School Level NS-Form 1

Department of Education
Region
Division of
School Nutritional Status Record
District:
School: Date of Weighing: June 15, 2017
Grade & Section:

Date of Weight Height BMI

Learner's Name Age (Height)² (m²) Nutritional Status
Birth (kg) (m) (kg/m²)
MALE
6/15/2001 16.00 30 1.3 1.69 17.75 #REF!
7/6/2002 14.11 28 1.4 1.96 14.29 Severely Wasted
8/22/2003 13.09 26 1.6 2.56 10.16 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
7 test 10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
FEMALE
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
2/25/2002 15.03 20 1.35 1.82 10.99 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 3.14 9.86 4.06 #REF!
2/25/2002 15.03 37 2.12 4.49 8.24 #REF!
8/14/1999 17.10 20 5.01 25.1 0.8 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
 WedzmerDesigns

Severely
Summary Table Wasted Normal Overweight Obese TOTAL
Wasted
MALE 1 0 0 0 0 1
FEMALE 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1

Severely
Percentage Summary Wasted Normal Overweight Obese TOTAL
Wasted
MALE 100.00 0.00 0.00 0.00 0.00 100
FEMALE #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name PAETE CHRISTIAN ACADEMY District PAETE Division LAGUNA Region IV-A CALABARZON
School ID 408913 Grade KINDERGARTEN Section N/A Track/Strand (SHS) School Year 2018-2019
Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Extension, Middle Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Name) (kg/m²)
MALE
1 408913180001 Afurong, Brione Jero Casilag 12/31/2012 5.00 22.5 1.21 1.46 15.4 Normal Normal
2 408913180002 Caguin, Chris Onyx Ruanto 12/5/2012 5.00 23.3 1.21 1.46 16.0 Normal Normal
3 408913180011 Castillo, Zane Leonard Gabriel Bautista 10/19/2013 4.00 22.5 1.21 1.46 15.4 Normal Tall T/O North River Academy (PR) November 2018

4 408913180003 Cuando, Dylan Von Marasigan 8/6/2013 4.00 22.5 1.22 1.48 15.2 Normal Tall
5 408913180004 Mendoza, Jordan Carolino 4/10/2013 5.00 23.3 1.22 1.46 16.0 Normal Tall
6 408913180010 Yulde, Rafa Abriam Oarga 7/11/2013 4.00 20 1.11 1.23 16.3 Normal Normal
FEMALE
1 408913180005 Alfonso, Nathalie Jane Puryo 3/10/2013 5.00 25 1.19 1.41 17.7 Normal Normal
2 408913180006 Benosa, Vir Yohanan Orilla 10/22/2012 5.00 22.8 1.21 1.46 15.6 Normal Normal
3 408913180007 Martinez, Kristine Binuya 3/27/2013 5.00 22 1.11 1.23 17.9 Normal Normal
4 408913180008 Villanueva, Althea Elaine Bagu 7/25/2013 4.00 20 1.11 1.23 16.3 Normal Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 6 0 0 6 0 0 6 0 0 3 3 6
FEMALE 4 0 0 2 2 0 4 0 0 4 0 4
TOTAL 10 0 0 7 2 0 10 0 0 7 3 10

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

7/6/2018 CHARLYN ROSE B. BUENAVENTURA GLORIA M. BAGAMANO LALAINE B. MENDOZA
SFRT 2017
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 408913 Region IV-A Division Laguna District Paete

School Name Paete Christian Academy School Year 2017 - 2018 Grade Level K ection n/a
GUARDIAN
ADDRESS PARENTS REMARKS
(If not
AGE as of IP Mother's Maiden Parent) Contact Number
NAME Sex BIRTH DATE MOTHER TONGUE Father's Name (Please
LRN 1st Friday (Ethnic RELIGION House #/ Municip Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3 Only) (Last Name, First Relation refer to the
June Group) Street/ Sitio/ Barangay ality/ Province Name, First Name Guardian
Name, Middle ship legend on
Purok City Name, Middle
Name) last page)
Name)

### 408913170055 Cainto, Christian Ross Mercado M 10/10/11 6 Tagalog Tagalog Christianity Madriguerra 7 Paete Laguna Cainto, Ross Gayta Mercado, Christine Almanza 9167379937

### 407184160125 Fadul, Gabriel Genesis Carolino M 10/28/11 5 Tagalog Tagalog Christianity Cajumban 4 Paete Laguna
Fadul. Michael Leonard
Mistica
Carolino, Angel Delos Reyes 9184786793

### 408913170047 Masiglat, Lucas Julio Joves M 2/25/11 6 Tagalog Tagalog Christianity J. P. Rizal 7 Paete Laguna Masiglat, Jeremy Carlo
Balquiedra
Joves, Rina Russel Naniong
Susan
Balquiedra
Grandmother 9994157372

