SBFP Form 1 (2020)

Department of Education
Region V

Master List Beneficiaries for School-Based Feeding Program (SBFP) (SY 2020-2021)

Division/Province: CAMARINES SUR Name of Principal : JOB C. NAMORO

City/ Municipality/Barangay : CALABANGA / CAGSAO Name of Feeding Focal Person : ELLA ABIGAEL P. POSTRADO
Name of School / School District : CAGSAO ELEMENTARY SCHOOL - CALABANGA EAST
School ID Number: 112470

BMI Nutritional
Grade/ Date of Weighing / Age in Weight Height for 6
Status (NS) Dewormed
Date of Birth
No. Name Sex (MM/DD/YYYY) Measuring Years / y.o. ?
Section (MM/DD/YYYY) Months (Kg) (cm) and (yes or no)
above
BMI-A HFA
1 M K-Apple 11-20-2014 6.2
BEGINO, JOHN C.

2 M K-Apple 05-01-2014 6.8

BRISTOL, MARK JOSHUA M.

3 M K-Apple 10-26-2015 5.3

NARCISO, PERCY M.

4 F K-Apple 09-19-2014 6.4

BANTIGUE, JHEN ROSE D.

5 M K-Mango 12-17-2013 7.1

BEGINO, TEEJAY G.

6 M K-Mango 03-14-2015 5.1

BEGINO, ZANDER G.

7 M K-Mango 12-18-2013 7.1

ORILLO, ENRIQUE -

8 M K-Atis 09-21-2014 6.4

BARUGA, NILO A. JR

9 M K-Atis 08-23-2015 5.5

BAUTISTA, JANNAH CHRIS M

10 M K-Atis 12/9/2014 6.4

GREFALDIA, LLOYD C.

11 M K-Atis 3/11/2014 6.2

BELARO, NICO B.

12 M K-Atis 09-26-2013 7.4

SAN JOAQUIN, EDWIN B.

