Department of Social Welfare and Development SFP Form 2

Supplementary Feeding Program

SUMMARY LIST OF BENEFICIARIES
CY 2023-2024

Province: Total Number of Child Development Center: ______________

City/Municipality: Total Number of Children Beneficiaries: _________________
Number of Children Beneficiaries
Weight for Age Weight for Height Height for Age
Name of CDW/
Contact
Barangay Name of CDC w/ solo SEVERELY Severely Severely Authorized
PWD 4P's IP's Normal UNDERWEIGHT OVERWEIGHT Wasted Stunted Number
parent UNDERWEIGHT wasted wasted Representative
Male Female Total Total Total

2 3 4 5 2 3 4 5 M F M F M F M F M F 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Page ____ of ______

Prepared by: Noted by:

C/MSWDO C/Municipal Mayor

Note: Please list barangays alphabetically. You may use additional sheet as necessary. Fill out line provided for the page number (i.e. Page 1 of 2)
 Department of Social Welfare and Development SFP Form
Field Office V
Supplementary Feeding Program
MASTERLIST OF BENEFICIARIES
FY 2023-2024

Province: Name of Child Develeopment Center:

C/Municipality: Address of Child Development Center:
Barangay:
SFP Beneficiaries REMARKS
Date of Weighing:
Nutritional Status
Weight for Age Weight for Height Height for Age (Check if the child belong to the following)
Day/Month/ Severely
Gender Age in Age in Height Weight Normal Underwe underwei Overweig Wasted Severely Stunted Severely IPs PWD
w/ solo
4Ps Name of Parent or
No. Name of Children M/F Birthdate ight ht wasted stunted parent
mos. years in cm. in kgs ght Guardian
Year
M F M F M F M F M F M F M F M F M F M F M F M F
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
26
27
28
29
30
TOTAL 12
Page _____ of _______ Note: Please list the children alphabetically and by Gender. You may use additional sheet as necessary. Fill out line provided for the page number (i.e. Page 1 of 2)

Prepared by: Noted by:

Child Development Worker C/MSWDO