### 408913170056 Rana, Miguel Railey Andrei Agbuya M 5/23/12 5 Tagalog Tagalog Christianity Cadawas 7 Paete Laguna Rana Jr, Miguelito Matibag Agbuya, Russell Cadawas 9066865476

### 408913170048 Alfonso, Lorie Jaine Puryo F 2/29/12 5 Tagalog Tagalog Christianity 17 6 Paete Laguna Alfonso, Carlito Jr. Baet Puryo, Lorna Quezon 9308367564

### 408913170049 Dacsil, Antonia Louise Bagalso F 2/8/12 5 Tagalog Tagalog Christianity F. Sario 2 Paete Laguna Dacsil, Ramon Jolo Antonio
Bagalso, Jennibette
Pontipedra 9754144804

### 408913170050 Madriñan, Chamcy Marinay F 7/16/11 5 Tagalog Tagalog Christianity Baldemor 7 Paete Laguna Madriñan, Weldy Ariganza Marinay, Mercy Magdaong 943467774

### 408913170051 Manguerra, Hannah Faith Adorable F 6/10/11 6 Tagalog Tagalog Christianity 61 Burgos Pakil Laguna Manguerra, Mario Dela Cruz Adorable, Rosanna Pacheco 9194352941

### 408913170054 Paraiso, Iza Khayal Agbuya F 3/28/12 5 Tagalog Tagalog Christianity Cadawas 7 Paete Laguna
Paraiso, Al Jefferson
Baldemor
Agbuya, Rebecca Cadawas 9394644489

### 408913170052 Peña, Maria Teresa Masalunga F 8/2/10 6 Tagalog Tagalog Christianity V. Ac-Ac 8 Paete Laguna Peña, Manuel Tolentino
Masalunga, Ma. Victoria
Cuevas 9481886845

### 408913170053 Valdeabella, Juel Bella Cajumban F 11/17/11 5 Tagalog Tagalog Christianity 3001 3 Paete Laguna Valdeabella, Bryan Abe Cajumban, Junabel Cosico 9392569020

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
CCT Control/reference number & Effectivity
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipie CCT MALE 4 4 CHARLYN ROSE B. BUENAVENTURA GLORIA M. BAGAMANO
Date
(Signature of Adviser over Printed Name) (Signature of School Head over
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 7 7 Printed Name)

Learner
Dropped DRP Reason and Effectivity Date With LWD Specify
TOTAL 11 11
Dissability
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: June 20, 2017 EoSYDate: April 20, 2018
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUINALE ELEM.SCHOOL District PAETE Division LAGUNA Region IV-A CALABARZON

School ID 108377 Grade Three Section NARRA Track/Strand (SHS) School Year 2017-2018

Learner's Name
Nutritional Status Height
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI BMI for Age Remarks
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle (kg/m²) Category (HFA)
MALE Name)
1 9/6/2009 7.9 19.1 1.21 1.4641 13.00 Wasted Normal
2 7/6/2009 7.11 20.0 1.19 1.4161 14.1 Normal Normal
3 6/14/20009 8 25.5 1.22 1.4884 17.10 Normal Normal
4 11/25/2008 8.7 20.5 1.19 1.4161 14.40 Normal Normal
5 2/4/2008 9.4 29.5 1.30 1.69 13.5 Normal Stunted
6 7/1/2009 7.11 20.5 1.17 1.3689 13.5 Normal Normal
7 12/25/2008 8.6 18.6 1.17 1.3689 13.5 Normal Stunted
8 1/13/2008 9.5 27.5 1.28 1.6384 16.70 Normal Normal
9 5/17/2009 8.1 17.3 1.16 1.3456 12.80 Wasted Normal
10 5/19/2009 8.1 21.6 1.23 1.5129 14.2 Normal Normal
11 1/4/2009 8.5 20.5 1.19 1.4161 14.4 Normal Normal
12 2/28/2009 8.4 18.6 1.17 1.3689 13.5 Normal Stunted
13 5/3/2009 8.1 21.0 1.24 1.5376 13.6 Normal Normal
14 5/27/2008 9.1 34.5 1.3 1.69 20.4 Normal Normal
15 12/17/2009 7.6 17.6 1.1 1.21 14.5 Normal Stunted
16 1/16/2008 9.5 22 1.25 1.5625 14 Normal Normal
17 9/13/2008 8.9 24 1.29 1.6641 14.4 Normal Normal
18 12/29/2008 8.6 24 1.29 1.6641 14.4 Normal Normal
19 8/17/20009 7.1 21 1.16 1.3456 15.6 Normal Normal
20 1/13/2009 8.5 18.5 1.24 1.5376 12 S, Wasted Normal
21 4/1/2009 8.2 22 1.23 1.5129 14.5 Normal Normal
FEMALE
1 7/16/2008 8.11 22.0 1.24 1.5376 14.3 Normal Normal
2 12/21/2008 8.6 22.5 1.3 1.69 13.3 Normal Normal
3 11/18/2008 8.7 16.6 1.15 1.3225 12.50 Wasted Stunted
4 11/2/2008 8.7 22.6 1.26 1.5876 14.2 Normal Normal
5 4/16/2009 8.2 30.2 1.26 1.5876 19 Normal Normal
6 3/3/2008 9.3 25.3 1.27 1.6129 15.60 Normal Normal
7 5/21/2009 8.1 25.0 1.31 1.7161 14.5 Normal Normal
8 9/6/2009 7.9 19.2 1.15 1.3225 14.5 Normal Normal
9 10/5/2007 9.8 21.6 1.38 1.9044 11.30 S.Wasted Normal
10 2/22/2007 9.9 21.6 1.38 1.9044 11.30 S.Wasted Normal
11 5/14/20009 8.1 20.0 1.21 1.4641 13.6 Normal Normal
12 8/17/2009 7.1 21 1.24 1.5376 13.60 Normal Normal
13 4/23/2009 8.2 26.2 1.3 1.69 15.5 Normal Normal
14 4/23/2009 8.2 20.5 1.25 1.5625 13.1 Normal Normal
15 10/22/2009 7.8 26 1.28 1.6384 15.8 Normal Normal
16 2/25/2009 8.4 15.5 1.14 1.2996 11.9 Wasted Stunted
17 10/6/2008 8.8 18.6 1.23 1.5129 12.2 Wasted Normal
18 7/31/2009 7.1 21.6 1.25 1.5625 13.8 Normal Normal
19 7/30/2009 7.8 23.4 1.17 1.3689 17 Normal Normal
20 11/17/2008 8.7 21.6 1.25 1.5625 13.8 Normal Normal
SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX Severel
Severely Wasted Normal Overweight Obese TOTAL y Stunted Normal Tall Total
Wasted
Stunted
MALE 21 1 2 18 0 0 21 0 4 17 0 21
FEMALE 20 2 3 15 0 0 20 0 2 18 0 20
TOTAL 41 3 5 33 0 0 41 0 6 35 0 41

