SBFP - FORM 5 (PTR) Annex 7
SCHOOL-BASED FEEDING PROGRAM (SBFP)
SY 2019-2020
PROGRAM TERMINAL REPORT – SBFP
Region/Division : X - MALAYBALAY
District : _______________________________
School : _______________________________
School ID No. : ________________
School Enrolment: ________________
Prepared by:
_____________________________ _____________________________
School Feeding / SBFP Coordinator School BAC
Noted by:
_____________________________ _____________________________
School Head PTA Representative
A. PROGRAM ACCOMPLISHMENT (120 DAYS)
Status of Implementation:
FIRST TRANCHE: SECOND TRANCHE: TOTAL:
a. Completed __________ __________ ________ feeding days
b. Discontinued __________ __________ ________ feeding days
c. For continuation __________ __________ ________ feeding days
TOTAL: __________ __________ ________ feeding days
Note: Please attach a justification if feeding is NOT fully completed (60 days per tranche for
a total of 120 feeding days) duly signed by the SBFP Coordinator & School Head.
Number of No. of No. of Pupils
Beneficiaries No. of Beneficiaries who are
Beneficiaries who are also Previous
Grade Level 4Ps Beneficiaries of
Dewormed
Target Actual Beneficiaries SBFP
No. % No. % No. %
Kinder
Grades 1-3
Grades 4-6
TOTAL:
FINANCIAL STATUS
Amount Received Amount Amount
TRANCHE Amount Allocated
from DO Disbursed Liquidated
1ST
2ND
TOTAL
SBFP - FORM 5 (PTR) Annex 7
STATUS OF GULAYAN SA PAARALAN PROGRAM (GPP) IMPLEMENTATION
Total No. of Vegetables from
Sustained Year Round
TRANCHE School Garden Used for
(YES or NO)
Feeding (IN KILOS)
1ST
2ND
TOTAL
______________________________
Name & Signature of GPP Coordinator
B. NUTRITIONAL STATUS OF BENEFICIARIES
BEFORE END OF FEEDING (AFTER 120 DAYS)
Nutritional Status
FEEDING SW/SU W/U N OW O
Severely Wasted /
Underweight (SW/SU)
Wasted /
Underweight (W/U)
Normal (N)
Overweight (OW)
Obese (O)
TOTAL:
C. PERCENTAGE ATTENDANCE
Average
Month Mont Month Mont Month Month Month Month
of
0 h1 2 h3 4 5 6 7
Months
% Attendance
of Beneficiaries
D. CONCOLIDATED ISSUES ENCOUNTERED and ACTIONS TAKEN and MONITORING FINDING
ISSUES ENCOUNTERED / M&E FINDINGS ACTIONS TAKEN / RECOMMENDATIONS
SBFP - FORM 5 (PTR) Annex 7
E. PROCUREMENT PROCESS
PROCUREMENT PROCESS Presence / Use of Documents
SMALL VALUE
PHILGEPS Abstract of PO or Official
BIDDING PROCUREMEN RFQ RER
Certificate Quotation Contract Receipt
T
Note: Use / if done/present or X if not done/absent
F. GOOD PRACTICES or LESSONS LEARNED
GOOD PRACTICES
LESSONS LEARNED
G. PERSONNEL INVOLVED
Names of Names of Names of Others or Names of NGOs,
School Personnel Parents Barangay Officials Civic Groups, etc
Note: Use separate page/s as needed
H. PICTORIALS
Notes: Please use separate page/s if necessary
Limit pictures to SIGNIFICANT and RELEVANT activities only
Add captions, venue, date