Department of Social Welfare and Development SFP Form 1

Field Office V

Supplementary Feeding Program

MASTERLIST OF BENEFICIARIES
FY 2025_-2026__

Province: Name of Child Develeopment Center / Supervised Neighborhood Play:

C/Municipality: Address of Child Development Center / Supervised Neighborhood Play :
Barangay:
SFP Beneficiaries REMARKS
Date of Weighing:
Nutritional Status (Put # 1 if the child belong to the following)
(Put # 1 if the child belong to the following)
Weight for Age Weight for Height Height for Age
Birthdate
Gend
Day/ Age in Age in Weight Height Severely Severel Lactose
No. Name of Children er w/ solo Name of Parent or Guardian
Month/ mos years in kgs in cm. Normal Underwei underweig Overweig Wasted Severely Overwigh Obese Stunted y Tall IPs PWD 4Ps Intoleranc
M/F ght ht wasted t parent
Year ht stunted e
M F M F M F M F 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 Abordo, John Vincent M 19/12/2020 54 4 Vaneza C. Abordo
2 Aguilar, Jake C. M 2/9/2021 46 3 14 92 Krissel F. Costrua
3 Binaya, Meruem John V. M 21/9/2022 35 2 12 92 Marlene C. Villano
4 Binaya, Rommel John V. M 21/9/2022 35 2 12 93 Marlene C. Villano
5 Cilot, Jerico A. M 7/3/2022 40 3 Edna A. Cilot
6 Cilot Jr., Jake A. M 2/9/2021 46 3 16 100 Amielyn A. Cilot
7 Cilot, King Ace S. M 26/4/2023 26 2 17 100 Alvin A. Cilot
8 Cilot III, Melchor M. M 3/4/2021 48 4 Jay Rose Munar
9 Claro, Rollin M. M 15/1/2021 54 4 Gigi M. Claro
10 Centino, Julian Cloud C. M 16/9/2022 34 2 Judith C. Centino
11 Colasito, Kieth Peter V. M 19/12/2022 30 2 12.1 91 Liezel C. Villano
12 Colipano Jr, Olpindo C. M 2/12/2022 31 2 Ma. Magdalena C. Colipano
13 Colipano, Korbin Koa L. M 24/10/2022 32 2 14 91 Rene A. Colipano
14 Combo, John Austin C. M 18/7/2022 36 3 15 100 Joanna C. Combo
15 Combo, Wiljohn C. M 24/12/2020 54 4 Eva C. Combo
16 Condat, Timothy Jazz G. M 8/6/2022 37 3 Vanessa Galanza
17 Corullo, Jaden C. M 28/8/2022 34 2 Magdalena C. Competente
18 Costrua III, Celso D. M 24/11/2021 43 3 Carina D. Costrua
19 Costrua, Jazz Jaden L. M 23/11/2021 43 3 Analyn J. Lucaban
20 Daep, Desaint C. M 22/11/2022 31 2 Marvic B. Costrua
TOTAL 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

Prepared by: Noted by:

Reviewed by:

________________________________________________________ _________________________________________ _______________________________________________________________________

