You are on page 1of 1

RIZAL TECHNOLOGICAL UNIVERSITY

PE02: FITNESS EXERCISE Institute of Human Kinetics

PERSONAL FITNESS ASSESSMENT FORM

2 X2 PICTURE
Surname Lumboy Given Name Jessa Mae Middle Initial A
Mobile no. 9122231336 e-mail address jessamaeabaalumboy@gmail.com Group no.
Section Code PCBET-20-201P Major Course Bs. Entrepreneurship PE Schedule Saturday 3-5 pm
Gender Female Age 18 Height cm. 160.02 Weight kg. 57 BMI 22.14

Are you physically fit to perform any exercises? yes If no, specify the reason
no

Weight kg. 57 Click the link to compute BMI https://obesity.org.ph/know-your-bmi/


BMI 22.14 ✓
Categories Underweight Normal weight Overweight Obesity

WHOLE BODY PICTURE HERE

Attested by: Jessa Mae A. Lumboy


Signature over printed name

You might also like