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SBFP Form 5 (2020)

SBFP Form 4 (2023)


DEPARTMENT OF EDUCATION
Region: XIII

REGION/SDO/DISTRICT: CARAGA REGION/BISLIG CITY/MANGAGOY 2A


NAME OF SCHOOL: REQUINA CENTRAL ELEMENTARY SCHOOL
SCHOOL ID NO.: 1323844
SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT
LIST OF AUTHORIZED CONSIGNEES (SY: 2023-2024)
NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD SPECIMEN
SIGNATURE
1 (School Head)
VILMA C. NUÑEZ 09107616433 vilma.nunez001@deped.gov.ph
Principal II
2 (Administrative Officer)
LUTA HAZEL N. FERNANDEZ 09276677143 lutahazel.fernandez@deped.gov.ph
AO-II
3

SCHOOL INSPECTION TEAM (SY________)


NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD SPECIMEN
SIGNATURE
1

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


Use long hand signature.

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