SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name GOLDENVILLE ELEMENTARY District 2 Division

School ID 162506 Grade 3 Section YAKAL Track/Strand (SHS)

Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name)
MALE
AGUILAR,JORHEZ KENSHIN
1 136457140802 11-08-2008 9 35 1.32 1.7424
RAY, ESTABAYA
ALZATE,KING WESTLY,
2 162506140373 01-25-2009 9 20 1.21 1.4641
BOCO
BURBANO,JOSHUA,
3 162506150064 06-06-2010 8 18 1.15 1.3225
VALENZUELA
CAMPOLLO,APOLONIO,
4 136423130011 11-08-2006 11 30 1.33 1.7689
ARNAIZ
CARGANDO,JOVEN,
5 162506150174 02-17-2010 8 45 1.35 1.8225
FERNANDEZ
DELA CRUZ,JOSH PHILIP,
6 162506150168 12-26-2009 8 20 1.24 1.5376
BAGUINAWON

7 162506140235 GERCAN,CARLO, TABASA 04-22-2009 9 23 1.31 1.7161

8 162506150018 JAQUIAS,JOHN REIL, MIONES 09-08-2010 7 30 1.22 1.4884

MAHUSAY,RENATO JR,
9 136555140572 07-13-2009 8 20 1.23 1.5129
DAMIAN
MIGALLEN,KIEL LOUIE,
10 162506150207 03-29-2010 8 23 1.34 1.7956
DELA AUSTRIA
OLANDRIA,YOHANNE,
11 162506160262 12-07-2009 8 25 1.36 1.8496
MACAWILE
ROBIATO,PRINCE RAFAEL,
12 107144130577 02-11-2008 10 18 1.19 1.4161
ZABATE
RODIL,JOHN KENNETH,
13 162506150007 11-30-2009 8 21 1.23 1.5129
CANDELARIO

14 162506150039 SATINA,PATRICK, ORO 12-08-2009 8 20 1.22 1.4884

15 162506150047 TORRES,JAYSON, MONDEJAR 04-26-2010 8 16 1.14 1.2996

16 109361150141 VILLALON,RANDEL, AGOSTO 12-30-2009 8 25 1.25 1.5625

VILLAS,CARLOS JANVER,
17 162506150061 05-27-2010 8 20 1.21 1.4641
GUTIERREZ

FEMALE

1 162506150002 ADAN,CHARREY ANGEL, CANTA 12-29-2009 8 21 1.18 1.3924

 Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name)

2 162506140329 ARIBAN,ASHLYNE, BALINAS 10-01-2008 9 18 1.15 1.3225

3 162506150054 ARROYO,RAISHANE, GERMENIANO 04-15-2010 8 16 1.11 1.2321

4 136453150408 CAGUIWA,MIZZY HEART, PACOMIO 01-23-2010 8 20 1.21 1.4641

5 127873140500 GANZAN,SHARA, BATINO 08-06-2009 8 20 1.16 1.3456

JIMENEZ,CHRIST ALLEN,
6 136815150222 04-21-2010 8 25 1.24 1.5376
ESPENOCILLA

7 162506150237 LOBEDESIS,JESSA, DELA CRUZ 12-11-2009 8 15 1.12 1.2544

8 162506150238 MENGOTE,SHANNA LEE, BETANGA 06-06-2010 8 16 1.14 1.2996

9 162506150071 MONTANCES,RYZA, DEJOS 12-30-2009 8 25 1.25 1.5625

10 162506150049 NABONG,VERLYN, LLAMAS 07-26-2010 7 15 1.14 1.2996

11 162506160328 NADUNZA,CHRISSA, SOTELO 04-07-2010 8 21 1.21 1.4641

12 136534150091 PAMISA,CRISTINE JOY, HALLASGO 12-03-2009 8 30 1.25 1.5625

13 162506150041 PUBLICO,BLISELLA, CALAPRE 04-01-2010 8 18 1.17 1.3689

14 162506160320 QUINTUA,MYCA, ESPINOSA 10-06-2009 8 25 1.25 1.5625

SORIANO,RAYZA GABRIELE, DE
15 162506150073 02-28-2010 8 25 1.26 1.5876
LEON
ZIGA,LADY GRACE ANGELICA
16 162506150219 09-23-2010 7 18 1.22 1.4884
ROSE, REBUTASO

SUMMARY TABLE
Nutritional Status
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE 1 5 9 1 1 17 0 4
FEMALE 2 2 12 0 0 16 1 5
TOTAL 3 7 21 1 1 33 1 9

Date of Assessment: Conducted/Assessed By: Certified Correct By:

JUNE 4, 2018 RICHELLE C. VALDERAMA
8)

SAN JOSE DEL MONTE Region 3

School Year 2018-2019

Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category

20.00 Normal Normal

13.60 Normal Stunted

13.60 Normal Stunted

16.90 Normal Normal

24.60 Obese Normal

13.00 Wasted Normal

13.40 Wasted Normal

20.10 Overweight Normal

13.20 Wasted Normal

12.81 Wasted Normal

13.50 Normal Normal

12.70 Wasted Stunted

13.80 Normal Normal

13.40 Normal Normal

Severely
12.30 Stunted
Wasted

16.00 Normal Normal

13.60 Normal Normal

15.00 Normal Normal

 Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category
Severely
13.60 Normal Stunted

12.90 Normal Stunted

13.60 Normal Normal

14.80 Normal Stunted

16.20 Normal Normal

Severely
11.90 Stunted
Wasted

12.30 Wasted Stunted

16.00 Normal Normal

Severely
11.50 Stunted
Wasted

14.30 Normal Normal

19.20 Normal Normal

13.10 Normal Normal

16.00 Normal Normal

15.70 Normal Normal

12.00 Wasted Normal

Height for Age (HFA)

Summary Table
Normal Tall Total

13 0 17
10 0 16
223 0 33

Reviewed By:

SFRT 2017