13 M K-Orange 05-30-2014
BLANCE, JUSTINE S. 6.8

14 ABAD,JOHN JAY, - M I BLUE 05-25-2013 6

15 CARIÑO,DANIEL RAIN, STA ANA M I BLUE 09-17-2013

5.5

16 ESCARES,JACOB, MACASINAG M I BLUE 05-25-2014

5
17 IBARBIA,JERICK, MAPA M I BLUE 08-19-2013
5.7

18 PAGO,SOPHIA ASHLEY, DALIVA F I BLUE 01-01-2014

5.4

19 BENICO,RHINZ, ADVINCULA M I RED 02-27-2014 5.2

20 FLOR,RAYMOND, BROZULA M I RED 11-19-2012

6.6

21 FLORES,ALDEN, BAAO M I RED 07-12-2013 5.8

22 MILLA,ALVIN, AGSANGRE M I RED 10-08-2013

5.6
SAN JOAQUIN,ACE NATHANIEL,
23 M I RED 05-17-2014
GONZAGA 5

24 SAN JOAQUIN,HONESTO, AGUSTIN M I RED 01-24-2014 5.3

25 SAN JUAN,ERIC, ANDO M I RED 08-26-2014

4.7

26 PAJABES,FRHEANE CASTIEL, PASTOR F I RED 09-12-2013

5.6

27 AMIRA,WILSON JR, CAMACHO M I YELLOW 07-02-2013 4.9

28 MENDEZ,JIRECHO, OLIVEROS M I YELLOW 05-18-2014

6.8

29 PACIBE,JEREMY, CEA M I YELLOW 04-28-2014 6.9

30 REGARDIA,SAMUEL DEAN, - M I YELLOW 05-26-2013

7.8

31 BARUGA, BABY GIRL A. F II-NARRA 10-18-2011

7.7

32 BOGNALOS, DIREK P. M II-ACACIA 9/29/2012 9.1

33 PANTE, EMANUEL E. M II-ACACIA 06-22-2012

6.11

34 PAGO, SHANTAL NICOLE D. F II-ACACIA 12-28-2012

6.5

35 VILLAMOR, JAVIER C. M III-FAITH 08-22-2011 7.9

36 MAPA, CHRISTINE JOY B. F III-FAITH 12-10-2007

11.6

37 M III-HOPE 7.6
DALANON, ORLY CHRISTOPHER O. 12-10-2011

38 M 7.11
MAGLANA, MARCELITO A. III-LOVE 07-02-2011

39 M
OLALO, JOHN CARLO C. III-HOPE 2/25/2011 7.1

40 F 7.1
CATIMBANG, GEMALYN R. III-HOPE 07-14-2011

41 F
LADORES, JASMINE GHAIL V. IV-PEARL 12-24-2010 8.5

42 F
SANDRO, ASHLEY NICOLE C. IV-PEARL 05-23-2009 11

43 M 8.1
LOQUIAS, JOHN LOYD D. IV-DIAMOND 07-13-2010
 44 M
SABADO, LEO JERSON G. IV-PEARL 11-27-2010 8.6

45 F
GREFALDIA, VIRGINIA C. IV-DIAMOND 06-04-2009 9

46 F 9.11
PANO, JENY ROSE L. V-SAMPAGUITA 06-18-2009

47 F
PAYOS, PRINCESS P. V-ORCHID 12-05-2007 11.6

48 F 9.8
SANCHEZ, SHANE S. V-ORCHID 09-28-2009

49 F
MAGO, MARJE S. V-SAMPAGUITA 02-09-2010 9.4

50 M
ASORO, JAYMARK E. VI-EARTH 10-30-2007 11.7

51 M 10.3
BONCACAS, SHERWIN JR. M. VI-VENUS 03-08-2009

52 M
JAPSON, RHON RHON S. VI-VENUS 10-18-2007 11.7

53 F
SAN ANDRES, ALLEN E. VI-VENUS 07-25-2009 9.1

54 M 11.6
ASORO, VANDOLF B. VI-EARTH 12-13-2007

55 BARRA, JULIANA F
VI-EARTH 02-04-2009 10.4
Prepared by: Approved by:

JOB C. NAMORO
ELLA ABIGAEL P. POSTRADO School Head
Feeding Focal Person

Note: This form shall be prepared by the school before the start of feeding to be compiled by the SDO.
EL P. POSTRADO

Parent's
Participation Beneficiary of
consent for
in 4Ps SBFP in
milk?
(yes or (yes or Previous Years
no) (yes or no)
no)

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO NO

YES NO YES

YES NO YES

YES NO YES
YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES YES YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES YES YES

YES NO YES

YES YES YES

YES NO YES

YES YES YES

YES YES YES

YES NO YES

YES NO YES

YES NO YES

YES NO YES

YES YES YES

YES NO YES

YES YES YES

YES NO YES

YES YES YES

YES YES YES

YES NO YES

YES NO YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES NO YES

YES YES YES

YES NO YES
SBFP Form 2 (2020)
Department of Education
Region ___

SCHOOL-BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS (SY________)

Division/Province: ______________________________________
School District/City/ Municipality : ____________________________

Name of District
Name of Schools BEIS ID No. School Address Name of Barangay Contact Number or & Total
Supervisors/
Email Address Beneficiaries
School Principal or OICs

Prepared by: Approved by:

SBFP DepED Focal Schools Division Superintendent

Note: This form shall be prepared by the SDO before the start of feeding, for final consolidation by the RO.
SBFP Form 3 (2020)
Department of Education
Region V

SCHOOL-BASED FEEDING PROGRAM (SBFP) SUMMARY OF BENEFICIARIES & START OF FEEDING (SY 2020-2021 )
Division/Province: CAMARINES SUR
City/ Municipality/Barangay : CALABANGA / CAGSAO
Name of School / School District : CAGSAO ELEMENTARY SCHOOL / CALABANGA EAST
School ID Number: 112470
Date of Start of Feeding: FEBRUARY 8, 2021
Last Mile School: ___Y _/__N
Nutritional Status at Start/End of Feeding No. of Secondary Targets No. of 4 No. of 4 Ps
Learners Beneficiaries
SW W N OW+O SS S N T No. of Pupils- No. of No. of No. of Dewormed
Number of Undernourished School at-risk-of-
Children by Grade Level Stunted/ Indigent Indigenous
dropping-out Severely Learners Peoples (IPs)
(PARDOs) Stunted

