SF 8

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

School Name District Division

School ID Grade Section Track/Strand (SHS)

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

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

SUMMARY TABLE
Nutritional Status
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE
FEMALE
TOTAL

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

F8)

Region

School Year

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

Height for Age (HFA)

Summary Table
Normal Tall Total

Reviewed By:

SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name ILIHAN INTEGRATED SCHOOL District TABOGON Division

School ID 500668 Grade V Section B Track/Strand (SHS)

Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Age
(MM/DD/YYYY) (kg) (m) (m²)
Middle Name)
MALE
1 119680130008 Arpon, Cyrus Fuentes 11/7/2006 10.07 26 1.29 1.6641
2 116905120002 Baobao, Anjelo Libodlibod 5/11/2006 11.01 24 1.33 1.7689
3 119751130053 Bayarcal, Micaell Lequin 10/10/2007 9.08 22 1.23 1.5139
4 113626130007 Catamco, Christian Jay Buhia 3/16/2006 11.03 27 1.3 1.69
5 119751130103 Dela Cruz, Martin Tudtud 10/25/2007 9.08 21 1.26 1.5876
6 119751130033 Els, Dean Tul-id 5/21/2007 10 32 1.36 1.8496
7 119751130054 Gotgot, Lido Jr Diola 1/27/2003 14.4 32 1.41 1.9881
8 119909130387 Grondiano, Glenn Charlie Remulador 3/24/2007 10.2 26 1.31 1.7161
9 119751110047 Grondiano, Marjun 6/1/2007 10 22 1.23 1.5129
10 119751130030 Hemal, Jiromely Bohol 2/21/2007 10.03 23 1.31 1.7161
11 119751120081 Hortelano, Serg Martin Sumabong 1/26/2007 10.04 33 1.35 1.8225
12 119751130062 Mondrano, Joshua Giou Giou 11/9/2006 10.07 27 1.37 1.8769
13 119751120085 Monteza, Mark Vincent Toring 3/31/2004 13.02 30 1.41 1.9881
14 119751130063 Povadora, Gian Cusgapa 11/29/2006 10.06 21 1,26 1.5876
15 119751130110 Quinain, Amel Despi 10/22/2005 11.08 27 1.33 1.7689
16 119751130124 Quinain, John Leo Pelegria 5/16/2006 11.01 27 1.3 1.69
17 119751130087 Romagos, Jhonwil Lemorin 6/30/2005 11.11 21 1.29 1.6641
18 119751130039 Simbajon, Renier Aroa 8/24/2006 10.09 27 1.34 1.7956
19 119751130040 Tejano, Jan Nino Tul-id 7/6/2007 9.11 31 1.28 1.6384
20 119751130015 Toling, James Klent Aballar 5/31/2007 10 22 1.25 1.5625
21 119751140102 Toling, Lowel 10/4/2007 9.08 23 1.29 1.6641
22 119751130088 Tul-id, Vinz Sean Montenegro 6/12/2005 12 29 1.32 1.7424
23 119751130064 Valiente, Leonilo Jr. Tulipas
24 119751120087 Vender, Lander Madrid

FEMALE
25 119751130042 Arco, Jorah Pepito 3/11/2008 9.03 35 1.41 1.9881
26 119751130044 Cabilogan, Melissa Sepulveda 7/23/2006 10.1 31 1.42 2.0164
27 119751130065 Del Caastillo, Kimberly Pega 6/22/2007 9.11 28 1.28 1.6348
28 119751130045 Dela Cruz, Lhiz Cortes 5/5/2006 11.01 27 1.34 1.7956
29 119751140101 Fuentes, Mitchie Villamor 3/17/2007 10.03 26 1.24 1.5376
30 119678130025 Loon, Queency Sumayang 10/15/2004 12.08 31 1.38 1.9044
31 119968130034 Malang, Alexa Cerrea 7/28/2007 9.1 26 1.31 1.7161
32 119751130021 Morre, Kathleen Ann Bariquit 10/18/2006 10.07 36 1,41 1.9881
33 119751140093 Povadora, Hazzil Sumalinog 1/21/2007 10.05 26 1.3 1.69
34 119751130050 Povadora, Shewa Aroa 7/13/2007 9.11 29 1.27 1.6129
35 113636130024 Punay, Jhemnie Dumaguit 7/22/2006 10.1 24 1.35 1.8225
36 119751130024 Resmundo, Jineveb Tul-id 7/5/2007 10.01 25 1.29 1.6641
37 119453130050 Sumabong, Jelyn Minoza 7/4/2007 9.11 22 1.25 1.5625
38 119751130099 Tura, Hyacient Monleon 9/18/2007 9.07 32 1.34 1.7956
 Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Age
(MM/DD/YYYY) (kg) (m) (m²)
Middle Name)