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

6/30/2017 EDELIA A. ALBINO MARIAN ROSE L. NOCEJA NILDA S. ROYO, Ed.D.
Class Adviser Nutrition Coordinator Principal III
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUINALE ELEM.SCHOOL District PAETE Division LAGUNA Region IV-A CALABARZON

School ID 108377 Grade Three Section NARRA Track/Strand (SHS) School Year 2017-2018

Learner's Name
Nutritional Status Height
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI BMI for Age Remarks
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle (kg/m²) Category (HFA)
MALE Name)
1 108377140002 Arceo, Stephen Jhon B. 9/6/2009 7.9 19.1 1.21 1.4641 13.00 Wasted Normal
2 108377140095 Aseoche, Janrick B. 7/6/2009 7.11 20.0 1.19 1.4161 14.1 Normal Normal
3 108377140140 Cadang, Ryan B. 6/14/20009 8 25.5 1.22 1.4884 17.10 Normal Normal
4 108377140190 Castanarez, Olyboy Jay B. 11/25/2008 8.7 20.5 1.19 1.4161 14.40 Normal Normal
5 108377130223 Claridad, Manuel I. 2/4/2008 9.4 29.5 1.30 1.69 13.5 Normal Stunted
6 108377140037 Cronologia, Josh Mclean R. 7/1/2009 7.11 20.5 1.17 1.3689 13.5 Normal Normal
7 108377140181 Edlagan, John Christian C. 12/25/2008 8.6 18.6 1.17 1.3689 13.5 Normal Stunted
8 108377130135 Estores, Javen Carl S. 1/13/2008 9.5 27.5 1.28 1.6384 16.70 Normal Normal
9 108377140098 Fabro, Joshua L. 5/17/2009 8.1 17.3 1.16 1.3456 12.80 Wasted Normal
10 108377140039 Funtanilla, Rain Joshua G. 5/19/2009 8.1 21.6 1.23 1.5129 14.2 Normal Normal
11 108377140011 Inocencio, Ramshel B. 1/4/2009 8.5 20.5 1.19 1.4161 14.4 Normal Normal
12 108377140069 Llanera, John Robert G. 2/28/2009 8.4 18.6 1.17 1.3689 13.5 Normal Stunted
13 108377150129 Meriado, Zymon S. 5/3/2009 8.1 21.0 1.24 1.5376 13.6 Normal Normal
14 108377130218 Mia, Jhon Piolo A. 5/27/2008 9.1 34.5 1.3 1.69 20.4 Normal Normal
15 108377140043 Moreno, Prince Kerwin M. 12/17/2009 7.6 17.6 1.1 1.21 14.5 Normal Stunted
16 108377140088 Olayta, Mark Lester O. 1/16/2008 9.5 22 1.25 1.5625 14 Normal Normal
17 108377140196 Pacay, Axel Kieth C. 9/13/2008 8.9 24 1.29 1.6641 14.4 Normal Normal
18 106377050055 Panganiban, John Michael B. 12/29/2008 8.6 24 1.29 1.6641 14.4 Normal Normal
19 108377150127 Penamante, Gabriel S. 8/17/20009 7.1 21 1.16 1.3456 15.6 Normal Normal
20 108377140147 Sasa, Carl Angelo F. 1/13/2009 8.5 18.5 1.24 1.5376 12 S, Wasted Normal
21 117640140139 Taleon, Jofern James A. 4/1/2009 8.2 22 1.23 1.5129 14.5 Normal Normal
