Professional Documents
Culture Documents
Department of Education
Region I
SCHOOL- BASED FEEDING PROGRAM (SBFP) SUMARY OF BENEFECIARIES & START OF FEEDING
Division/Province: LA UNION
CITY/MUNICIPALITY/BARANGAY: ARINGAY
NAME OF SCHOOL/ SCHOOL DISTRICT: SAN SIMON INTEGRATED SCHOOL ARINGAY
DATE OF START FEEDING: _____________________________
Prepared by:
PRISCILA A. DE MESA
SBFP DepEd Focal
SBFP FORM 2
Department of Education
Region I
Department of Education
Region I
Master School- Based Feeding Program (SBFP)
Date of
Beneficiary of
Weighing/ Age in BMI for 6 Participation
Date of Birth Weight Height Nutritional SBFP in
No. Name Grade Sex Measuring Years/ y.o and in 4Ps Name of Parents
(MM/DD/YYYY) (Kg) (cm) Status (NS) Previous
(MM/DD/YY Months above (yes or no)
Years
YY)
16. Justin Alexis G. Gali 1 M 08-09-2011 06-16-2017 5.10 15.5 129 11.9 Severely Wasted No Valentina Gali No
17. Lawrence Dave B. Notado 1 M 02-23-2011 06-16-2017 6.3 15.3 115 13 Wasted Yes Rebecca B. Notado Yes
18. Reymark C. Notado 1 M 02-06-2011 06-16-2017 6.4 16 125 12.8 Wasted No Reynante B. Notado Yes
19. Rose Ann G. Mercado 1 F 08-13-2011 06-16-2017 5.10 14 112 12.5 Wasted No Adrian Ghil Mercado Yes
20. Jovith C. Cobilla Jr. 2 M 09-12-2010 06-16-2017 6.9 14 107 12.86 Wasted Yes Laarni C. Cobilla Yes
21. John Lord V. Balanag 3 M 08-17-2009 06-16-2017 7.10 176 116 12.63 Wasted No Jovita Balanag No
22. Lyka Mae N. Cacananta 4 F 08-08-2008 06-16-2017 8.10 19.3 117 10.83 Severely Wasted No Tina N. Cacananta No
23. Dolly Joy C. Ibaes 4 F 12-27-2007 06-16-2017 9.5 17 116 12.42 Wasted Yes Danilo Ibaes Yes
24. Paula Benalixen A. Magno 4 F 07-26-2008 06-16-2017 8.10 17.3 117 9.63 Severely Wasted No Paul S. Magno No
25. Justin Mae Neverida 4 F 10-15-2008 06-16-2017 8.7 20.3 116 12.49 Wasted No Remy B. Neverida No
26. Erika G. Neverida 5 F 08-03-2007 06-16-2017 9.10 20 125 12.82 Wasted No William Neverida No
27. Karen Mae C. Salting 4 F 03-08-2008 06-16-2017 9.3 18 120 12.40 Wasted No Remecie Salting No
28. Jiro I. Gutay 6 M 09-28-2005 06-16-2017 10.8 21 129 12.65 Severely Wasted No Reynaldo Itang Yes
29. Rhea Joy N. Mapanao 6 F 06-30-2006 06-16-2017 10.11 25 132 14.37 Wasted Yes Joy N. Mapanao No
Prepared by:
PRISCILA A. DE MESA
SBFP DepEd Focal Person
Note: This form shall be prepared by the school, to be complied by the DO, and for final compilation by the RO, for submission to DepEd-HNC
SBFP FORM 1
Department of Education
Region I
Master List Beneficiaries for School- Based Feeding Program (SBFP)
Date of Beneficiary
Age in BMI for 6 Participation
Date of Birth Weighing/Meas Weight Height Nutritional of SBFP in
No. Name Grade Sex Years/ y/o and in 4Ps Name of Parents
(MM/DD/YYYY) uring (Kg) (cm) Status (NS) Previous
Months above (yes or no)
(MM/DD/YYYY) Years
1 Renz Rainier F. Balangue K M 11-27-2011 06-16-2017 5.7 18 111 14.6 Wasted No Josefina Balangue No
2 Renz F. Carreon K M 11-06-2011 06-16-2017 5.7 14 103 13.2 Wasted No Marites Carreon No
3 Eurie P. Gagarin K M 12-22-2011 06-16-2017 5.5 16 110 13.2 Severely Wasted No Leandro Gagarin No
4 Julius Cesar L. Mapalo K M 03-15-2012 06-16-2017 5.2 15 104 13.9 Wasted Yes Cecille Mapalo No
5 Josh Nathan P. Mapile K M 05-03-2012 06-16-2017 5.1 16 108 13.7 Wasted No Cebidy No
6 Ernesto C. Notado K M 03-27-2012 06-16-2017 5.2 15 103 14.1 Wasted No Reynante No
7 Reuben James M. Rulloda K M 07-31-2012 06-16-2017 4.10 15 105 13.6 Wasted No Jimmy No
8 Reian Jamiel P. Tamsi K M 10-18-2011 06-16-2017 5.7 14.2 105 12.9 Severely Wasted No Amelyn Tamsi No
9 Jessa Mae Balanag K F 01-01-2012 06-16-2017 5.9 13.4 102 12.9 Wasted No Fortunato No
10 Cherry Ann A. Calica K F 08-28-2012 06-16-2017 4.9 16.5 112 13.2 Wasted No Efren No
11 Princess A. Calica K F 08-03-2011 06-16-2017 5.10 18.5 114 14.2 Wasted No Efren No
12 Dainne Mariz C. Ibaes K F 03-20-2012 06-16-2017 5.2 11 93 12.7 Wasted Yes Danilo Ibaes No
13 Ma. Bienice N. Magno K F 12-08-2011 06-16-2017 5.6 18.3 116 13.6 Wasted No Bien Agnus Magno No
14 Lavinia Mae C. Nisperos K F 05-10-2012 06-16-2017 5.1 12.8 102 12.3 Severely Wasted Yes Vanessa No
15 Princess L. Salting K F 05-10-2012 06-16-2017 5.1 13.1 100 13.1 Wasted No Arlene No
Prepared by:
PRISCILA A. DE MESA
Feeding Focal Person
Note: This form shall be prepared by the school, to be complied by the DO, and for final compilation by the RO, for submission to DepEd-HNC