SUMMARY TABLE

Nutritional Status
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE 1 4 17 0 0 22 0 9
FEMALE 1 1 16 0 0 18 0 4
TOTAL 2 5 33 0 0 40 0 13

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

June 18, 2018 SHEBA B. RONDINA
 CEBU PROVINCE Region VII

BASELINE School Year 2018-2019

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

15.62 N N
13.57 W N
14.54 N S
15.98 N S
13.23 W N
17.3 N N
16.09 N N
15.15 N N
14.54 N S
13.4 W N
18.11 N N
14.39 N N
15.09 N S
13.23 W S
15.26 N S
15.98 N S
12.62 SW S
15.04 N N
18.92 N N
14.08 N N
13.82 N N
16.64 N S

17.6 N N
15.37 N N
17.09 N N
15.04 N N
16.91 N S
16.28 N S
15.15 N N
18.11 N N
15.38 N N
17.98 N N
13.17 W N
15.02 N N
14.08 N S
17.82 N N
 Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category

Height for Age (HFA)

Summary Table
Normal Tall Total

13 0 22
14 0 18
27 0 40

Reviewed By:

SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name ILIHAN INTEGRATED SCHOOL District TABOGON Division CEBU PROVINCE Region VII
School ID 500668 Grade V Section B Track/Strand (SHS) ENDLINE School Year 2017-2018