FEMALE
1 108375140127 Abihay, Haylee Kirsten 7/16/2008 8.11 22.0 1.24 1.5376 14.3 Normal Normal
2 108377140103 Agbagala, Ria Jane T. 12/21/2008 8.6 22.5 1.3 1.69 13.3 Normal Normal
3 1083771400946 Alarcon, Princess Angel C. 11/18/2008 8.7 16.6 1.15 1.3225 12.50 Wasted Stunted
4 108377140047 Alarcon, Rhean V. 11/2/2008 8.7 22.6 1.26 1.5876 14.2 Normal Normal
5 117640140143 Anciano, Lyndzie F. 4/16/2009 8.2 30.2 1.26 1.5876 19 Normal Normal
6 10837130177 Balancing, Ma. Theresa R. 3/3/2008 9.3 25.3 1.27 1.6129 15.60 Normal Normal
7 10877140126 Buenaobra, Sylen Leigh R. 5/21/2009 8.1 25.0 1.31 1.7161 14.5 Normal Normal
8 108377150013 Cagayat, Elsah M. 9/6/2009 7.9 19.2 1.15 1.3225 14.5 Normal Normal
9 108377140032 Caguin, Janicka Joy P. 10/5/2007 9.8 21.6 1.38 1.9044 11.30 S.Wasted Normal
10 108377140032 Caiyod, Marshela B. 2/22/2007 9.9 21.6 1.38 1.9044 11.30 S.Wasted Normal
11 108377140110 Delumen, Shiela Mae 5/14/20009 8.1 20.0 1.21 1.4641 13.6 Normal Normal
12 108377140110 Guttierez, Harshey R. 8/17/2009 7.1 21 1.24 1.5376 13.60 Normal Normal
13 108377140035 Isles, Mary Rose 4/23/2009 8.2 26.2 1.3 1.69 15.5 Normal Normal
14 108377140155 Javier, Jewel R. 4/23/2009 8.2 20.5 1.25 1.5625 13.1 Normal Normal
15 108377140179 Pogoy, Shekaina Faith A. 10/22/2009 7.8 26 1.28 1.6384 15.8 Normal Normal
16 108377140132 Roca, Jackielyn C. 2/25/2009 8.4 15.5 1.14 1.2996 11.9 Wasted Stunted
17 108377150003 Salazar, Karla Mari M. 10/6/2008 8.8 18.6 1.23 1.5129 12.2 Wasted Normal
18 108377140061 Sanico, Angelie D. 7/31/2009 7.1 21.6 1.25 1.5625 13.8 Normal Normal
19 108377140031 Villarosa, Jillian Fe J. 7/30/2009 7.8 23.4 1.17 1.3689 17 Normal Normal
20 108377140032 Volpane, Ghalyka F 11/17/2008 8.7 21.6 1.25 1.5625 13.8 Normal Normal
SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX Severel
Severely Wasted Normal Overweight Obese TOTAL y Stunted Normal Tall Total
Wasted
Stunted
MALE 21 1 2 18 0 0 21 0 4 17 0 21
FEMALE 20 2 3 15 0 0 20 0 2 18 0 20
TOTAL 41 3 5 33 0 0 41 0 6 35 0 41

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

6/30/2017 EDELIA A. ALBINO MARIAN ROSE L. NOCEJA NILDA S. ROYO, Ed.D.
Class Adviser Nutrition Coordinator Principal III
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUINALE ELEM.SCHOOL District PAETE Division LAGUNA Region IV-A CALABARZON

School ID 108377 Grade Three Section ACACIA Track/Strand (SHS) School Year 2017-2018

