Professional Documents
Culture Documents
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Solo
Actual Date of Age in of Vitamin A specify RCCT / Ips (pls put Intolerant
Name of Child Date of Birth Weight Height in Deworming Parent
NO. Sex (M/F) Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT a check PWD (pls specify) (pls put a
(Surname, First Name, M.I) (mm/dd/yyyy) in kg. cm. Height Age (mm/dd/yyyy) (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate mark) check
(Wasting) (Stunting) Children check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
UW Underweight Male Female Total Male Female Total Male Female Total Undernourished 0 0 0
Children
Severely
SUW N- 13 12 25 N 13 12 25 N 13 12 25 Deworming 13 12 25
Underweight
Vitamin A
OW Overweight UW 0 0 0 W 0 0 0 S 0 0 0 Supp.
4Ps / RCCT /
Ob Obese SUW 0 0 0 SW 0 0 0 SS 0 0 0 MCCT
Page 1 of 65
W Wasted OW 0 0 0 OW 0 0 0 T 0 0 0 IPs
S Stunted Ob 0 0 0 PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
VICTORIA LUMINDAS LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 2 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of of Vitamin A specify RCCT / Intolerant
Name of Child Date of Birth Weight in Height in Age in Months / Weight for Height for Undernouri Deworming put a Parent
NO. Sex (M/F) Weighing Weight for Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (mm/dd/yyyy) kg. cm. Years Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Age shed (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
UW Underweight Male Female Total Male Female Total Male Female Total Undernourished 0 0 0
Children
Severely
SUW N- 11 13 24 N 12 13 25 N 12 13 25 Deworming
Underweight
Vitamin A
OW Overweight UW 0 0 0 W 0 0 0 S 0 0 0 Supp.
4Ps / RCCT /
Ob Obese SUW 0 0 0 SW 0 0 0 SS 0 0 0 MCCT 1 1
W Wasted OW 1 0 1 OW 0 0 0 T 0 0 0 IPs
S Stunted Ob 0 0 0 PWD
Severely
SS Solo Parent
Stunted
Page 3 of 65
Lactose
T Tall Intolerant
____________________
BNS/BHW
Page 4 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Page 5 of 65
41 DEOCAMPO, ZYRHO M 3/3/2019
42 DURAN, ZHURRAME M 10/24/2020
43 GONZALES, JB M 01/23/2019 ✓
44 LACABA, EVAN M 11/3/2020 ✓
45 MANUMBA, ARJAY M 01/16/2020
46 MELO, JADE M 02/16/2020
47 MELO, JR L. M 11/6/2019
48 PALAY, DHEN JIE JR. M 11/6/2019
49 ROCABE, VINCE LORENZ M 09/14/2019
50 SALEM, NISCHE JR. L. M 10/4/2019 ✓
51 SISI, JHON EXEQUEL M 04/29/2019
52 SISI, JUNREY YZRAEL M 5/11/2018
53 TAKIACOAN, FERSON JAY M 08/23/2019
54 VASQUEZ, JACOB EMILIO M 1/12/2018
55 VILLAMOR, GERLAD JAY M 12/13/2018
56 WACAN, KIM JR. M 01/25/2019
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
ROVILLA C. TACIO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 6 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Undernou Deworming put a Parent
NO. Weighing Months / Weight Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years for Age rished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Page 7 of 65
50 CATEDRILLA, MA. THERESA F 10/15/2019
51 BOLICHE, JAYME AMELLA F 07/19/2019
52 BOLICHE, JAYMIE AMELLI F 07/19/2019
53 CANETE, KAYE F 05/17/2019
54 CABALLERO, QUILLA F 10/27/2019
55 MANDING, MICHAELA F 07/28/2019
56 TAPDASAN, JECKEL F 2/11/2018
57 SULTAN, KAYE F 12/13/2018
58 PAUNER, ALEXIS JANE F 11/2/2019
59 CABATANA, JEA F 02/18/2019
60 BATARA, PRINCESLYN F 03/14/2019
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
Underweig Undernouris
UW Male Female Total Male Female Total Male Female Total
ht hed
Children
Severely
SUW Underweig N- N N Deworming
ht
Overweigh Vitamin A
OW UW W S
t Supp.