Learner's Name Nutritional StatusHeight

Birthdate Weight Height Height²
No. LRN (Last Name, First Name, (MM/DD/YYYY)
Age
(kg) (m) (m²) BMI BMI for Age Remarks
Name Extension, Middle Name) (kg/m²) Category (HFA)
MALE
1 119751120072 Ansarao, Kenjie 11/7/2006 11.02 27 1.31 1.7161 15.73 N N
2 119751110005 Aroa, Janiel Sanico 5/11/2006 11.07 27 1.36 1.8496 14.60 N N
3 119751120042 Belda, Paulo Jr. Veran 10/10/2007 10.02 23 1.25 1.5625 14.72 N S
4 119751110026 Dela Peña, Jhan Mark Povadora 3/16/2006 11.09 29 1.34 1.7956 16.15 N N
5 119751120078 Dosdos, Gerald Suliman 10/25/2007 10.02 24.5 1.27 1.6129 15.19 N N
6 119751120010 Esver, Drazen Acera 5/21/2007 10.07 33 1.4 1.96 16.84 N N
7 119751100044 Fyentes, Rey Dadol 1/27/2003 14.11 35 1.41 1.9881 17.60 N S
8 119751120013 Geslaga, Justine Ronamo 3/24/2007 10.09 28 1.33 1.7689 15.83 N N
9 119751120080 Hortelano, Miko 6/1/2007 10.07 24 1.25 1.5625 15.36 N S
10 119751120082 Lagason, Ramonito Jr. Batislaong 2/21/2007 10.1 25 1.31 1.7161 14.57 N N
11 119751120044 Malajos, Mel Gabriel Montealto 1/26/2007 10.11 38 1.38 1.9044 19.95 N N
12 119751120083 Micolob, Josh Axyl 11/9/2006 11.01 29 1.4 1.96 14.80 N N
13 119892130484 Miñoza, Gerson Espinosa 3/31/2004 13.09 31 1.44 2.0736 14.95 W S
14 119751120017 Mondrano, Albert Mangubat 11/29/2006 11.01 25.5 1.27 1.6129 15.81 N S
15 119751110066 Montemor, Charles 10/22/2005 12.02 28 1.34 1.7956 15.59 N S
16 119752110019 Pedroza, Kent Errole 5/16/2006 11.07 29.5 1.34 1.7956 16.43 N N
17 119751120128 Pepito, Godwin Subingsubing 6/30/2005 12.06 23 1.32 1.7424 13.20 SW S
18 119751130117 Piañar, Jenries Rapisa 8/24/2006 11.04 29 1.37 1.8769 15.45 N N
19 119751120086 Sabroso, Rovincent Gela 7/6/2007 10.06 35 1.33 1.7689 19.79 N N
20 119751120020 Sumotia, Raymund Pilapil 5/31/2007 10.07 24 1.29 1.6641 14.42 N N
21 119751120023 Ursal, James Hortelano 10/4/2007 10.03 25 1.32 1.7424 14.35 N N
22 119751130116 Versaga, Jerom Bacaron 6/12/2005 12.06 29 1.33 1.7689 16.39 N S
FEMALE
23 119751120052 Cagata, Arizza Gabrielle Gualin 3/11/2008 9.09 38 1.46 2.1316 17.83 N N
24 119751110017 Cañoneo, Rubi Bonghanoy 7/23/2006 11.05 35 1.46 2.1316 16.42 N N
25 119751120089 Caparoso, Eliza Marie Dejito 6/22/2007 10.06 30 1.3 1.69 17.75 N N
26 113626110007 Catamco, Elah Mae Joy Buhia 5/5/2006 11.08 31 1.37 1.8769 16.52 N N
27 119751110036 Embudo, Jeneve Dela Peña 3/17/2007 10.09 28 1.27 1.6129 17.36 N S
28 119751120126 Espinosa, Nicolette Ytang 10/15/2004 13.02 36 1.4 1.96 18.37 N S
29 119751120092 Gela, Sharmain Gelaran 7/28/2007 10.05 28 1.33 1.7689 15.83 N N
30 119751120029 Itang, Angela Elaine Cuaca 10/18/2006 11.02 42 1.45 2.1025 19.98 N N
31 119751110057 Layague, Jeniña Perez 1/21/2007 10,11 27 1.33 1.7689 15.26 N N
32 119751120048 Mangubat, Faith Marie Luce 7/13/2007 10.05 33 1.3 1.69 19.53 N N
33 119751120134 Mondrano, Jamilla Comendador 7/22/2006 11.05 28 1.38 1.9044 14.70 N N
34 119751120096 Pogoy, Kim Eunice Gorgonia 7/5/2007 10.06 26 1.33 1.7689 14.70 N N
35 119751120056 Povadora, Carla Tul-id 7/4/2007 10.06 24 1.29 1.6641 14.42 N N
36 119751120064 Samblaseño, Angel Mae Publico 9/18/2007 10.03 32 1.37 1.8769 17.05 N N
37 119751120066 Selerio, Russlynn May Tagalog 12/16/2006 11 31 1.47 2.1609 14.35 N N
38 119751120062 Sumanting, Frezza May Catarinen 10/3/2007 10.03 34 1.32 1.7424 19.51 N N
39 119751120036 Ytang, Desirre 12/7/2006 11.01 30 1.33 1.7689 16.96 N N
40 119751110098 Zabala, Ilyn Monteron 8/4/2006 11.05 26 1.39 1.9321 13.46 W N

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 1 1 20 0 0 22 0 8 14 0 22
FEMALE 0 1 17 0 0 18 0 2 16 0 18
TOTAL 1 2 37 0 0 40 0 10 30 0 40
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
January 8, 2018 SHEBA B. RONDINA

SFRT 2017