Learner's Name
Birthdate Nutritional Status Height
Weight Height Height²
No. LRN (Last Name, First Name, (MM/DD/YYY Age BMI BMI for Age Remarks
(kg) (m) (m²)
Name Extension, Middle Y) (kg/m²) Category (HFA)
MALE Name)
1 108377170130 Baet, Nhel John B. 8/22/2009 7.1 17.2 1.18 1.3924 12.30 S. Wasted Normal
2 108377170037 Bagamano, Jhandel Kier A. 1/15/2009 8.5 22.4 1.24 1.5376 14.5 Normal Normal
3 108377170035 Baguio, Matt Herbert B. 1/31/2009 9 23.5 1.34 1.7956 13.00 Wasted Normal
4 108377170053 Bajaro, Hamiel Drech E. 2/21/2009 8.4 25.5 1.29 1.6641 15.30 Normal Normal
5 108377170032 Balquiedra, Jared Joshua I. 5/1/2009 8.1 18.0 1.17 1.3689 13.1 Wasted Stunted
6 108377170033 Cagayat, Nathan B. 7/31/2009 7.1 31.6 1.3 1.69 18.6 Normal Normal
7 108377170052 Dalagan, Lloyd Andrei 10/21/2008 8.8 19.0 1.25 1.5625 12.10 S.Wasted Normal
8 108377170055 Esteban, Sean Railey V. 11/6/2008 8.7 38.0 1.37 1.8769 20.20 OW Normal
9 108377170031 Fuller, Gabriel B. 1/31/2009 9.4 23.5 1.31 1.7161 13.6 Normal Normal
10 108377170125 Madrigal, Chris Jhared 7/13/2009 7.11 22.0 1.22 1.4884 14.7 Normal Normal
11 108377170057 Mendez, Noeh Heyden P. 9/3/2008 8.9 17.2 1.14 1.2996 13.2 Wasted Stunted
12 108377170056 Moneda, Elijah Zechariah B. 11/19/2008 8.7 27.0 1.28 1.6384 16.40 Normal Normal
13 108377170034 Paelmo, Genegray B. 12/10/2008 8.6 27.4 1.30 1.69 16.2 Normal Normal
14 108377170129 Valencia, Peter Yeojz B. 3/7/2009 8.3 33.5 1.33 1.7689 18.9 Normal Normal
15 108377170058 Valera, Jace Aldrei G. 10/26/2009 7.8 20.8 1.24 1.5376 13.5 Normal Normal
FEMALE
1 108377170051 Acaylar, Vernice S. 7/1/2008 8.1 26.5 1.22 1.4884 17.8 Normal Normal
2 108377170001 Albunag, Sabrina C. 08/15/2012 8.6 22.8 1.23 1.5129 15 Normal Normal
3 108377170026 Baet, Jelloise Charm D. 8/3/2009 7.1 23.2 1.24 1.5376 15.00 Normal Normal
4 108377170054 Baldemor, Angela C. 3/4/2009 8.3 22.0 1.24 1.5376 14.3 Normal Normal
5 108377170028 Baldemor, Arah Charynah S. 11/3/2008 8.7 28 1.25 1.5625 17.9 Normal Normal
6 108377170126 Benito, Keith Louise B. 1/28/2009 8.5 23.2 1.29 1.6641 13.90 Normal Normal
7 108377170027 Bontile, Faith Alliah P. 3/31/2009 8.2 18.6 1.19 1.4161 13.1 Normal Normal
8 108377170030 Cadapan, Liz Elane J. 7/20/2009 7.11 22.3 1.19 1.4161 15.7 Normal Normal
9 108377170036 Cagayat, Ellaisa D. 7/29/2009 7.11 20.8 1.2 1.44 14.40 Normal Normal
10 108377170050 Cajipe, Edalynna A. 12/72008 8.6 34.0 1.35 1.8225 18.6 Normal Normal
11 108377170025 Carandang, Princess Nicole M. 6/19/2009 8 22 1.21 1.4641 15.00 Normal Normal
12 108377170029 Catamio, Eurica Lian M. 12/9/2008 8.6 19.5 1.15 1.3225 14.7 Normal Stunted
13 108377140154 Dagsindal, Gianne Venice S. 11/5/2008 8.7 18 1.18 1.3924 12.9 Wasted Normal
14 108377140020 Dalay, Annikate C. 5/5/2009 8.1 35 1.34 1.7956 19.4 Normal Normal
15 108377140079 Dela Cruz, Ajane B. 10/28/2008 8.1 23.7 1.27 1.6129 14.6 Normal Normal
16 402564150206 Gadia, Franzcel G. 3/11/2009 8.3 20.5 1.22 1.4884 13.7 Normal Normal
17 108377140021 Libranda, Dyna Maxine R. 8/15/2009 7.1 33.3 1.44 2.0736 16 Normal Tall
18 402564150207 Marasigan, Pauleen Mae I. 4/8/2009 8.2 53 1.45 2.1025 25.2 Obese Tall
19 108377140022 Muega, Jamilla Zyra M. 11/5/2008 8.7 20.5 1.24 1.5376 13.3 Normal Normal
20 108377140081 Navarro, JC Martha G. 2/21/2009 8.4 28.1 1.24 1.5376 18.2 Normal Normal
21 108377140131 Pagalanan, Justine 2/23/2009 8.4 26.3 1.25 1.5625 16.8 Normal Normal
22 108377140025 Rivera, Rhenn Hailey V. 4/14/2009 8.2 18.2 1.23 1.5129 12 Wasted Normal
23 108375140208 Santos, Jamella Althea L. 3/2/2009 8.3 24.5 1.43 2.0449 11.9 Wasted Tall
24 108377140029 Sotoya, Gabrielle Carine S. 3/14/2009 8.3 25.7 1.26 1.5876 16.1 Normal Normal
25 108377140134 Trencio, Anika Loraine C. 12/13/2008 8.6 25.3 1.25 1.5625 16.1 Normal Normal
26 108377140159 Villanueva, Ashley Nicole F. 5/25/2009 8.1 23.3 1.25 1.5625 14.9 Normal Normal
27 108377140033 Villegas, Maria Angela H. 7/4/2009 7.11 22.2 1.21 1.4641 15.1 Normal Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Stunted Normal Tall Total
Wasted
MALE 21 2 3 9 1 0 15 0 1 14 0 15
FEMALE 20 0 3 23 0 1 27 0 1 23 3 27
TOTAL 41 2 6 32 1 1 42 0 2 37 3 42

