Attachment 2
Document Code:
Quality Form
Revision:
OK sa DepEd - School-Based Feeding Program (SBFP)
Program Terminal Report Form Effectivity date: 01-01-2021
(SBFP PTR - Form A) BLSS-School Health Division
Region/Division: Period Covered:
School Name & ID:
School Address:
School Telephone Number: Mobile Number:
Fax Number: Email Address:
Total Enrolment: Total No. of T & NTP:
A. SBFP Funds (for those with downloaded funds)
Tranches Amount Received from SDO Funds Utilized Percent Utilization
Total:
B. DONATIONS/ RESOURCES GENERATED
(Add Additional Sheets, if needed)
Partner & Type of Donations/Services Provided Quantity (if applicable) Estimated Cost (if applicable)
SIGNIFICANT EVENTS OF SBFP, AND OTHER HEALTH AND NUTRITION PROGRAMS/
C. EXPERIENCES/ GOOD PRACTICES
(Add Additional Sheets, if needed)
What happened? Who were involved? When Outcome: What is/are its important contribution
to the School-Based Feeding Program of the
school?
D. LESSONS LEARNED G. SUGGESTIONS TO STRENGTHEN SBFP (Include
support needed from Central, Region, and Division Office that can increase
the impact of OK sa DepEd Program in the schools)
E. PROPOSED PLAN OF ACTION AND RECOMMENDATIONS
F. PHOTOS (5 Pictures Before, During and After) -JPEG Form
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 1 of 3
Attachment 2
Prepared by: Noted:
SBFP Coordinator School Head
Date:
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 2 of 3
Attachment 2
OPLAN KALUSUGAN SA DEPED: Accomplishment Report... 3 of 3