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Feeding Program Beneficiaries List

The document is a masterlist of beneficiaries for a supplemental feeding program run by the Department of Social Welfare and Development. It contains identifying information for 2 children, such as name, sex, birthdate, age, height, weight, and nutritional status. The list also notes the name of each child's parent or guardian. The purpose is to track the nutritional status of children receiving support from the feeding program.

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Joyce Ann Gane
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0% found this document useful (0 votes)
96 views2 pages

Feeding Program Beneficiaries List

The document is a masterlist of beneficiaries for a supplemental feeding program run by the Department of Social Welfare and Development. It contains identifying information for 2 children, such as name, sex, birthdate, age, height, weight, and nutritional status. The list also notes the name of each child's parent or guardian. The purpose is to track the nutritional status of children receiving support from the feeding program.

Uploaded by

Joyce Ann Gane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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SFP Form 2.

a
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Supplemental Feeding Program
MASTERLIST OF BENEFICIARIES

Name of DCC: _________________________________________ Date of Weighing: October 2020


Name of DCW: ________________________________________
Location: _____________________________________________

BIRTHDATE AGE HEIGH Nut. WEI Nut. H FOR W/ NAME OF


No. Name of Child SEX (year/month/day) (in mos.) T Status GHT Status Nut. Status PARENT/ GUARDIAN

1 Juan De la Cruz M 1/12/2017 36 101 N 14.08 N N JANA DELA CRUZ


2 Peter Loreno M 12/15/2016 39 94 S 9.0 SU SW JOSEPH LORENO

Nutritional Status: (Using CGS as reference) Prepared by:


SU- Severely Underweight
UW- Underweight ____________________________________
N- Normal Name/Position
OW- Overweight
____________________________________
Date
DEPARTMENT OF SO

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