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

6/30/2017 MARIAN ROSE L. NOCEJA MARIAN ROSE L. NOCEJA NILDA S. ROYO, Ed.D.
Class Adviser Nutrition Coordinator Principal III
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUINALE ELEM.SCHOOL District PAETE Division LAGUNA Region IV-A CALABARZON

School ID 108377 Grade Three Section YAKAL Track/Strand (SHS) School Year 2017-2018

Learner's Name
Birthdate Nutritional Status Height
Weight Height Height²
No. LRN (Last Name, First Name, (MM/DD/YYY Age BMI BMI for Age Remarks
(kg) (m) (m²)
Name Extension, Middle Y) (kg/m²) Category (HFA)
MALE Name)
1 108377140094 ABILA,CARL JUSTINE 06/14/2009 8.4 28.5 1.27 1.16129 14.2 Normal Normal
2 108377140001 AGBAGALA, JAMES DERRRYL N. 7/2/2009 8.0 23 1.27 1.16129 17.6 Normal Normal
3 108377140111 ARROGANCIA ,SAM EZEKIEL D. 8/8/2009 7.1 19.5 1.18 1.3924 14 Normal Normal
4 108377130017 ARTISTA,RENAN P. 10/26/2007 9.8 21 1.23 1.7424 15.2 Normal Normal
5 108377140139 BARRETTO,JOEY BOY M. 07/14/2009 7.11 22 1.2 1.44 15.2 Normal Normal
6 108377130018 BUCAYU ,MARK DUZTINE S. 8/9/2007 7.9 20 1.26 1.5876 12.9 Wasted Normal
7 108377140005 CADAYONA,AREXANDER KURT F . 12/30/2008 8.6 23.6 1.31 1.7161 13.7 Normal Normal
8 108377140065 CADAYONA,YUAN EDRIAN F. 11/7/2009 7.9 27 1.33 1.7689 15.2 Normal Normal
9 108377130094 CANAVERAL,JADE D. 08/29/2006 9.11 22 1.33 1.5876 17.5 S.Wasted Normal
10 108377140007 DELA CRUZ,CRIS JAMES L. 07/22/-2009 8.5 27.8 1.26. 1.5876 17.6 Normal Normal
11 108377140012 DELA CRUZ,JAMESON A. 1/3/2009 8.3 20 1.27 1.6129 12.4 Wasted Normal
12 108377140097 ESCALORA ,GARRIEL,LYAM ZON A. 12/2/2009 8.4 22 1.29 1.6641 12.4 Wasted Normal
13 108377140113 FULGAR,JAMES PATRICK P. 09/21/2008 8.9 21 1.29 1.6641 13.2 Wasted Normal
14 108377150004 FUNTANILLA ,MARK YUAN E. 07/25/2009 7.11 37 1.31 1.7161 17.7 OW Normal
15 108377120210 GARBIN,ANGELITO M. 7/2/2006 10.4 20 1.33 1.7689 11.3 S.Wasted Normal
16 108377150010 HILOMA,RAFAEL G. 12/27/2008 8.6 22 1.31. 1.7689 12.4 S.Wasted Normal
17 108377140040 LAGUITAN ,JERICHO P. 07/19/20008 8.11 21.7 1.31 1.7161 12.6. Wasted Normal
18 107862140016 MANAIG,CHARDEM GLORD B. 04/25/2009 8.4 22 1.31 1.4884 14.7 Normal Normal
19 108377140071 MANLAPAS,JOHN RAFAEL C 10/31/2009 7.8 20 1.33 1.4884 13.4 Normal Normal
20 108377150006 MORADA,MIKE ANGELO A. 4/20/2009 8.2 24.5 1.26 1.5876 15.4 Normal Normal
21 108377140122 RAMOS,JAIRUS C. 04/302009 8.2 18 1.22 1.4884 12 S.Wasted Normal
22 108377140188 OTEYZA,JUMOMG M. 7/11/2009 9.11 19 1.21 1.4641 12.9 Normal Stunted
23 108377140072 REYTERAN , RHEIZES M. 5/4/2009 8.10 19 1.21 1.4641 12.9 Wasted Normal
24 108377140145 SALCEDA,REXENN V. 07-21-2009 7.11 24 1.32 1.7424 13.7 Normal Normal
25 108377150007 URGELLES,MEYNARD SANTINO I. 4/6/2009 8.0 18 1.22 1.4884 12 S.Wasted Normal
26 108292140028 VANZUELA,EDWIN JAY U. 6/8/2009 8.8 18 1.22 1.44 12.5 Wasted Normal
FEMALE
1 108377140149 AGBADA,JILLIANA C. 07-20-2009 8.06 31.4 1.33 1.7689 17.7 Normal Normal
2 108377130161 BASBAS,CEIRALYN M. 03-25-2008 9.10 23 1.33 1.7689 13 Wasted Normal
3 108377150015 CLARIDAD,MARY ROSE A. 08-28-2009 8.05 28.5 1.32 1.7424 16.3 Normal Normal
4 108377140045 DELIN,CRISHEILLA A. 05-30-2009 8.08 21.5 1.22 1.4884 14.4 Normal Normal
5 108377140080 ICO,SHALYN D. 09-16-2009 8.04 21.5 1.22 1.4884 14.4 Normal Normal
6 108377140059 LASCANO,ANDREA MICAELLA 04-13-2009 8.09 21 1.21 1.4681 14.3 Normal Normal
7 108377140060 LEE,ANASUAYA 9/9/2009 8.04 20 1.23 1.5129 132 Normal Normal
8 108377140157 MORALITA,DENNIEL KAYE B. 03-13-2009 8.10 20 1.23 1.5129 13.2 Normal Normal
9 108377140024 PALINSAD,MELVILLE A. 09-26-2009 8.04 32 1.25 1.5625 24.3 O.W. Normal
10 107901140305 PENA,AUBREY GAIL G. 6/6/2009 8.07 29 1.23 1.5925 19.1 Normal Normal
11 108377140082 REALODA,LAICALYN N. 9/5/2010 7.04 19 1.24 1.5376 12.3 Normal Normal
12 108377140183 RODRIGUEZ LHARCEL 11/9/2009 8.02 20 1.26 1.5876 12.5 Normal Normal
13 108377150012 SEGUI, RHIAN S. 05-19-2009 8.08 22 1.22 1.4884 14.7 Normal Normal
14 108377140195 SOLLEZA,KLEIN Q. 06-20-2009 8.07 18 1.33 1.7556 12.5 S.Wasted Tall
15 108377140158 VALDECANTOS ,KRIZTELLE B. 10/3/2009 8.03 19 1.2 14400 13.1 Normal Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Stunted Normal Tall Total
Wasted
MALE 26 5 7 13 1 0 26 0 1 25 0 26
FEMALE 15 1 1 12 1 0 15 0 0 14 1 15
TOTAL 41 6 8 25 2 0 41 0 1 39 1 41