4Ps / RCCT
Ob Obese SUW SW SS
/ MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall
Intolerant
____________________
BNS/BHW
Page 8 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member
Summary
(pls specify Ips (pls Child of Solo Lactose
Age in of Vitamin A
Name of Child Sex Date of Birth Actual Date of Weight in Height in Deworming RCCT / 4p's or put a Parent (pls Intolerant
NO. Months / Weight for Weight for Height for Undernour Supplementation PWD (pls specify)
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) Weighing (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check put a check (pls put a
Years Age ished (mm/dd/yyyy)
(Wasting) (Stunting) Children indicate reference mark) mark) check mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
CHITA V. AMUD LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 9 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Date of Birth Weight in Height in Deworming put a Parent
NO. Sex (M/F) Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
UW Underweight Male Female Total Male Female Total Male Female Total Undernourished
Children
Severely
SUW N- N N Deworming
Underweight
Vitamin A
OW Overweight UW W S Supp.
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
MARSH A. FUENTES LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 10 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
RHEA MAE SUDARIO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify Ips (pls Solo
Actual Date of Age in of Vitamin A Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Undernour Deworming RCCT / 4p's or put a Parent
NO. Weighing Months / Weight for Supplementatio PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Years Age ished n (mm/dd/yyyy) check
(Wasting) (Stunting) Children indicate reference mark) check
mark)
number) mark)
Page 13 of 65
35 REBLORA, JULWEN E. M 4/2/2109
36 REQUINA, MARC IAN T. M 06/20/2019
37 ROLLON, ROGINE D. M 12/16/2018
38 RUBO, CLEAVAN LEE A. M 03/29/2019
39 SILAGAN, TYLER M 5/11/2019
40 TAPIC, AARON M 2/4/2019
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
AIRAH MAE T. AMPIN LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 14 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Certified by:
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
WINDELYN DURAN LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 16 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Vitamin A Ips (pls Solo
Actual Date of Age in of specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Undernouri Deworming Supplementati put a Parent
NO. Weighing Months / Weight for 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) on check (pls put a
(mm/dd/yyyy) Years Age shed and indicate check
(Wasting) (Stunting) Children (mm/dd/yyyy) mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Page 17 of 65
Prepared by: Noted by: Approved by:
This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
MARISSA BANTUG LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 18 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Page 19 of 65
36 TERNIO, ETHAN M 04/28/2020
37 TERNIO, JIMMUIL M 11/4/2019
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
RICHELYN P. BARANGGAN LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 20 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Lactose
(pls specify Ips (pls Solo
Actual Date of Age in Summary of Vitamin A Intolerant
Name of Child (Surname, Sex Date of Birth Weight in Height in Deworming RCCT / 4p's or put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernourish Supplementatio PWD (pls specify) (pls put a
First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Years Age ed Children n (mm/dd/yyyy) check
(Wasting) (Stunting) indicate reference mark) check
mark)
number) mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Page 21 of 65
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished 3 2 5
ght Children
Severely
SUW Underwei N- 14 16 30 N 14 16 30 N 12 17 29 Deworming
ght
Overweig Vitamin A
OW UW 0 2 2 UW 0 1 1 S 2 1 3 Supp.
ht
4Ps / RCCT /
Ob Obese SUW 0 0 0 SW 0 0 0 SS 0 0 0 MCCT
W Wasted OW 0 0 0 OW 0 1 1 T 0 0 0 IPs
S Stunted Ob 0 0 0 PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
EDEN S. ELLORIN LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 22 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
Page 23 of 65
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
TERESITA JULO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 24 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Date of Birth Weight in Height in Weight for Height for Deworming put a Parent
NO. Name of Child(Surname, First Name, M.I) Sex (M/F) Weighing Months / Weight for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Page 25 of 65
37 MALANO, JARRED KLAY M 06/27/2019
38 NAPICOG, RAYVER M 4/8/2019
39 PUCONG, ETHAN JAY M 02/18/2019
40 QUIAPO, RIEL MCCOY M 6/5/2019
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
UW Underweight Male Female Total Male Female Total Male Female Total Undernourished
Children
Severely
SUW N- N N Deworming
Underweight
Vitamin A
OW Overweight UW W S Supp.
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
DONNA ELAINE L. CACA LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 26 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Date of Birth Weight in Height in Deworming put a Parent
NO. Sex (M/F) Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Summary of
UW Underweight Male Female Total Male Female Total Male Female Total Undernourished
Children
Severely
SUW N- N N Deworming
Underweight
Vitamin A
OW Overweight UW W S Supp.
