PINTOR ELEM.

SCHOOL
Polangui, Albay
Baseline
NO NAME OF PUPILS GENDER BIRTH DAY AGE ON THE DAY OF WEIGHT IN HEIGHT IN HEIGHT IN BMI NUTRITIONAL
WEIGHING KG METERS M2 STATUS
1 Banares, Jervy O. M 19 113 12769 19
2 Barredo, Jay lester B. 18 116 1624 18
3 Baynado, Jeffry B. M 22.3 123 15129 22.3
4 Belmonte, Erol Jay R. M 19 117 13689 19
5 Belmonte, Jeric D. M 18 116 13456 18
6 Buenafe, Rico M 19 118 13924 19
7 Lacerona, Mark Darren M 25 132 17424 25
8 Llagas, Laurence B. M 18.7 117 13689 18.7
9 Melgar, Jerico B. 30 145 3045 30
10 Melgar, Justin Eric B. M 26 118 13924 26
11 Marfega, Mark Andrei S. M 20.3 121 14641 20.3
12 Neo, Jhonel T. M 18 20 400 18
13 Orlango, Nhelmer D. M 20 116 13456 20
14 Ronda, Lance R. 17.2 116 3016 17.2
15 Sabaybay, Emmuel D. M 22 118 13924 22
16 Sampal, Jaynard S. M 15.6 111 12321 15.6
17 Sanico, John Loyd M 25 119 3451 25
18 Sangreo, Mark Froilan M. 24 123 3690 24
19 Vega, Mark Yriel 25 126 3906 25
20 Banares, Bernadeth O. F 23 120 3840 23
21 Breboneria, Emie L. F 19.4 116 3828 19.4
22 Beredo, Cristine R. F 22 120 4080 22
23 Bellen, Juvy B. F 23.9 125 4375 23.9
24 Barredo, Meriam R. F 22 121 14641 22
25 Calleja, Jenjen I. F 19.5 111 4107 19.5
26 Florin, Mary Grace B F 24 119 14161 24
27 Garcia, Nicole M. F 23 124 4836 23
28 Guevarra, Nina Julia S. F 22 121 4840 22
29 Lacap, Anna Maika Suzzaine B. F 21.4 122 5002 21.4
30 Lomerio, Katrina Carla F 21 119 4998 21
31 Lomerio, Leslie C. F 22 117 5031 22
32 Mazo, Gie Anne P. F 22 123 15129 22
33 Oira, Leslie Ann F 22 124 15376 22
34 Pomario, Mikaella Joy B. F 21 120 14400 21
35 Rubianes, Angela M. F 15 112 12544 15
36 Sauler, Noella Mae B. F 24 120 14400 24
37 Sampal, Erna Mae S. F 19.7 121 14641 19.7
38 Santor, Denise Shamiah F 18 118 13924 18
39 Sanorjo, Lyka I. F 18 115 13225 18
40 Sajuela, Bernadette V. F 26 124 6448 26
41 Sayago, Rhozel V. F 19 114 6042 19
Legend: N-Normal
OW-Over Weight
O- Obese
Noted by:
Republic of the Philippines
DEPARTMENT OF EDUCATION
ALBAY DIVISION
Polangui Noth District
Nutritional Status
Adviser
GABRIEL B. CALWIT
Principal-I
GRADE: 3-Anahaw SY 2014-2015
Prepared by:
MARGARITA S. SABAO
HPS
M MP PL HPS M MP
English
Math
MTB
Filipino
AP
ESP
MAPEH
Legend: HPS -
M -
MP-
PL-
Noted by:
RESULTS OF PERIODIC TEST
SY 20___ - 20____
School:________________________________District:____________________________________Grade/ Section: _________________________
SUBJECTS
1ST GRADING 2ND GRADING
Highest Possible Score
Principal- I
Mean
Mean Percentage
Perfomance Level
__________________________
PL HPS M MP PL HPS M MP PL
O -
VS-
S-
NI-
P-
RESULTS OF PERIODIC TEST
SY 20___ - 20____
School:________________________________District:____________________________________Grade/ Section: _________________________
90-100
75-89
50-74
26-49
2ND GRADING 3RD GRADING 4TH GRADING
Performnce Level:
25- below
Prepared by:
____________________________
TEACHER
1.OFFICE/AGENCY
DEP ED, ALBAY DIVISION
School:
( )
( )
( )
( )
Employee No. Station No.
Number of Working Days Applied For:
___________________________________
Inclusive Dates:
___________________________________
_______________ _______________
( ) Out Patient(Specify)________
( ) Requested ( ) Not Requested
_________________________
( Signature of Applicant)
c. COMMUTATION
Others (Specify)
Vacation
( ) To seek employment
( ) Others(Specify)
Sick (Specify illness)
____________________________________
____________________________________
____________________________________
( )In Hospital(Specify)__________
DETAILS OF APPLICATION
6. a TYPE OF LEAVE
(1) IN CASE OF VACATION LEAVE
( ) Within the Philippines
( ) Abroad(Specify)________________
b. WHERE LEAVE WILL BE SPENT
____________________________
Maternity
(2) IN CASE OF SICK LEAVE
_________________________________
________________________________
3. DATE OF FILING 4. POSITION 5. SALARY (Monthly)
2.COMPLETE NAME
(Last name) (First name) (Middle name)
CS Form 6
Revised 1994
APPLICATION FOR LEAVE
DETAILS OF APPLICATION
5. SALARY (Monthly)
2.COMPLETE NAME
(Last name) (First name) (Middle name)
APPLICATION FOR LEAVE
Principal - I
Prepared by:
Margarita S. Sabao
OVER WEIGHT
OBESE
Noted by:
Teacher/ Adviser
Gabriel B. Calwit
NORMAL
BOYS GIRLS
NUTRITIONAL STATUS
GRADE ONE - 2
SY 2012-2013
TOTAL
Prepared by:
Margarita S. Sabao
Teacher/ Adviser
TOTAL
Polangui Noth District
PINTOR ELEM. SCHOOL
Polangui, Albay
Legend: N-Normal
OW-Over Weight
O- Obese
Noted by:
10
BOYS GIRLS
Republic of the Philippines
DEPARTMENT OF EDUCATION
ALBAY DIVISION
6
7
GRADE ONE - 2
SY 2012- 2013
AGE PROFILE
8
9
TOTAL
Principal-I
Prepared by:
MARGARITA S. SABAO
Adviser
GABRIEL B. CALWIT
Prepared by:
MARGARITA S. SABAO
Adviser