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

6/30/2017 LILIBETH M. DELOS SANTOS MARIAN ROSE L. NOCEJA NILDA S. ROYO, Ed.D.
Class Adviser Nutrition Coordinator Principal III
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUINALE ELEM.SCHOOL District PAETE Division LAGUNA Region IV-A CALABARZON

School ID 108377 Grade Three Section MOLAVE Track/Strand (SHS) School Year 2017-2018

Learner's Name
Birthdate Nutritional Status Height
Weight Height Height²
No. LRN (Last Name, First Name, (MM/DD/YYY Age BMI BMI for Age Remarks
(kg) (m) (m²)
Name Extension, Middle Y) (kg/m²) Category (HFA)
MALE Name)
1 109101130152 ABILA, PRINCE JOHN P 6/9/2008 9 21.4 1.22 1.4884 14.3 Normal Normal
2 108401140063 AFURONG, RASPBERRY M 6/23/2009 8 24.5 1.28 1.6384 14.9 Normal Normal
3 108377150016 ARENAS, GEORGE JR. R 9/11/2009 8 29.7 1.3 1.69 17.5 Normal Normal
4 108377140062 AREVALO, MARK RELIAN E 2/19/2009 8 18.5 1.18 1.3924 13.2 Wasted Normal
5 108377140063 BALDEMOR, JOHN HOMER Q 4/24/2009 8 21.7 1.23 1.5129 14.3 Normal Normal
6 108377150001 CABISIDAN, IAN DARYL B. 7/20/2009 8 24.4 1.26 1.5876 15.3 Normal Normal
7 108377140112 CASTILLO, DARELLE B. 4/5/2009 8 19.4 1.19 1.4161 13.6 Normal Normal
8 108377150128 CAWIL, MARK JUSTINE M. 3/1/2008 9 19 1.19 1.4161 13.4 Wasted Stunted
9 108377140096 CIA, JIMBOY 9/4/2008 8 24.8 1.25 1.5625 15.80 Normal Normal
10 108377140141 CUERDO, JOHN ROVIC A. 6/29/200 8 24.5 1.23 1.5129 16.1 Normal Normal
11 108377130227 DE ASIS, MIGUELITO JR. M. 3/14/2008 9 23.4 1.24 1.5376 15.20 Normal Normal
12 108377110040 DE CASTRO, ARVIN JOSEPH F. 12/12/2005 12 20.5 1.2 1.44 14.20 Normal S.Stunted
13 108377140067 DIMAGUILA, GILLIAN T. 7/12/2009 8 21.0 1.20 1.44 14.5 Normal Normal
14 109585300043 GAMBOL, KIM ARNIEL LONTOC 10/22/2008 8 22.0 1.26 1.5876 13.8 Normal Normal
15 108377140114 GELING, JOHN EZEKIEL V. 7/14/2009 8 16.3 1.19 1.4161 11.50 S.Wasted Normal
16 108377150005 MADRIGAL, ROSS ANGELO N. 6/13/2009 8 22.0 1.21 1.4161 15.00 Normal Normal
17 108394140028 MAMSAANG, JEUZ LUNAR A. 3/15/2009 8 23.5 1.25 1.5225 15 Normal Normal
18 108377140143 MENDOZA, WEINE JUNIEL M. 5/28/2009 8 20.3 1.22 1.4884 14.3 Normal Normal
19 108377140120 OROSCO JR., ARNEL AIRON O. 8/9/2009 8 20.3 1.2 1.44 15 Normal Normal
