Province: MASBATE
C/Municipality: AROROY
Barangay:
Date of Weighing:
No. Name of Children
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL
Prepared by:
________________________________________________
Child Development Worker
Note: Please list the children alphabetically and by Gender. You may use additional sheet as necessary. F
Province: MASBATE
C/Municipality: AROROY
Barangay:
Date of Weighing:
No. Name of Children
No. Name of Children
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL
Prepared by:
________________________________________________
Child Development Worker
Note: Please list the children alphabetically and by Gender. You may use additional sheet as necessary. F
Name of Child Develeopment Center / Superv
Address of Child Development Center / Super
Weig
Birthdate
Gend
Day/ Age in Age in Weight Height
er
Month/ mos years in kgs in cm. Normal
M/F
Year
M F
0 0
Reviewed by:
______________________ ___________________
er BN
ditional sheet as necessary. Fill out line provided for the page number (i.e. Page 1 of 2)
Name of Child Develeopment Center / Superv
Address of Child Development Center / Super
Birthdate
Gend
Day/ Age in Age in Weight Height
er
Weig
Birthdate
Gend
Day/ Age in Age in Weight Height
er
Month/ mos years in kgs in cm. Normal
M/F
Year
M F
0 0
Reviewed by:
______________________ ___________________
er BN
ditional sheet as necessary. Fill out line provided for the page number (i.e. Page 1 of 2)
Department of Social Welfare and Development
Field Office V
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES
FY 2024-2025
nter / Supervised Neighborhood Play: CHILD DEVELOPME
enter / Supervised Neighborhood Play : , AROROY, MASB
SFP Beneficiaries
Nutritional Status (Put # 1 if the child belong to the following)
Weight for Age Weight for Height
Severely
Underwei Overweig Severely Overwigh
underweig Wasted
ght ht wasted t
ht
M F M F M F M F M F M F
0 0 0 0 0 0 0 0 0 0 0 0
________________________________
BNS/BHW
Department of Social Welfare and Development
Field Office V
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES
FY 2024-2025
nter / Supervised Neighborhood Play: CHILD DEVELOPME
enter / Supervised Neighborhood Play : , AROROY, MASB
SFP Beneficiaries
Nutritional Status (Put # 1 if the child belong to the following)
Weight for Age Weight for Height
Severely
Underwei Overweig Severely Overwigh
underweig Wasted
ght ht wasted t
ht
M F M F M F M F M F M F
0 0 0 0 0 0 0 0 0 0 0 0
________________________________
BNS/BHW
velopment
DEVELOPMENT CENTER
OROY, MASBATE
aries
ong to the following)
(Put # 1 if the child belong to the
Height Height for Age
Severel
w/ solo
Obese Stunted y Tall IPs PWD
stunted parent
M F M F M F M F M F M F M F
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Noted by:
_________________________________
C/M
velopment
DEVELOPMENT CENTER
OROY, MASBATE
aries
ong to the following)
(Put # 1 if the child belong to the
(Put # 1 if the child belong to the
Height Height for Age
Severel
w/ solo
Obese Stunted y Tall IPs PWD
stunted parent
M F M F M F M F M F M F M F
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Noted by:
_________________________________
C/M
SFP Form 1
ld belong to the following)
Lactose
4Ps Intoleranc
e
M F M F
0 0 0 0
________________________________________________
C/MSWDO
SFP Form 1
ld belong to the following)
ld belong to the following)
Lactose
4Ps Intoleranc
e
M F M F
0 0 0 0
________________________________________________
C/MSWDO
SFP Form 1
REMARKS
Name of Parent or Guardian
_________________________________
DO
SFP Form 1
REMARKS
Name of Parent or Guardian
Name of Parent or Guardian
_________________________________
DO