Child Development Worker BNS/BHW C/MSWDO

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)
 Birthdate Nutritional Status (Put # 1 if the child belong to the following)
Gend Weight for Age Weight for Height Height for Age
(Put # 1 if the child belong to the following)
Day/ Age in Age in Weight Height Severely Severel Lactose
No. Name of Children er w/ solo Name of Parent or Guardian
Month/ mos years in kgs in cm. Normal Underwei underweig Overweig Wasted Severely Overwigh Obese Stunted y Tall IPs PWD 4Ps Intoleranc
M/F ght ht wasted t parent
Year M F M F M ht F M F M F M F M F M F M F stunted
M F M F M F M F M F M F M e F
1 Dacuno, Jomar C. M 11/4/2023 Gemma B. Cuentas
2 Dacuno, Lexus Dhebb A. M 19/11/2022 Lovelyn E. Arisgado
3 Dometita, Jax Nethan C. M 9/11/2021 Jeanneth C. Dometita
4 Gonzales, Rohan Zach Aeros C. M 18/6/2022 Abegail C. Gonzales
5 Sibulo, Evan C. M 2/9/2021 Sarah Jane C. Cobilla
6 Bechayda, Alexa Kate C. F 15/9/2021 Richelle C. Bechayda
7 Chua, Loraine C. F 19/12/2020 Floriza Cervantes
8 Cilot, Princess P. F 3/9/2022 Mercy S. Pantila
9 Clado, Mary Shyrel C. F 20/1/2022 Salve C. Clado
10 Cobilla, Shrinda C. F 20/9/2021 Danica C. Cobilla
11 Codillo, Diana Faith C. F 15/12/2021 Emilia C. Codillo
12 Colanza, Adriel Lois D. F 8/11/2020 Adelina C. Dacuno
13 Condat, Merry Perl B. F 22/10/2021 Sheryl B. Condat
14 Condat, Zianna Antonette P. F 24/1/2022 Rowena P. Condat
15 Coriño, Ana Meira B. F 21/7/2022 Aileen B. Coriño
16 Corral, Jayrah C. F 10/1/2023 Joyce R. Cobilla
17 Costrua, Alliyah C. F 3/6/2021 Christine C. Costrua
18 Cuerdo, Acesha Z. F 13/5/2021 Jelle Ziga
19 Cuerdo, Ashley T. F 13/8/2021 Leah H. Tagle
20 Da, Angel C. F 22/6/2021 Edna C. Competente
TOTAL 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

Prepared by: Noted by:

Reviewed by:
________________________________________________________ _________________________________________ _______________________________________________________________________
Child Development Worker BNS/BHW C/MSWDO

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)

Birthdate Nutritional Status (Put # 1 if the child belong to the following)

Gend Weight for Age Weight for Height Height for Age
(Put # 1 if the child belong to the following)
Day/ Age in Age in Weight Height Severely Severel Lactose
No. Name of Children er w/ solo Name of Parent or Guardian
Month/ mos years in kgs in cm. Normal Underwei underweig Overweig Wasted Severely Overwigh Obese Stunted y Tall IPs PWD 4Ps Intoleranc
M/F ght ht wasted t parent
Year M F M F M ht F M F M F M F M F M F M F stunted
M F M F M F M F M F M F M e F
1 Gomez, Angelyn Mae C. F
2 Llagas, Princess C. F 22/4/2021 Crissel C. Llagas
3 Mapusao, Iziya C. F 19/9/2021 Inessa C. Cobilla
4 Repuyan, Ammiah Teriz Briee B. F 31/3/2022 Salve C. Baraga
5 Sape, Angela Mae R. F
6
7
8
9
 10
11
12
13
14
15
16
17
18
19
20
TOTAL 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

Prepared by: Noted by:

Reviewed by:
________________________________________________________ _________________________________________ _______________________________________________________________________
Child Development Worker BNS/BHW C/MSWDO

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)
Province: CAMARINES SUR
City/Municipality: _______________________

Barangay

1
2
3
4
5
6
7
8
9
 10
11
12
13
14
15
16
17
18
19
20
TOTAL
GRAND TOTAL

Prepared By:

_____________________________________________
SFP Focal
Note: Please list barangays alphabetically. You may use additional sheet as nec
AMARINES SUR
ity: _______________________

Name of CDC / SNP

Male

2 3 4 5
_____________________________________
SFP Focal
angays alphabetically. You may use additional sheet as necessary. Fill out line provided for th
 Department of So

Supplem

Nu

Solo
Female Grand PWD
Parent
4P's
Total Total
Total
2 3 4 5 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

Noted by:

______________________

ut line provided for the page number (i.e. Page 1 of 2)

ment of Social Welfare and Development
Field Office V

Supplementary Feeding Program

SUMMARY LIST
CY 2023-2024

Number of Children Beneficiaries

Weight for Age
Severly
Lactose Underwe Overweig
IP's Normal Underwei Total
Intolerance ight ht
ght

M F M F M F M F M F M F M
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

_____________________________________________
C/MSWDO
 Total Number of Child Development Center:
Total Number of Children Beneficiaries:

e Weight for Height Height for Age

Severely Overwigh Severely
Total Wasted Obese Stunted
wasted t Stunded
Total
F M F M F M F M F M F M
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

Approve

__________ _________
 t Center: _______
aries: _________

eight for Age

Name of CDW/ Authorized
Severely Representative
Tall
Stunded

F M F
 0 0 0

Approved By:

____________________________________________
City/Municipal Mayor
Contact
Number
_________________
yor
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 20__-20__

Name of CDC/SNP: __________________________________________________________________________

