SF 8

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

School Name LUIS CASIPLE SR. IS District WEST MALUNGON Division

School ID 500294 Grade V Section NARRA 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
1 130604130025 Arellano, John Carl Obedencio 8/11/2008 10 , 7 27.3 1.4 1.96
2 130604130030 Bertolano, John Kineth Oros 9/13/2008 10 , 5 23 1.27 1.6129
3 130604110011 Cablab, Jayson Lanubay 1/17/2006 13 , 1 37.2 1.54 2.3716
4 130604130036 Montong, Razel Flongkay 6/13/2008 10 , 8 27.2 1.3 1.69
5 130590130054 Tiware, Randy Mot 8/13/2005 13 , 6 37.2 1.55 2.4025
6
7
8
9
10
FEMALE
1 130604130019 Arellano, Kristine Oros 5/1/2008 10 , 10 26.6 1.3 1.69
2 130604130046 Baran, Desairee Key Abnaway 1/6/2008 11 , 2 30.1 1.35 1.8225
3 130590130020 Binaton, Aika Jade Dunggon 6/14/2009 10 , 8 26.6 1.28 1.6384
4 130604130050 Dianon, Marian Golalan 2/16/2009 10 , 0 21.2 1.21 1.4641
5 130854130063 Galila, Crisa Mae Lusanda 3/28/2008 10 , 11 30.6 1.35 1.8225
6 130604130053 Garay, Eloisa Jean Tio 5/24/2008 10 , 9 25 1.25 1.5625
7 130604130051 Gargaran, Princeswin Mendoza 10/29/2008 10 , 4 20.8 1.19 1.4161
8 130604130033 Genite, Gracezelle Faith Arellano 8/26/2008 10 , 6 31.2 1.29 1.6641
9 130604130056 Montong, Jannah Calibay 8/22/2008 10 , 6 21.7 1.24 1.5376
10 130604130057 Odi, Lyka Cawag 6/13/2008 10 , 8 23.9 1.29 1.6641
1112 130610130077 Reyes, Irine Labuayan 5/19/2008 10 , 9 32.5 1.32 1.7424
13 130718130008 Tim, Kristine Dianon 7/24/2008 10 , 7 35.2 1.44 1.0736
14 130604120070 Tio, Myla Lantingan 5/10/2007 11 , 10 24.9 1.3 1.69
15 130601130076 Villarias, Princess Pearl Montalbo 11/25/2008 10, 3 24.7 1.24 1.5376
16 ### Magpon, Lyka D. 8/31/2008 NO POST NUTRITIONAL ST

SUMMARY TABLE
Nutritional Status H
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE 0 0 5 0 0 5 0 0
FEMALE 0 0 14 0 0 14 1 8
 Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name)
TOTAL 0 2 19 0 0 19 6 10

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

MARCH 11,2019 MELIEZA M. AMPAN IVY JANE C. TABAOSUAREZ
8)

SARANGANI Region XII

School Year 2018-2019

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

13.90 Normal Normal

14.20 Normal Normal
15.60 Normal Normal
16.00 Normal Normal
15.40 Normal Normal

15.70 Normal Stunted

16.50 Normal Normal
16.20 Normal Stunted
14.40 Normal Stunted
16.70 Normal Normal
16.00 Normal Stunted
14.60 Normal Severely Stunted
18.70 Normal Normal
14.10 Normal Stunted
14.30 Normal Stunted
18.60 Normal Normal
16.90 Normal Normal
14.70 Normal Stunted
16.00 Normal Stunted
ITIONAL STATUS

Height for Age (HFA)

Summary Table
Normal Tall Total

5 0 5
5 0 14
 Nutritional Status
Height for Age
BMI BMI Remarks
(HFA)
(kg/m²) Category
12 0 19

Reviewed By:
JESSIE S. CAUMBAN

SFRT 2017