SBFP Form 1 (2020)
Department of Education
Region ___
Master List Beneficiaries for School-Based Feeding Program (SBFP) (SY________)
Division/Province: ______________________________________ Name of Principal : ____________________________________
City/ Municipality/Barangay : ____________________________ Name of Feeding Focal Person : _________________________
Name of School / School District : _________________________
School ID Number: _________________________
BMI Nutritional Parent's
Participation Beneficiary of
Grade/ Date of Birth Date of Weighing / Age in Weight Height for 6
Status (NS) Dewormed consent for
in 4Ps SBFP in
No. Name Sex Section
Measuring Years / y.o. ? milk?
(MM/DD/YYYY) Months (Kg) (cm) (yes or Previous Years
(MM/DD/YYYY)
and (yes or no) (yes or
no) (yes or no)
above no)
BMI-A HFA
Prepared by: Approved by:
__________________________________ School Head
Feeding Focal Person
Note: This form shall be prepared by the school before the start of feeding to be compiled by the SDO.
SBFP Form 2 (2020)
Department of Education
Region ___
SCHOOL-BASED FEEDING PROGRAM (SBFP) LIST OF SCHOOLS (SY________)
Division/Province: ______________________________________
School District/City/ Municipality : ____________________________
Name of District
Contact Number or & Total
Name of Schools BEIS ID No. School Address Name of Barangay Supervisors/
Email Address Beneficiaries
School Principal or OICs
Prepared by: Approved by:
SBFP DepED Focal Schools Division Superintendent
Note: This form shall be prepared by the SDO before the start of feeding, for final consolidation by the RO.