Name of CDW/Volunteer: ________________________________________________________________________
Address of Child Development Center: ___________________________________________________________
Date of Weighing:____________________________________________________________________________

Before Feeding (Put # 1 if the child belong to the following)

Nutritional Status
Day/ Age Age Weigh Vit. Severe
Gender Height Dewormin Severel Severel Lactose
No. Name of Child Month/Year in in t in Supplement Normal Under y Under Over Wasted y
Over
Obese
Stunte ly
Tall Intolerance REMARKS
M/F in cm. g Date
Birthdate mos. years kgs ation Date weight Weight weight d (St) Stunte
Weight Wasted
d (SSt)
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 Gomez, Angelyn Mae C. F 12/5/2021 50 4
2 Llagas, Princess C. F 22/4/2021 50 4
3 Mapusao, Iziya C. F 19/9/2021 45 3
4 Repuyan, Ammiah Teriz Briee B. F 31/3/2022 39 3
5 Sape, Angela Mae R. F 25/10/2021 44 3
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
Child Developmen Worker/Educare Teacher Barangay Nutrition Scholar (BNS) / Barangay Health Worker (BHW)

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)
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 20__-20__

Name of CDC/SNP:
__________________________________________________________________________
Name of CDW/Volunteer: _____________________________________________________________________
Address of Child Development Center: ___________________________________________________________
Date of Weighing:____________________________________________________________________________

AFTER 30 DAYS (Put # 1 if the child belong to the following)

Day/ Nutritional Status
Age Age Weigh Vit. Severe
Gender Month/ Height Dewormin Severel Severel Lactose
No. Name of Child in in t in Supplement Under Over Over Stunte ly
M/F Year in cm. g Date Normal y Under Wasted y Obese Tall Intolerance REMARKS
Birthdate mos. years kgs ation Date weight Weight weight d (St) Stunte
Weight Wasted
d (SSt)
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 Dacuno, Jomar C. M 11/4/2023
2 Dacuno, Lexus Dhebb A. M 19/11/2022
3 Dometita, Jax Nethan C. M 9/11/2021
4 Gonzales, Rohan Zach Aeros C. M 18/6/2022
5 Sibulo, Evan C. M 2/9/2021
6 Bechayda, Alexa Kate C. F 15/9/2021
7 Chua, Loraine C. F 19/12/2020
8 Cilot, Princess P. F 3/9/2022
9 Clado, Mary Shyrel C. F 20/1/2022
10 Cobilla, Shrinda C. F 20/9/2021
11 Codillo, Diana Faith C. F 15/12/2021
12 Colanza, Adriel Lois D. F 8/11/2020
13 Condat, Merry Perl B. F 22/10/2021
14 Condat, Zianna Antonette P. F 24/1/2022
15 Coriño, Ana Meira B. F 21/7/2022
16 Corral, Jayrah C. F 10/1/2023
17 Costrua, Alliyah C. F 3/6/2021
18 Cuerdo, Acesha Z. F 13/5/2021
19 Cuerdo, Ashley T. F 13/8/2021
20 Da, Angel C. F 22/6/2021
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
Child Developmen Worker/Educare Teacher Barangay Nutrition Scholar (BNS) / Barangay Health Worker (BHW)

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)
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 20__-20__

Name of CDC/SNP: __________________________________________________________________________

Name of CDW/Volunteer: ________________________________________________________________________
Address of Child Development Center: ___________________________________________________________
Date of Weighing:____________________________________________________________________________

AFTER 60 DAYS (Put # 1 if the child belong to the following)

Day/ Nutritional Status
Age Age Weigh Vit. Severe
Gender Month/ Height Dewormin Severel Severel Lactose
No. Name of Child in in t in Supplement Under Over Over Stunte ly
M/F Year in cm. g Date Normal y Under Wasted y Obese Tall Intolerance REMARKS
mos. years kgs ation Date weight Weight weight d (St) Stunte
Birthdate Weight Wasted
d (SSt)
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
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
Child Developmen Worker/Educare Teacher Barangay Nutrition Scholar (BNS) / Barangay Health Worker (BHW)

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)
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 20__-20__

Name of CDC/SNP: __________________________________________________________________________

Name of CDW/Volunteer: ________________________________________________________________________
Address of Child Development Center: ___________________________________________________________
Date of Weighing:____________________________________________________________________________