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Page 27 of 65
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
CARMEN S. IDAO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 28 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify Ips (pls Solo
Actual Date of of Vitamin A Intolerant
Name of Child Sex Date of Birth Weight in Height in Age in Weight for Height for Undernour Deworming RCCT / 4p's or put a Parent
NO. Weighing Weight for Supplementation PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Months / Years Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Age ished (mm/dd/yyyy) check
(Wasting) (Stunting) Children indicate reference mark) check
mark)
number) mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Certified by:
Page 29 of 65
____________________
BNS/BHW
This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
HAZEL A. POTESTAS LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 30 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Page 31 of 65
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
ESTHER B. ARANA LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 32 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Page 33 of 65
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
VICTORIA LUMINDAS LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 34 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Deworming put a Parent
NO. Weighing Months / Weight for Undernour Supplementation 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Page 35 of 65
38 FEROLINO, ZJEIVY M 12/27/2019
39 GANITANO, ZACH GREVIN M 03/27/2019
40 GILLADO, ACE HARITH M 08/22/2019
41 LABAJO, MELECH LOVE M 07/14/2019
42 LABANON, JC VIEN C. M 03/22/2019
43 LUNAS, GM KEV M 4/10/2019
44 MALIGSAY, LEVIN M 09/14/2020
45 NAYRE, QUIT XAVIER M 6/10/2019
46 OBELIDHON, DOMINIC M 12/18/2019
47 RAPAL, JHOVANNIE M 1/3/2019
48 REGODON, LINDON DAVE M 10/17/2019
49 SARABOSING, MICHAEL M 03/15/2020
50 SUMALINOG, JOASHEM R. M 7/11/2018
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob 0 0 0 PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
ESTHER BELOTINDOS LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 36 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Sex Date of Birth Actual Date of Weight in Height in Weight for Height for Deworming put a Parent
NO. Months / Weight for Undernour Supplementation 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) Weighing (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
Years Age ished (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
Page 37 of 65
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
MARYLUZ GUILLERMO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 38 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify Ips (pls Solo
Actual Date of Age in of Vitamin A Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming RCCT / 4p's or put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) check
(Wasting) (Stunting) Children indicate reference mark) check
mark)
number) mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Page 39 of 65
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
ZENAIDA B. CLEMENA LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 40 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
ANGELA EGOS LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify Ips (pls Solo
Actual Date of Age in of Vitamin A Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming RCCT / 4p's or put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) check
(Wasting) (Stunting) Children indicate reference mark) check
mark)
number) mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
MELODIA CAHANSA LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify Ips (pls Solo
Actual Date of Age in of Vitamin A Intolerant
Name of Child Date of Birth Weight in Height in Deworming RCCT / 4p's or put a Parent
NO. Sex (M/F) Weighing Months / Weight for Weight for Height for Undernour Supplementatio PWD (pls specify) (pls put a
(Surname, First Name, M.I) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) MCCT and check (pls put a
(mm/dd/yyyy) Years Age ished n (mm/dd/yyyy) check
(Wasting) (Stunting) Children indicate reference mark) check
mark)
number) mark)
Page 45 of 65
35 CABANGON, KYRILEN M 10/27/2018
36 CAMPOSANO, RAM M 08/15/2019
37 CAWAYAN, JUMAR M 10/10/2018
38 DIANDAN, DANNY JR. M 1/9/2018
39 MONON, KHIA JOSHUA M 02/21/2020
40 PANDAY, DAVID M 11/10/2018
41 PEPITO, ARVEY M 02/22/2020
42 PEPITO, ISMAEL M 5/11/2018
43 REVILLA, MARK PAUL M 10/18/2018
44 SAAN, JHON JAY M 3/5/2019
45 TORION, KIRCHAN M 02/25/2020
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underweigh Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
t Children
Severely
SUW Underweigh N- N N Deworming
t
Vitamin A
OW Overweight UW W S Supp.
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
LIZA G. PARI LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 46 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
M
1 Dumaog, Julius Jr. S. 06/13/2019
Ompoc, Nithan M
2 07/20/2020
3 Parcon, Elvin kyle H. M 10/13/2020
Romero, Sandy Boy M
4 03/23/2020
Sulayman, Ezekiel H.
5 M 06/29/2020
6 Zarandin, Zeke Arel C. M 10/27/2020
7 Agwan, Lady Jane C. F 12/28/2019
8 Antialon, Fillisse R. F 11/4/2019
9 Buta, Sydney B. F 10/20/2020
10 Dumaog, Sarah V. F 10/28/2019
Hernan, Freya
11 F 03/14/2019
12 Manza, Nathalie M. F 07/24/2019
13 Mamolo, Ashley Nicole M. F 2/10/2019
14 Mamolo, Marsielle N. F 0306/2020
15 Primor, Chancee grace A. F 09/24/2049
Tatoy, Yona mae B.
