Department of Education

Division of Ligao City

Ligao East District

I LOVE TO LEARN CONVERGENCE PROGRAM OF LGU-LIGAO CITY

School: NABONTON ELEMENTARY SCHOOL

Year/Grade Level & Section: Grade V-One

NAME OF PUPILS
BOYS
1. Barobaro, Franklin B.
2. Bercilla, John Andrew A.
3. Dacuya, Ronald E.
4. Delos Santos, Jerome D.
5. Lozada, Noah
6. Luces, Bryan
7. Maravillo, Angel Bert L.
8. Morato, Janlee T.
9. Moroso, Kenneth N.
10. Pedres, Angelo B.
11. Pincaro, Arjay R.
12 Pincaro, Steven N.
13 Porlaje Jr., Rolando F.
14 Quiobe, Mark Francis M.
15 Quiobe Jr., Roger O.
16 Servado, Allysius M.
17 Tamara, John Henrick Q.
GIRLS
Bercilla, Anjanette T.
1
Bercilla, Gemma O.
2
Buhatin, Vernadeth L.
3
Delos Santos, Jessica D.
4
Esmeralda, Ma. Cristina D.
5
Lastimosa, Kate B.
6
Mantes, Kathleen M.
7
Moroso, Angeline E.
8
Pincaro, Abegail O.
9
10 Pincaro, Anghel Mhay C.
11 Plamvergen, Mary Joy N.
12 Plamvirgen, Jonalyn C.
13 Porlaje, Michelle F.
14 Quiobe, Michelle Ann M.
15 Quiobe, Risa N.
16 Redito, Jovilyn D.
17 Redondo, Iane Danica U.

Teacher: MRS. GIRLIE H. GANGAWAN

Start of the Feeding Program: SEPTEMBER 10, 2012

Date of Birth
SEPT.

01/25/01
11/22/00
06/22/01
03/10/00
11/20/99
08/04/00
09/17/00
01/12/99
08/28/00
05/02/01
06/25/98
10/14/01
12/27/98
08/05/99
04/21/98
12/01/01
02/04/01

25
30
21
25
29
26
26
48
34
21
38
32
33
23
28
30
26

11/10/01
04/18/00
10/03/98
12/08/01
04/17/02
11/08/01
04/14/01
03/05/02
11/17/01
01/13/01
12/06/00
01/03/01
08/30/00
07/01/00
10/28/00
05/12/00
08/04/01

24
32
39
24
30
27
32
32
24
39
26
43
32
25
33
37
36

OCT.

NOV.

Weight
(kg)
DEC.
JAN.

FEB.

MAR.

Prepared by:
GIRLIE H. GANGAWAN
Class Adviser
Certified True & Correct:
SERLYNN P. LOPEZ
School Health Coordinator

Noted:
RONALD B. LUCENA
Principal I

Department of Education
Division of Ligao City
Ligao East District

NUTRITIONAL STATUS RECORD

Teacher: MRS. GIRLIE H. GANGAWAN
Date of Weighing: SEPTEMBER 26, 2012

School: NABONTON ELEMENTARY SCHOOL

Year/Grade Level & Section: Grade V-One

NAME OF PUPILS
BOYS
1. Barobaro, Franklin B.
2. Bercilla, John Andrew A.
3. Dacuya, Ronald E.
4. Delos Santos, Jerome D.
5. Lozada, Noah
6. Luces, Bryan
7. Maravillo, Angel Bert L.
8. Morato, Janlee T.
9. Moroso, Kenneth N.
10. Pedres, Angelo B.
11. Pincaro, Arjay R.
12 Pincaro, Steven N.
13 Porlaje Jr., Rolando F.
14 Quiobe, Mark Francis M.
15 Quiobe Jr., Roger O.
16 Servado, Allysius M.
17 Tamara, John Henrick Q.
GIRLS
Bercilla, Anjanette T.
1
Bercilla, Gemma O.
2
Buhatin, Vernadeth L.
3
Delos Santos, Jessica D.
4
Esmeralda, Ma. Cristina D.
5
Lastimosa, Kate B.
6
Mantes, Kathleen M.
7
Moroso, Angeline E.
8
Pincaro, Abegail O.
9
10 Pincaro, Anghel Mhay C.
11 Plamvergen, Mary Joy N.
12 Plamvirgen, Jonalyn C.
13 Porlaje, Michelle F.
14 Quiobe, Michelle Ann M.
15 Quiobe, Risa N.
16 Redito, Jovilyn D.
17 Redondo, Iane Danica U.
Body Mass Index

Date of Birth

Age as of
Date of
Weighing

Weight
(kg)

01/25/01
11/22/00
06/22/01
03/10/00
11/20/99
08/04/00
09/17/00
01/12/99
08/28/00
05/02/01
06/25/98
10/14/01
12/27/98
08/05/99
04/21/98
12/01/01
02/04/01

11:9
11:11
11:4
12:7
12:11
12:2
12:1
13:9
12:1
11:5
14:5
10:12
13:10
13:2
14:6
10:10
11:8

