BFPNS

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PROGRAM ACCOMPLISHMENT
SY 2011-2012
Region: ____________________
Division: ____________________
District: ____________________
Schools
No. Beneficiaries
Actual
Target
Status of Implementation
Amount Received
Financial Status
Disbursed
Liquidated
Schools
No. Beneficiaries
Actual
Target
Financial Status
Disbursed
Amount Received
Liquidated
Schools
No. Beneficiaries
Actual
Target
Financial Status
Disbursed
Amount Received
Liquidated
Schools
Division Office Report
No. Beneficiaries
Actual
Target
Financial Status
Disbursed
Amount Received
Liquidated
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - CONSOLIDATED NUTRITIONAL STATUS

SY 2011-2012
Region: ____________________
Division: ____________________
District: ____________________
Schools
No.
Beneficiari
es
Before Feeding
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
After Feeding
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
Schools
No.
Beneficiari
es
Before Feeding
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
After Feeding
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
0
0
0
0
0
0
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
0
0
0
0
0
0
Schools
No.
Beneficiari
es
Before Feeding
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
After Feeding
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
0
0
0
0
0
0
SW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OW
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
OB
%
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
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
0
0
0
0
0
0
Schools
No.
Beneficiari
es
Before Feeding
SW
OW
After Feeding
%
OB
TOTAL
SW
OW
OB
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
0
0
0
0
0
0
0
0
###
###
###
###
###
###
###
###
###
###
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - % ATTENDANCE

SY 2011-2012
Region: ____________________
Division: ____________________
District: ____________________
Schools
Month 1
Month 2
Month 3
% Attendance
Month 4
Month 5
Month 6
Month 7
Average
Schools
Month 1
Month 2
Month 3
% Attendance
Month 4
Month 5
Month 6
Month 7
Average
Schools
Month 1
Month 2
Month 3
% Attendance
Month 4
Month 5
Month 6
Month 7
Average
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - ISSUES ENCOUNTERED

SY 2011-2012
Region: ____________________
Division: ___________________
District: ____________________
Schools
Issues Encountered
Actions Taken
Schools
Issues Encountered
Actions Taken
Schools
Issues Encountered
Actions Taken
Schools
Issues Encountered
Actions Taken
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PROCUREMENT PROCESS

SY 2011-2012
Region: ____________________
Division: ___________________
District: ____________________
Schools
Procurement Process
Presence/Use of Documents
Bidding
Small Value
Procurement
Request for
Quotation
PHILGEPS
Cert
Abstract of
Quotation
PO or
Contract
Official Receipt
RER
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
Schools
Procurement Process
Bidding
Small Value
Procurement
Request for
Quotation
PHILGEPS
Cert
Abstract of
Quotation
PO or
Contract
Official Receipt
RER
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
Schools
Procurement Process
Bidding
Small Value
Procurement
Request for
Quotation
PHILGEPS
Cert
Abstract of
Quotation
PO or
Contract
Official Receipt
RER
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
Schools
Procurement Process
Bidding
Small Value
Procurement
Request for
Quotation
PHILGEPS
Cert
Abstract of
Quotation
PO or
Contract
Official Receipt
RER
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
Schools
Procurement Process
Bidding
Small Value
Procurement
Request for
Quotation
PHILGEPS
Cert
Abstract of
Quotation
PO or
Contract
Official Receipt
RER
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
() or (X)
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - GOOD PRACTICES

SY 2011-2012
Region: ____________________
Division: ___________________
District: ____________________
Schools
Good Practices
Schools
Good Practices
Schools
Good Practices
BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PERSONNEL INVOLVED

SY 2011-2012
Region: ____________________
Division: ___________________
District: ____________________
Schools
Name of School Personnel

Involved
Name of Parents
Involved
Name of Barangay Officials Other Persons, Organizations
Involved
Involved
Schools

Involved
Name of Parents
Involved
Involved
Involved
Schools

Involved
Name of Parents
Involved
Involved
Involved
Schools

Involved
Name of Parents
Involved
Involved
Involved
Schools

Involved
Name of Parents
Involved
Involved
Involved

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BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PROGRAM ACCOMPLISHMENT

Division Office Report

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - CONSOLIDATED NUTRITIONAL STATUS

Division Office Report

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - % ATTENDANCE

Division Office Report

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - ISSUES ENCOUNTERED

Division Office Report

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PROCUREMENT PROCESS

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - GOOD PRACTICES

Division Office Report

BREAKFAST FEEDING PROGRAM TERMINAL REPORT - PERSONNEL INVOLVED

Name of School Personnel

Name of Barangay Officials Other Persons, Organizations

Name of School Personnel

Name of Barangay Officials Other Persons, Organizations

Name of School Personnel

Name of Barangay Officials Other Persons, Organizations

Name of School Personnel

Name of Barangay Officials Other Persons, Organizations

Name of School Personnel

Name of Barangay Officials Other Persons, Organizations

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