- - - - - - - 13 ˗ ˗ ˗ ˗ - 0
1. Kinder

- - - - - 17 ˗ ˗ ˗ ˗ - 1
2. Grade I 2 15

- - - - - 4 ˗ ˗ ˗ ˗ - 2
3. Grade II 0 4

- - - - - 6 ˗ ˗ ˗ ˗ - 2
4. Grade III 0 6

- - - - - 5 ˗ ˗ ˗ ˗ - 3
5. Grade IV 0 5

- - - - - 4 ˗ ˗ ˗ ˗ - 2
6. Grade V 0 4

- - - - - 6 ˗ ˗ ˗ ˗ - 4
7. Grade VI 0 6

Total 2 40 - - - - - 55 ˗ ˗ ˗ ˗ - 14

Prepared by: Approved by:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

SBFP DepEd Focal School Head

Note: This form shall be prepared by the school before the start of feeding and after feeding, to be compiled by the SDO, and for final compilation by the RO, for submission to DepE
 No. of Pupils Date Feeding
who are Started/Ended
beneficiaries
in previous
years
(Repeaters)

0 FEBRUARY 8, 2021

17
FEBRUARY 8, 2021

5 FEBRUARY 8, 2021

5 FEBRUARY 8, 2021

5 FEBRUARY 8, 2021

4 FEBRUARY 8, 2021

6 FEBRUARY 8, 2021

42

mission to DepEd BLSS-SHD

 SBFP Form 4 (2020)
SCHOOL-BASED FEEDING PROGRAM
RECORD OF DAILY FEEDING

FOR THE MONTH OF FEBRUARY , SY 2020-2021

Region V
Division: Camarines sur School: Cagsao Elementary School
District: Calabanga East Grade: __________ Section _____________________
School ID Number: 112470
NAME OF PUPIL ACTUAL FEEDING

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL:
Prepared by:

__________________________
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
( 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.
Page 10
 SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF FEBRUARY, SY 2020-2021

Region: V
Division: Camarines Sur School: Cagsao Elementary School
District: Calabanga East Grade: __________ Section _____________________
School ID Number: 112470

ACTUAL FEEDING

NAME OF PUPIL

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL:

(H ) - Present, served with Hot meals

(M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
( A ) - Absent, not served
(H2/M2/(H/M2)) - Present, served twice

page 2
 SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF ______________________ , SY _____________

Region ____________________________
Division ___________________________ School: _____________________________________
District ___________________________ Grade: __________ Section _____________________
School ID Number: _________________________

ACTUAL FEEDING

NAME OF PUPIL

61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL:

D. Actual Feeding

(H ) - Present, served with Hot meals

(M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
( A ) - Absent, not served
(H2/M2/(H/M2)) - Present, served twice

page 3
 SBFP Form 4 (2020)

SCHOOL-BASED FEEDING PROGRAM

FOR THE MONTH OF ______________________ , SY _____________

Region ____________________________
Division ___________________________ School: _____________________________________
District ___________________________ Grade: __________ Section _____________________
School ID Number: _________________________

ACTUAL FEEDING
ATTENDANCE
NAME OF PUPIL No. of No. of
Days Feeding Percentage
Present Days
### 102 ### ### ### ### ### ### ### ### ### 112 113 114 115 116 117 118 119 120 (A) (B) (A/B)*100
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL: AVERAGE:

D. Actual Feeding

(H ) - Present, served with Hot meals

(M ) - Present, served with Milk
(H/M ) - Present, served with Hot meals & Milk
( A ) - Absent, not served
(H2/M2/(H/M2)) - Present, served twice

page 4
 SBFP Form 5 (2020)

