SFP Form2.
DEPARTMENTOF SOCIALWELFARE AND DEVELOPMENT
Supplemental Feeding Program
MASTERLIST OF BENEFICIARIES
Name of DCC : Urtam Day Care Center
Name of DCW: Edsyl Jane A. Pacquiao Date of Weighing: _________________________
Location : Purok Urtam Brgy. Balintawak Escalante City
NAME OF CHILD SEX BIRTHDATE AGE HEIGHT WEIGHT NUT. NAME OF PARENTS/GUARDIAN
(year/month/day) (in mos.) (in cm.) (in kilos) STATUS
1. Aleviado, Kristhan Rod D. M 14/05/07 Rodel Aleviado
2. Amion, Prince Aljune Jake P. M 14/03/16 Alfie Amion
3. Bascones, Gerald M. Jr. M 14/08/02 Gerald Bascones Sr.
4. Cabaluna, Jacob M 15/06/17 Freddie Cabaluna
5. Daniel, Johnrin A. M 14/05/28 Jonny Daniel
6. Helarman, Larry M. M 14/07/28 Helario Helarman
7. Legaspina, Lorenz D. M 14/05/23 Rodel Legaspina
8. Omay, Danilo S. Jr. M 15/04/27 Maelyn Omay
9. Omay, John Mark S. M 14/04/06 Maelyn Omay
10. Omay, Mark Neil M 14/07/19 Ana Marie Omay
11. Villanueva, Renz M 14/03/05 Analy Villanueva
12. Villar, Jephte Aimel M 14/09/26 Rose Ann Villar
13. Flores, Rejean A. F 14/09/19 Adrian Flores
14. Gallarde, Ravena Queen O. F 15/07/12 Marven Gallarde
15. Guillen, Aliah Keylie P. F 15/04/05 Pedro Guillen Sr.
16. Morano, Jahzeel Hannah B. F 13/10/31 John Ariel Morano
17. Omay, Diana May Princess S. F 16/08/08 Maelyn Omay
18. Pontevedra, Skye P. F 14/09/04 Roderick Pontevedra
19. Salimbot, Johannah Nicole D. F 14/04/03 Arnold Salimbot
20. Villanueva, Angel F 13/09/23 Arlyn Villanueva
Nutritional status: (Using CGS as reference) PREPARED BY:
SU-Severely Underweight
UW- Underweight ________________________________________________
N- Normal NAME / POSITION
OW- Overweight
_________________________________________________
OPT- Operation Timbang DATE
SFP Form2.a
DEPARTMENTOF SOCIALWELFARE AND DEVELOPMENT
Supplemental Feeding Program
MASTERLIST OF BENEFICIARIES
Name of DCC : ____________________________________
Name of DCW: ____________________________________ Date of Weighing: _________________________
Location : ____________________________________
NAME OF CHILD SEX BIRTHDATE AGE HEIGHT WEIGHT NUT. NAME OF PARENTS/GUARDIAN
(year/month/day) (in mos.) (in cm.) (in kilos) STATUS
Nutritional status: (Using CGS as reference) PREPARED BY:
SU-Severely Underweight
UW- Underweight ________________________________________________
N- Normal NAME / POSITION
OW- Overweight
_________________________________________________
OPT- Operation Timbang DATE