25
30
21
25
29
26
26
48
34
21
38
32
33
23
28
30
26

1.32
1.42
1.23
1.29
1.35
1.36
1.27
1.57
1.4
1.23
1.47
1.39
1.46
1.23
1.42
1.36
1.39

11/10/01
04/18/00
10/03/98
12/08/01
04/17/02
11/08/01
04/14/01
03/05/02
11/17/01
01/13/01
12/06/00
01/03/01
08/30/00
07/01/00
10/28/00
05/12/00
08/04/01

10:11
12:6
13:12
10:10
10:6
10:11
11:6
10:7
10:11
11:9
11:10
11:9
12:1
12:3
11:12
12:5
11:2

24
32
39
24
30
27
32
32
24
39
26
43
32
25
33
37
36

1.37
1.4
1.52
1.22
1.33
1.42
1.41
1.5
1.31
1.43
1.27
1.5
1.37
1.37
1.38
1.5
1.5

BMI

Nutritional
Status

1.74
2.02
1.51
1.66
1.82
1.85
1.61
2.46
1.96
1.51
2.16
1.93
2.13
1.51
2.02
1.85
1.93

14.35
14.88
13.88
15.02
15.91
14.06
16.12
19.47
17.35
13.88
17.59
16.56
15.48
15.20
13.89
16.22
13.46

Wasted
Normal
Wasted
Normal
Normal
Wasted
Normal
Normal
Normal
Wasted
Normal
Normal
Normal
Normal
Normal
Normal
Wasted

1.88
1.96
2.31
1.49
1.77
2.02
1.99
2.25
1.72
2.04
1.61
2.25
1.88
1.88
1.90
2.25
2.25

12.79
16.33
16.88
16.12
16.96
13.39
16.10
14.22
13.99
19.07
16.12
19.11
17.05
13.32
17.33
16.44
16.00

Wasted
Normal
Normal
Normal
Normal
Wasted
Normal
Normal
Normal
Normal
Normal
Normal
Normal
Wasted
Normal
Normal
Normal

Height (Height)
(m)

weight (in kilograms)

ht (m2)

F:\NS Region 5\NS Form_ School Level

Prepared by:
GIRLIE H. GANGAWAN
Class Adviser
Certified True & Correct:
SERLYNN P. LOPEZ
School Health Coordinator

Noted:
RONALD B. LUCENA
Principal I

GANGAWAN
m: SEPTEMBER 10, 2012

GANGAWAN
s Adviser

D B. LUCENA
incipal I

Remarks

WAN
2012

141
143
136
151
155
146
145
165
145
137
173
132
166
158
174
130
140

16'1
12'10
12'9
13'6
11'7
11'12
10'9
12'5
11'10
11'6
11'11
10'11
11'6
13'11
10'12
12'3
10'11

131
150
168
130
126
131
137
127
131
141
142
141
145
147
144
149
134

11'4
11'7
11'9
10'10
11'4
11'6
11'12
12'4
11'7
11'10
11'2
12'2
11'11
13'3
12'6

01/25/01
11/22/00
06/22/01
03/10/00
11/20/99
08/04/00
09/17/00
01/12/99
08/28/00
05/02/01
06/25/98
10/14/01
12/27/98
08/05/99
04/21/98
12/01/01
02/04/01

07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12

6/9/1911 0:00
8/12/1911 0:00
1/12/1911 0:00
4/25/1912 0:00
8/14/1912 0:00
11/30/1911 0:00
10/17/1911 0:00
6/22/1913 0:00
11/6/1911 0:00
3/4/1911 0:00
1/9/1914 0:00
9/20/1910 0:00
7/8/1913 0:00
11/29/1912 0:00
3/15/1914 0:00
8/3/1910 0:00
5/30/1911 0:00

11/10/01
04/18/00
10/03/98
12/08/01
04/17/02
11/08/01
04/14/01
03/05/02
11/17/01
01/13/01
12/06/00
01/03/01
08/30/00
07/01/00
10/28/00
05/12/00
08/04/01

07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12
07/04/12

8/24/1910 0:00
3/17/1912 0:00
10/1/1913 0:00
7/27/1910 0:00
3/19/1910 0:00
8/26/1910 0:00
3/22/1911 0:00
5/1/1910 0:00
8/17/1910 0:00
6/21/1911 0:00
7/29/1911 0:00
7/1/1911 0:00
11/4/1911 0:00
1/3/1912 0:00
9/6/1911 0:00
2/22/1912 0:00
11/30/1910 0:00

01/25/01
11/22/00
06/22/01
03/10/00
11/20/99
08/04/00
09/17/00
01/12/99
08/28/00
05/02/01
06/25/98
10/14/01
12/27/98
08/05/99
04/21/98
12/01/01
02/04/01
11/10/01
04/18/00
10/03/98
12/08/01
04/17/02
11/08/01
04/14/01
03/05/02
11/17/01
01/13/01
12/06/00
01/03/01
08/30/00
07/01/00
10/28/00
05/12/00
08/04/01

09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12
09/28/12

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