SBFP Form 1

Department of Education
Region V

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

S.Y 2016-2017
Division/ Province: SORSOGON
City/Municipality/Barangay: PILAR, PINAGSALOG
Name of School/ School District:

No
.

PINAGSALOG E/S PILAR II

LRN

Name

Se
x

1.

114384130
024

Medes, John Mark M.

2.

114384130
011
114384150
003
114364140
031
114384130
006

Sevilla, Jian Steve

Dequino, Jm

Lofamia, Audrey N.

Lunar, Rafael O.

6.

114384110
009

Lunar, Reymart

7.

114384100
010

Llamera, Laurence

8.

114384100
029
114384100

Marcaida, Windy

Lunar, Romick M.

3.
4.
5.

9.

Name of Principal/TIC: REY ANN L. MARFIL

Name of Feeding Focal Person: MARICHELLE M. TAMAO

Date of
Birth
(MM/DD/YYY
Y)

Date of
Weighing/
measuring
(MM/DD/YYY
Y)

04-182003
04-072008
12-082008
02-252009
06-122008
03-222006
06-092004
08-112005
10-08-

06-232016
06-232016
06-232016
06-232016
06-232016
06-232016
06-232016
06-232016
06-23-

Weig
ht
(Kg)

Heig
ht
(cm)

BMI
for 6
yrs.
Old
and
above

13.
2
8.2

21.2

135

11.6

SW

NO

15

110

12.4

SW

7.5

15

107

13.1

7.3

15.9

115

8.0

15.5

10.
3
12.
0
10.
9
12.

Age
In
Year
/Mo.

Nutritio
nal
Status
(NS)

BEIS
ID
No.

Participa
tion in
4Ps (Yes
or No)

Name of Parent

Benificia
ry of
SBFP In
previou
s Years
(Yes/No)

NO

YES

Rosemarie
Medes
Salvador Sevilla

YES

NO

Jessa Dequino

YES

12.0

NO

Cherry Lofamia

YES

110

12.8

YES

Rany LUnar

NO

21

127

13.0

YES

Mary Jane Lunar

YES

23.5

130

13.9

YES

Vilma Llamera

NO

23.5

134

13.1

YES

YES

25.3

133

14.3

YES

Emmalyn
Marcaida
Mary Jane Lunar

NO

018

10
.
11
.

114384100
030

Mirabuna, Arman

114384130
026

Lopez, Dominic A.

Prepared by:
MARICHELLE M. TAMAO
Feeding Focal Person

2003
03-202003
03-032003

2016
06-232016
06-232016

7
13.
3
13.
3

21

120

14.6

YES

Agnes Mirabuna

NO

29.5

136

15.9

YES

Rosemarie Lopez

NO

Noted:
REY ANN L. MARFIL
School Head