DEPARTMENT OF EDUCATION
Region ____

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

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF AUTHORIZED CONSIGNEES (SY________)

NAME & DESIGNATION TEL. NO. MOBILE NO. EMAIL ADD SPECIMEN
SIGNATURE
1 (School Head)

2 (School Feeding Coordinator)

3 (School Property Custodian)

Note: This form shall be filled-up by School Drop-off points to be given to the NDA/Dairy Cooperative supplier on the first
delivery of milk. Only authorized consignees are allowed to receive the goods.
SBFP Form 5 (2020)
 SBFP Form 6 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

LIST OF BENEFICIARIES (SY 2020- 2021)

(Please check one)
Without milk With milk Not allowed by
intolerance and will intolerance but parents to
Name Grade & Section participate in milk willing to participate in milk
feeding participate in milk feeding
feeding
1 BEGINO, JOHN C. K-Apple ∕
2 BRISTOL, MARK JOSHUA M. K-Apple ∕
3 NARCISO, PERCY M. K-Apple ∕
4 BANTIGUE, JHEN ROSE D. K-Apple ∕
5 BEGINO, TEEJAY G. K-Mango ∕
6 BEGINO, ZANDER G. K-Mango ∕
7 ORILLO, ENRIQUE - K-Mango ∕
8 BARUGA, NILO A. JR K-Atis ∕
9 BAUTISTA, JANNAH CHRIS M. K-Atis ∕
10 GREFALDIA, LLOYD C. K-Atis ∕
11 BELARO, NICO B. K-Atis ∕
12 SAN JOAQUIN, EDWIN B. K-Atis ∕
13 BLANCE, JUSTINE S. K-Orange ∕
14 ABAD, JOHN JAY I BLUE ∕
15 CARIÑO, DANIEL RAIN S. I BLUE ∕
16 ESCARES, JACOB M. I BLUE ∕
17 IBARBIA, JERICK M. I BLUE ∕
18 PAGO, SOPHIA ASHLEY D. I BLUE ∕
19 BENICO,RHINZ A. I RED ∕
20 FLOR, RAYMOND B. I RED ∕
21 FLORES, ALDEN B. I RED ∕
22 MILLA, ALVIN A. I RED ∕
23 SAN JOAQUIN, ACE NATHANIEL G. I RED ∕
24 SAN JOAQUIN, HONESTO A. I RED ∕
25 SAN JUAN, ERIC A. I RED ∕
26 PAJABES, FRHEANE CASTIEL P. I RED ∕
27 AMIRA,WILSON JR. C. I YELLOW ∕
28 MENDEZ,JIRECHO O. I YELLOW ∕
29 PACIBE, JEREMY C. I YELLOW ∕
30 REGARDIA,SAMUEL DEAN, - I YELLOW ∕
31 BARUGA, BABY GIRL A. II-NARRA ∕
32 BOGNALOS, DIREK P. II-ACACIA ∕
33 PANTE, EMANUEL E. II-ACACIA ∕
34 PAGO, SHANTAL NICOLE D. II-ACACIA ∕
35 VILLAMOR, JAVIER C. III-FAITH ∕
36 MAPA, CHRISTINE JOY B. III-FAITH ∕
37 DALANON, ORLY CHRISTOPHER O. III-HOPE ∕
38 MAGLANA, MARCELITO A. III-LOVE ∕
 SBFP Form 6 (2020)

