SF 8

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

School Name LUISIANA CENTRAL E/S District LUISIANA Division LAGUNA Region IV-A CALABARZON

School ID 108317 Grade Section Track/Strand (SHS) School Year 2019-2020

Learner's Name Nutritional Status

(Last Name, First Birthdate Weight Height Height² Height for Age
No. LRN Age BMI Remarks
Name, Name Extension, Middle (MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name) (kg/m²)
MALE
1 108317160035 Dela Torre, Mark Ivan Plata 03-07-11 8.03 20.00 130.00 16900.00 0.00 Severely Wasted Tall
2 108317160005 De Lima, Eldrin Dirk Pedron 01-11-11 8.04 30.00 115.00 13225.00 0.00 Severely Wasted Tall
3 108317160019 Jader, Jaycov Luis Quilala 04-16-11 8.01 38.00 131.00 17161.00 0.00 Severely Wasted Tall
4 108317160072 Lorbis, Roniel Jacob Natividad 11-08-10 8.06 30.00 134.00 17956.00 0.00 Severely Wasted Tall
5 108317160044 Manolas, Aldrin Villarubin 03-31-11 8.02 23.00 121.00 14641.00 0.00 Severely Wasted Tall
6 108317160094 Manolas, Jinklaynard Seda 08-17-11 7.09 20.00 120.00 14400.00 0.00 Severely Wasted Tall
7 198317150127 Nicolas, Ren Arthur 03-30-10 9.02 44.50 135.00 18225.00 0.00 Severely Wasted Tall
8 108317160008 Parago, Laurence Dayapera 01-30-11 8.04 22.00 125.00 15625.00 0.00 Severely Wasted Tall
9 108317160088 Paranal, Renz Carl Madera 04-03-11 8.02 21.00 123.00 15129.00 0.00 Severely Wasted Tall
10 108317160085 Villanueva, Ivan Tolentino 07-28-11 7.10 23.00 126.00 15876.00 0.00 Severely Wasted Tall

FEMALE
1 407735160007 Apaya, Arabella Adrienne Tolentino 04-22-11 8.01 20.00 115.00 13225.00 0.00 Severely Wasted Tall
2 108317160049 Asedillo, Adianez Nicole Cerilla 03-31-10 9.02 23.50 122.00 14884.00 0.00 Severely Wasted Tall
3 108317160026 Buctil, Alyza Ashley Palope 04-01-11 8.02 32.50 130.00 16900.00 0.00 Severely Wasted Tall
4 108317160028 Casin, Jillian Claire Elpa 12-19-10 8.05 23.00 125.00 15625.00 0.00 Severely Wasted Tall
5 407735160018 Esmas, Kirsten Hailey Ludovice 06-02-11 8.00 28.00 127.00 16129.00 0.00 Severely Wasted Tall
6 437005160011 Gonzales, Rhean Mae Zaide 03-29-11 8.02 22.00 121.00 14641.00 0.00 Severely Wasted Tall
7 108317160077 Juacalla, Annie Maria Dela Cruz 12-16-10 8.05 22.00 131.00 17161.00 0.00 Severely Wasted Tall
8 108317160051 Lorico, Aubrey Ann Jarito 08-11-10 8.09 28.00 128.00 16384.00 0.00 Severely Wasted Tall
9 108317160083 Manolas, Chrislyn Mae Dinoble 04-05-11 8.02 20.00 113.00 12769.00 0.00 Severely Wasted Tall
10 109436160090 Marsonia, Ariana Jhaira Allago 04-27-11 8.01 25.00 129.00 16641.00 0.00 Severely Wasted
11 108317160060 Moral, Princess Julianne Merilles 08-19-11 7.09 21.00 122.00 14884.00 0.00 Severely Wasted Tall
12 407735160020 Pasion, Althea Nathalie Casino 08-25-11 7.09 20.00 117.00 13689.00 0.00 Severely Wasted Tall
13 108317150090 Raflores, Irish Filoteo 11-04-09 9.07 21.00 121.00 14641.00 0.00 Severely Wasted Tall
14 108317160065 Rondolo, Majella Jhudiel 07-30-11 7.10 29.50 129.00 16641.00 0.00 Severely Wasted Tall
15 407735160011 Villanueva, Kylie Charles Perez 04-30-11 8.01 23.00 119.00 14161.00 0.00 Severely Wasted Tall
16 108317160081 Zalamaeda, Shantille Oliveros 11-29-10 8.06 21.00 126.00 15876.00 0.00 Severely Wasted Tall

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 10 0 0 0 0 10 0 0 0 10 10
FEMALE 16 0 0 0 0 16 0 0 0 15 15
TOTAL 26 0 0 0 0 26 0 0 0 25 25

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

6/7/2019 NAME OF ADVISER TONIE ROSE R. APOLO DONA A. SALVAN
Adviser School Nutrition Coordinator Principal III
SFRT 2017