AFTER 90 DAYS (Put # 1 if the child belong to the following)

Day/ Nutritional Status
Age Age Weigh Vit. Severe
Gender Month/ Height Dewormin Severel Severel Lactose
No. Name of Child in in t in Supplement Under Over Over Stunte ly
M/F Year in cm. g Date Normal y Under Wasted y Obese Tall Intolerance REMARKS
mos. years kgs ation Date weight Weight weight d (St) Stunte
Birthdate Weight Wasted
d (SSt)
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
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
Child Developmen Worker/Educare Teacher Barangay Nutrition Scholar (BNS) / Barangay Health Worker (BHW)

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)
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 20__-20__

Name of CDC/SNP: __________________________________________________________________________

Name of CDW/Volunteer: ________________________________________________________________________
Address of Child Development Center: ___________________________________________________________
Date of Weighing:____________________________________________________________________________

AFTER 120 DAYS (Put # 1 if the child belong to the following)

Day/ Nutritional Status
Age Age Weigh Vit. Severe
Gender Month/ Height Dewormin Severel Severel Lactose
No. Name of Child in in t in Supplement Under Over Over Stunte ly
M/F Year in cm. g Date Normal y Under Wasted y Obese Tall Intolerance REMARKS
mos. years kgs ation Date weight Weight weight d (St) Stunte
Birthdate Weight Wasted
d (SSt)
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
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
Child Developmen Worker/Educare Teacher Barangay Nutrition Scholar (BNS) / Barangay Health Worker (BHW)

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)
 Republic of the Philippines
Province of Camarines Sur
Municipality of _________________
Municipal Social Welfare and Development Officer

CONSOLIDATED NUTRITIONAL NUTRITIONAL STATUS

Province: CAMARINES SUR Total Number of Beneficiaries: 1000

City/Municipality:

Weight for Age

Normal Underweight Severely Underweight Overweight/Obese Lactose Intolerance
BEFORE
FEEDING # of Children % Share # of Children % Share # of Children % Share # of Children % Share # of Children % Share
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
0 0 0 0.0% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
AFTER 60
FEEDING DAYS 0 0 0 0.0% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
AFTER 120
FEEDING DAYS 0 0 0 0.0% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%

Wasting
Normal Wasted Severely Wasted Overweight Obese
BEFORE
FEEDING # of Children % Share # of Children % Share # of Children % Share # of Children % Share # of Children % Share
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
AFTER 60
FEEDING DAYS 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
AFTER 120
FEEDING DAYS 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%

Stunting
Normal Stunted Severely Stunted Tall
BEFORE
FEEDING # of Children % Share # of Children % Share # of Children % Share # of Children % Share
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
AFTER 60
0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
FEEDING DAYS
AFTER 120
0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00% 0 0 0 0.00%
FEEDING DAYS

Prepare by: Validated by: Noted by:

_________________________________________________ _______________________________________________ _________________________________________
SFP Focal Person City/Municipal Nutrition Action Officer Municipal Social Welfare and Development Officer
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 2023-2024

Name of CDC/SNP:
Name of CDW/Volunteer:
Address of Child Development Center:
Date of Weighing:
30 DAYS AFTER
Vit. A
Age in Age in Height Weight DEWORM Severely
Gender Day/Month/ Supplem Severely Stunted
No. Name of Child
M/F Year Birthdate
ING
entation
N UW SUW OW Wasted
Wasted
Overweight Obese
(St)
Stunted Tall REMARKS
mos. years in cm. in kgs (DATE) (SSt)
(DATE)
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
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
CDW BNS

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)
 Department of Social Welfare and Development
Field Office V

Supplementary Feeding Program

WEIGHT MONITORING RECORD
CY 2023-2024

Name of CDC/SNP:
Name of CDW/Volunteer:
Address of Child Development Center:
Date of Weighing:
90 DAYS AFTER
Vit. A
Age in Age in Height Weight DEWORM Severely
Gender Day/Month/ Supplem Severely Stunted
No. Name of Child
M/F Year Birthdate
ING
entation
N UW SUW OW Wasted
Wasted
Overweight Obese
(St)
Stunted Tall REMARKS
mos. years in cm. in kgs (DATE) (SSt)
(DATE)
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
TOTAL 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: Reviewed by:

________________________________________________________ ________________________________________________________
CDW BNS

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)