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DIVISION OF LA UNION
SCHOOL ACTIVITY REQUEST FORM
Title of Activity
SBFP Activity #:
Schedule
Venue
LUNCH
RAMOT PRIMARY SCHOOL
PROGRAM OF ACTIVITIES
DATE
ACTIVITY
The persons in charge will be feeding severely wasted
learners as reflected on the nutritional status of Ramot
Primary School, beginning of school year 20162017dated June 2016.
October 2016( Every Monday
Lunch
to Fridays whole month)
PARTICIPANTS
School SBFP Focal Person, Teachers, School Head, Parents and Learners
Item Expenditure
Meal/Food
(LUNCH)
Other
expenditures(spoon,
fork, plastic cups etc.)
Estimated Expenses
Unit Cost # of Units
#of
days
16/child
23 learners 20
2.00/child
23 learners
TOTAL
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20
Sub Total
Total Cost
P16.00/child x
learners x 20
days
P 2.00/child x
learners x 20
days
PhP
7,360
920
8,280
Fed 23
seve
Region I
DIVISION OF LA UNION
SCHOOL ACTIVITY REQUEST FORM
Prepared by:
Noted by:
LUCILA V. MADIWO
Feeding Focal Person
Certified Availability of Funds:
MARCIANO N. ORFIANO
District Supervisor
Reviewed/Noted by:
MERCY Q. PONCIANO
Division Accountant
DANILO A. CONCEPCION
Division SBFP Focal Person
Approved by:
ROWENA C. BANZON, CESO V
Schood Division Superintendent
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