SBFP Form 3 (2023)

SCHOOL-BASED FEEDING PROGRAM

RECORD OF DAILY FEEDING

FOR THE MONTH OF APRIL -MAY, 2024

Region IV-A CALABARZON
Division RIZAL School: TUNA BARRIO SCHOOL
District CARDONA Grade: KINDER-V
School ID Number: 165501
ACTUAL FEEDING
NAME OF PUPIL Date APRIL 24-26 APRIL 29-MAY 3
No.FD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Brannon P.Dela Cruz
2 Jarri Theodore Gen
3 Andrea Nicole S. Belardo
4 Ryleigh Reighn T. Salire
5 Charlie Teodoro
6 Joemar S. Teodoro
7 Liam Avery Tiburcio
8 Juan Miguel S. Teodoro
9 Aianne Steffi S. Trinidad
10 Justin S. Renganate
11 Ahlkiel Zion G. Tiburcio
12 Gebsann P. Dela Cruz
13 Kirsten Leigh M. Pili
14 Annabryn P.Dela Cruz
15 Alexander A. Dela Cruz
16 Russel Mari Herera
17 Adan Kirby LadLad
18 Risa A. Francisco
19 Aljhur Dwayne Tiburcio
20 Gebezhane Dela Cruz

Prepared by:

CINDY F. SAN JUAN

B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
RONNIE R. LLAGAS ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 3 (2023)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF MAY 2024

Region IV-A CALABARZON
Division RIZAL School: TUNA BARRIO SCHOOL
District CARDONA Grade: KINDER-V
School ID Number: 165501
ACTUAL FEEDING
NAME OF PUPIL Date MAY 6-10 MAY 13-17
No.FD 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
1 Annica E. Etorma
2 Rhica E. Etorma
3 Lhoren Dale O. Raymundo
4 Alexander John Pil
5 Edmark Dave S. Arabit
6 Charles Johan M. Bernabe
7 Athena Mharize Antazo
8 Nickie Clarries C. Raymundo
9 Athena Margarette SM. Raymundo
10 Zhieanne D. San Juan
11 Jessica Santos
12 Mark Joseph S.Opao
13 Joush Deniel F.San Juan
14 Marcus Grey T.Dela Cruz
15 Kurt Cobain F.Francisco
16 Sophia Carmel Francisco
17 Lorrily B.Sumilang
18 Norine B.Annonical
19 Lyzza R.Lubay
20 Zai Mae M.San Juan

Prepared by:

CINDY F. SAN JUAN

B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
RONNIE R. LLAGAS ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
 SBFP Form 3 (2023)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF MAY 2024

Region IV-A CALABARZON
Division RIZAL School: TUNA BARRIO SCHOOL
District CARDONA Grade: KINDER-V
School ID Number: 165501
ACTUAL FEEDING
NAME OF PUPIL Date MAY 20-24 MAY 27-31
No.FD 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
1 Annica E. Etorma
2 Rhica E. Etorma
3 Lhoren Dale O. Raymundo
4 Alexander John Pil
5 Edmark Dave S. Arabit
6 Charles Johan M. Bernabe
7 Athena Mharize Antazo
8 Nickie Clarries C. Raymundo
9 Athena Margarette SM. Raymundo
10 Zhieanne D. San Juan
11 Jessica Santos
12 Mark Joseph S.Opao
13 Joush Deniel F.San Juan
14 Marcus Grey T.Dela Cruz
15 Kurt Cobain F.Francisco
16 Sophia Carmel Francisco
17 Lorrily B.Sumilang
18 Norine B.Annonical
19 Lyzza R.Lubay
20 Zai Mae M.San Juan

Prepared by:

CINDY F. SAN JUAN

B. Deworming D. Actual Feeding
Feeding Teacher / School Nurse
( x ) - not dewormed (H ) - Present, served with Hot meals
Approved by: ( √ ) - dewormed (M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
RONNIE R. LLAGAS ( A ) - Absent, not served
School Head (H2/M2/(H/M2)) - Present, served twice

Note: This form shall be prepared by the school to be consolidated using the Revised OKD Form A.
SBFP Form 6 (2021)

DEPARTMENT OF EDUCATION
Region ___

REGION/DIVISION/DISTRICT: ______________________________________________________________________________
NAME OF SCHOOL: ______________________________________________________________________________
SCHOOL ID NO.: ______________________________________________________________________________

SCHOOL-BASED FEEDING PROGRAM

NFP DELIVERIES (SY________)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 24
Grade 1 56
Grade 2 51
Grade 3 46
Grade 4
Grade 5
Grade 6
TOTAL: 177

MILK DELIVERIES (SY________)

Grade Level Number of Beneficiaries Date No. of Packs Received No. of Packs for
Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 24
Grade 1 56
Grade 2 51
Grade 3 46
Grade 4
Grade 5
Grade 6
TOTAL: 177
SBFP Form 6 (2021)

Prepared by: APPROVED BY:

School Feeding Coordinator School Head

SBFP Form 6 (2021)

Remarks

Remarks