16 F 10/8/2019
17 Quillobe, Zoe May R. F 3/5/2020
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
Page 47 of 65
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Certified by:
____________________
BNS/BHW
Page 48 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
Page 49 of 65
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
GRETCHIN YOSORES LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 50 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member
Ips (pls Solo Lactose
Actual Date of Age in of Vitamin A (pls specify RCCT /
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent Intolerant (pls
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT and PWD (pls specify)
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a put a check
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) indicate reference
(Wasting) (Stunting) Children mark) check mark)
number)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig
OW UW W S Vitamin A Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
T Tall Lactose Intolerant
Page 51 of 65
Prepared by: Noted by: Approved by:
This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
ROWENA S. PENDATUN LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 52 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Deworming put a Parent
NO. Weighing Months / Weight for Undernour Supplementation 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Page 53 of 65
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
TEODORA MAIT LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 54 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid Member Child of
Summary Lactose
(pls specify RCCT Ips (pls Solo
Actual Date of Age in of Vitamin A Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming / 4p's or MCCT put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) and indicate check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) check
(Wasting) (Stunting) Children reference mark) check
mark)
number) mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Page 55 of 65
Prepared by: Noted by: Approved by:
This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
JERRY S. TENEBRO LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head Certified by:
____________________
BNS/BHW
Page 56 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Child of
Summary Pantawid Member Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A (pls specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Deworming put a Parent
NO. Weighing Months / Weight for Undernour Supplementatio 4p's or MCCT and PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished n (mm/dd/yyyy) indicate reference check
(Wasting) (Stunting) Children mark) check
number) mark)
mark)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Page 57 of 65
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
IRISH DAYA LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 58 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Deworming put a Parent
NO. Weighing Months / Weight for Weight for Height for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
Page 59 of 65
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
LUCENA LASIB LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 60 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Page 61 of 65
Prepared by: Noted by: Approved by:
This is to certify that the above list of children
beneficiaries has been Dewormed and received
Vitamin A Supplementation with the date indicated
MICHELLE BULAHING LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 62 of 65
Department of Social Welfare and Development, Field Office XI
Supplementary Feeding Program
13th Cycle Implementation - SY 2023-2024
MASTERLIST OF BENEFICIARIES
NUTRITIONAL STATUS
Pantawid
Child of
Summary Member (pls Lactose
Ips (pls Solo
Actual Date of Age in of Vitamin A specify RCCT / Intolerant
Name of Child Sex Date of Birth Weight in Height in Weight for Height for Deworming put a Parent
NO. Weighing Months / Weight for Undernour Supplementation 4p's or MCCT PWD (pls specify) (pls put a
(Surname, First Name, M.I) (M/F) (mm/dd/yyyy) kg. cm. Height Age (mm/dd/yyyy) check (pls put a
(mm/dd/yyyy) Years Age ished (mm/dd/yyyy) and indicate check
(Wasting) (Stunting) Children mark) check
reference mark)
mark)
number)
Page 63 of 65
Legend:
N Normal WEIGHT FOR AGE WEIGHT FOR HEIGHT HEIGHT FOR AGE Male Female Total
Underwei Summary of
UW Male Female Total Male Female Total Male Female Total Undernourished
ght Children
Severely
SUW Underwei N- N N Deworming
ght
Overweig Vitamin A
OW UW W S Supp.
ht
4Ps / RCCT /
Ob Obese SUW SW SS MCCT
W Wasted OW OW T IPs
S Stunted Ob PWD
Severely
SS Solo Parent
Stunted
Lactose
T Tall Intolerant
Prepared by: Noted by: Approved by: This is to certify that the above list of children
beneficiaries has been Dewormed and received
WELLYN AWE LEAH JANE L. REDONA, RSW RHESTY B. CAMASURA I, RSW Vitamin A Supplementation with the date indicated
prior to the feeding implementation.
Child Development Worker/Teacher SFP Focal Person C/MSWDO/District Head
Certified by:
____________________
BNS/BHW
Page 64 of 65
REPUBLIC OF THE PHILIPPINES
PROVINCE OF DAVAO DEL SUR
MUNICIPALITY OF MAGSAYSAY
13th Cycle Implementation S.Y 2023-2024