23

6. Grade V 1 1 0 0 0 2 0 0 0 2 2 1 2 2 2 23-Sep-23

7. Grade VI 3 0 0 0 0 1 1 1 0 1 1 0 3 2 3 23-Sep-23

Total 15 20 0 0 1 17 16 1 0 18 30 2 35 33 20

Prepared by: Approved by:

MAGDALINA S. GILBUENA EVA MARIA S. ROSLINDA

Feeding Focal Person School Head
SBFP Form 5 (2020)

SBFP Form 4 (2023)

DEPARTMENT OF EDUCATION
Region: IX

REGION/SDO/DISTRICT: IX, ZAMBO SUR / TIGBAO

NAME OF SCHOOL: BEGONG ELEMENTARY SCHOOL
SCHOOL ID NO.: 125449

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES (SY: 2023-2024)

NAME & DESIGNATION TEL. MOBILE NO. EMAIL ADD SPECIMEN

NO. SIGNATURE
1
Eva Maria S. Roslinda / School Principal 09088119356 eva.roslinda@deped.gov.ph

2
Magdalina S. Gilbuena / SBFP Coordinator 09071709740 magdalina.gilbuena@deped.gov.ph

3
Ceasar Glenn B. Villarasa / Sch Clinic Coor 09302609642 ceasar.villarasa@deped.gov.ph

SCHOOL INSPECTION TEAM (SY 2023)

NAME & DESIGNATION TEL. MOBILE NO. EMAIL ADD SPECIMEN

NO. SIGNATURE
1
Luciana E. Jayme
09306833029 luciana.jayme@deped.gov.ph
School Inspectorate Member
2
Susana S. Comcom
09386811886 susana.heledo@deped.gov.ph
School Inspectorate Member
3
Madelyn G. Dalagan
09095010007 madelyn.dalagan@deped.gov.ph
School Inspectorate Member

Note: Only authorized consignees are allowed to receive the goods.

Use long hand signature.
SBFP Form 5 (2021)

SBFP Form 5 (2023)

DEPARTMENT OF EDUCATION
Region ___

REGION/DIVISION/DISTRICT: _____________________________________________________________________
NAME OF SCHOOL: ____________________________________________________________________
SCHOOL ID NO.: _____________________________________________________________________

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF BENEFICIARIES (SY________)

Classification of Students in terms of Milk
Tolerance (Please check one)
Without milk With milk Not allowed
Grade & intolerance intolerance but by parents
Name and will willing to to
Section
participate in participate in milk participate
milk feeding feeding in milk
feeding
1 Gallardo, Jerom G. Kinder a
2 Mangubat, Drake Zander Kinder a
3 Obial, Jared Ace B. Kinder a
4 Halagat, Pricey Seth Marvy Kinder a
5 Lumadang, Aljen G. Kinder a
6 Posadas, Aira L. Kinder a
7 Batoy, Rochelle Kinder a
8 Panganoron, Melojane L. Kinder a
9 Pancho, Marc Aeron 1-Hope a
10 Amaro, Jake C. 1-Happy a
11 Bago, MJ C. 1-Happy a
12 Bantilan, John Kenneth P. 1-Happy a
13 Quinones, Kate Xyrelle 1-Happy a
14 Sumamban, Ashly One Happy a
15 Taclas, Cheryl Jane One Happy a
16 Ostelano, Noe Elga Two-Charity a
17 Pata, Kenneth Earl Two-Charity a
18 Tondo, Jerson S. Two-Charity a
19 Villegas, Mark Harvey Two-Charity a
20 Banca, Jonah Jane Two-Charity a
21 Baquero, Rhia Mae G. Two-Charity a
22 Tantan, Charissa Jane Two-Charity a
23 Tape, Ashley Patoy Two-Charity a
24 Gasip, Rico G Three-Kind a
25 Loviano, Erielle B. Three-Kind a
26 Panganoron, Jea May Three-Kind a
27 Mondido, Ashley mae 4-Elegant a
28 Talpis, Xyriel 4-Elegant a
29 Andiason, Cristell Jane 4-Eager a
30 Dumajog, Reena 4-Eager a
31 Pico, Christian4 5-Fair a
32 Duyana, Ella Star 5-Fair a
33 Capos, Eliezar James Six-Gravitas a
34 Limbarok, Justin Jay 6-Grace a
35 Paglinawan, Kyle Justine 6-Grace a
Prepared by: APPROVED BY:

MAGDALINA S. GILBUENA EVA MARIA S. ROSLINDA

Feeding Focal Person School Head
 SBFP Form 5 (2021)

____________________________________
_____________________________________
_____________________________________

ROSLINDA
Head