20 108377150014 RABIN, GIGGS CADAPAN 5/1/2009 8 18.3 1.21 1.4641 14.00 Normal Normal
21 108377140101 RAMOS, JAN ANGELO A. 12/7/2008 8 29.3 1.26 1.5876 12.4 S.Wasted Normal
22 108377140146 SALDEA, FRANCIS 10/3/2009 8 21.4 1.25 1.5625 18.4 Normal Normal
23 108377140102 SARMIENTO, JAMES PAUL A. 7/30/2009 8 23.5 1.27 1.5625 13.6 Normal Normal
FEMALE
1 108377140017 ABELLERA, JACOS CEANA R. 4/17/2009 8 33.0 1.27 1.6129 20.4 Normal Normal
2 108377140048 ALEGRE, RONA HANA V. 11/9/2008 8 18.0 1.18 1.3924 12.9 Wasted Stunted
3 108377140055 ALVAREZ, ROSAURA MAE M. 6/23/2009 8 23.5 1.27 1.6129 14.50 Normal Normal
4 108377130117 BEGORNIA, ALTHEA T. 1/3/2008 9 24.0 1.22 1.4884 16.1 Normal Normal
5 108377150002 CADAPAN, CYRILLE JANE C. 12/16/2008 8 20 1.21 1.4641 13.6 Normal Normal
6 108377140105 CADAY, CHEYZEL ANNE L. 6/27/2009 8 18.3 1.19 1.4161 12.90 Normal Normal
7 108377140019 CALLEJA,MARY GAIL S. 5/30/2009 8 21.0 1.2 1.44 14.5 Normal Normal
8 108377140078 CELIZ, JHOLLYZZA ANNE P. 9/1/2009 7 17.5 1.18 1.3924 12.5 Wasted Normal
9 108377140037 DE CASTRO, VIRGILINA MAE F. 6/11/2008 9 17.3 1.17 1.3689 12.60 Wasted Stunted
10 108377140177 DELA CRUZ, ZHYCARCA C. 12/19/2008 8 22.7 1.23 1.5129 15 Normal Normal
11 108377140108 DELUMEN, LORISH JASMINE L. 9/19/2009 7 21.8 1.25 1.5625 13.90 Normal Normal
12 108325130139 LIGSAY, KIMBERLY 8/20/2007 10 25 1.25 1.5625 16 Normal Normal
13 108377150131 LLANERA, PATRICIA R. 7/3/2009 8 20 1.2 1.44 13.8 Normal Normal
14 108377140156 MONPONBANUA, RHYZA B. 1/21/2009 7 19.8 1.18 1.3924 14.2 Normal Normal
15 107594130404 NABOR, MISHA MAE A. 9/29/2008 8 23.3 1.21 1.4641 15.9 Wasted Normal
16 108377140133 TEJADA, STEPHANIE C. 8/16/2009 8 18.2 1.19 1.4161 12.8 Normal Normal
17 108377140182 TIMOG, LEYH ANN D. 12/10/2008 8 33.2 1.29 1.6641 19.9 Normal Normal
18 108377140034 ZARSUELO, RONA MARGARET B. 9/25/2009 7 23.5 1.26 1.5876 14.8 Normal Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted

MALE 23 2 2 19 0 0 23 1 1 21 0 23
FEMALE 18 0 4 14 0 0 18 0 2 16 0 18
TOTAL 41 0 6 23 0 0 41 1 3 37 0 41

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

6/30/2017 RENATO M. RIVERA MARIAN ROSE L. NOCEJA NILDA S. ROYO, Ed.D.
Class Adviser Nutrition Coordinator Principal III