39 OLALO, JOHN CARLO C. III-HOPE ∕

40 CATIMBANG, GEMALYN R. III-HOPE ∕
41 LADORES, JASMINE GHAIL V. IV-PEARL ∕
42 SANDRO, ASHLEY NICOLE C. IV-PEARL ∕
43 LOQUIAS, JOHN LOYD D. IV-DIAMOND ∕
44 SABADO, LEO JERSON G. IV-PEARL ∕
45 GREFALDIA, VIRGINIA C. IV-DIAMOND ∕
46 PANO, JENY ROSE L. V-SAMPAGUITA ∕
47 PAYOS, PRINCESS P. V-ORCHID ∕
48 SANCHEZ, SHANE S. V-ORCHID ∕
49 MAGO, MARJE S. V-SAMPAGUITA ∕
50 ASORO, JAYMARK E. VI-EARTH ∕
51 BONCACAS, SHERWIN JR. M. VI-VENUS ∕
52 JAPSON, RHON RHON S. VI-VENUS ∕
53 SAN ANDRES, ALLEN E. VI-VENUS ∕
54 ASORO, VANDOLF B. VI-EARTH ∕
55 BARRA, JULIANA VI-EARTH ∕
Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 1/18/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 1/20/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 1/25/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 1/27/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 2/8/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 2/10/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 2/15/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region V

REGION/DIVISION/DISTRICT: V/CAMARINES SUR/CALABANGA EAST

NAME OF SCHOOL: CAGSAO ELEMENTARY SCHOOL
SCHOOL ID NO.: 112470

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY 2020 - 2021)

Grade Level Number of Date No. of Packs Received No. of Packs for Remarks
Beneficiaries Delivered Replacement/
New Replacement Total (New + Rejected
Replacement)
Kinder 13 2/17/2021 55 55 0
Grade 1 17
Grade 2 4
Grade 3 6
Grade 4 5
Grade 5 5
Grade 6 5
TOTAL: 55

Prepared by: APPROVED BY:

ELLA ABIGAEL P. POSTRADO JOB C. NAMORO

School Feeding Coordinator School Head
 SBFP Form 7 (2020)

DEPARTMENT OF EDUCATION
Region ___

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

SCHOOL-BASED FEEDING PROGRAM - MILK COMPONENT

MILK DELIVERIES (SY________) FOR DROP-OFF POINTS

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of

Replacement) Beneficiries
1 1
2
3
4
5
6
7
8
9
10

TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
2 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
3 1
2
3
4
5
6
7
 SBFP Form 7 (2020)

8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
4 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
5 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
6 1
2
3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
7 1
2
7 SBFP Form 7 (2020)

3
4
5
6
7
8
9
10
TOTAL:

Date Delivered No. of Packs Received Allocation per School

New Replacement Total (New + Schools Number of
Replacement) Beneficiries
8 1
2
3
4
5
6
7
8
9
10
TOTAL:

Prepared by: APPROVED BY:

School Feeding Coordinator School Head

 SBFP Form 7 (2020)

ENT OF EDUCATION
Region ___

NG PROGRAM - MILK COMPONENT

_______) FOR DROP-OFF POINTS

Allocation per School

Number of Milk
Allocation

Allocation per School

Number of Milk
Allocation

Allocation per School

Number of Milk
Allocation
SBFP Form 7 (2020)

Allocation per School

Number of Milk
Allocation

Allocation per School

Number of Milk
Allocation

Allocation per School

Number of Milk
Allocation

Allocation per School

Number of Milk
Allocation
SBFP Form 7 (2020)

Allocation per School

Number of Milk
Allocation
SBFP Form 8 (2020)

DEPARTMENT OF EDUCATION
Region ___

SCHOOL-BASED FEEDING PROGRAM MONTHLY/QUARTERLY REPORT (SY________)

Region/Division: ____________________

Financial Status

Status of Implementation
(when Amount Liquidation Remarks (state if
Target No. Actual No. % Status of
No. of SDO started, completed, Downloaded fully/partially
Division/Schools of SBFP of SBFP downloading of
Schools (SBFP discontinue, for Amount to /Received liquidated &
Schools Schools Schools/SDO funds to Schools Disbursed
Schools) continuation or number of Allocated by SDOs or reason)
or to NDA/PCC for
feeding days completed) NDA/PCC 1st 2nd
milk
for milk

Prepared by: Approved by:

RO/SDO Focal Person Regional Director/ Schools Division Superintendent

RO/SDO Accountant