School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)

School Name Alawihao National High School School ID 309613 District Daet Division Camarines Norte Region V
Semester 2nd School Year 2017-2018 Section Generalists
Track and Strand GAS/ General Academic Strand Course/s (only for TVL)

Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)

MALE

1 SUMMARY TABLE A
2 STATUS MALE FEMALE TOTAL
3 Learners who
4 completed SHS
Program within 2
5 SYs or 4
6 semesters

7 Learners who
8 completed SHS
Program in more
9 than 2 SYs or 4
10 semesters

11 TOTAL 14 5 19
12
13
14
SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL

Note: NCs are recorded here for documentation but is not a requirement for
graduation.
 Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)

GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School Year.

2. It should be compiled and checked by the School Head and passed to

the Division Office before graduation.

FEMALE
1 Reviewed By:
2
3 KURLSTINE JOANNE N. ACERON
4 Adviser

5
6
7
8 Certified Correct & Submitted By:
9
10 ARNILOC. IBASCO
11 Secondary School Principal III

12
13
Reviewed By:

Signature of Division Representative over Printed Name

 School Form 1 School Register for Senior High School (S
School Name Alawihao National High School School ID 309613 District Daet

Semester 1ST School Year 2019-2020 Grade Level 12

Section Course (For TVL Only) TVL/HE Bread and Pastry and Production, Cookery and Food and Beverages Services
CHEFS

COMPLETE ADDRESS PARENTS

Sex (M/F)
NAME BIRTHDATE
LRN (Last Name, First Name, Name Extension, Middle (mm/dd/yyyy) AGE Religious Affiliation House No./ Moth
Name) Street/
Barangay Municipality/ City Province Father's Name (Last Name, Fir
Sitio/ (Last Name, First Name, Name Extension, Middle Name)
Purok

1 112140070037 KATIGBAK,JOFEL PURCIA M JULY 25,1999 18

2 112140070059 OSAL, ELOHIM JR. ZAGUIRRE 17

M MARCH 7,2001

3 173001060028 VELASCO, GHOLAN ABAINZA M MARCH 8,2001 17

3 <=== TOTAL MALE
NAME
LRN (Last Name, First Name,
Name Extension, Middle
1 11214007001 ABANTE,
Name) MABEL STA. ROSA F MARCH 12,2000 18
2 112139070034 ALCAYA, BERNADETTE ESPINA F JULY 25,2001 16
3 112139070025 CEBA, ROSEMARIE RUBI F OCTOBER 2,2001 16
4 112139070027 CEDRO,ROSE ANN MACEDA F NOVEMBER 24,1999 18
5 112131070028 DE LUNA, JOAN PONAYO F APRIL 30,2002 16
6 309613150001 RAFER, MYLA REVILLA F JANUARY 30,1995 23
7 112135070068 RUIZ, RUFFA MAE QUIBRAL f MAY 15,2001 17
7 <=== TOTAL FEMALE
10 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column

SFRT 2017
enior High School (SF1-SHS)
Division Camarines Norte Region v

12 Track and Strand TECHNICAL VOCATIONAL/HOME ECONOMICS

PARENTS GUARDIAN
(if learner is not Living with Parent) REMARKS
Contact Number of Parent/
(Please refer to the
Mother's Maiden Name Name Guardian legend)
(Last Name, First Name, Name Extension, Middle (Last Name, First Name, Name Relationship

Name) Extension, Middle Name)

SFRT 2017
 COMPLETE ADDRESS PARENTS

Sex (M/F)
NAME BIRTHDATE
LRN (Last Name, First Name, Name Extension, Middle (mm/dd/yyyy) AGE Religious Affiliation House No./ Moth
Name) Street/
Barangay Municipality/ City Province Father's Name (Last Name, Fir
Sitio/ (Last Name, First Name, Name Extension, Middle Name)
Purok

Indic
Code Required Information Indicator Code Required Information REGISTERED Beginning of the Semester End of the Semester
ator
Transf T/O CCT Recipient CCT CCT Control/reference number
erred & Effectivity Date Name of
Out MALE 3
Balik Aral B/A school last attended & Year
Specify Exceptionality of the
Transf T/I
Learner 7
erred Name of School, Date of 1st Attendance and Learner With LWE Specify Level & Effectivity FEMALE
In
Date of Last Attendance if Transferred Out Exceptionality Date
Accelerated ACL

TOTAL 10

SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) REMARKS
Contact Number of Parent/
(Please refer to the
Mother's Maiden Name Name Guardian legend)
(Last Name, First Name, Name Extension, Middle (Last Name, First Name, Name Relationship

Name) Extension, Middle Name)

Prepared By:

CHRISTINA D. QUERIJERO
Class Adviser

Beginning of the Semester Date: JUNE 3,2019 End of the Semester Date:

SFRT 2017
 School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)

School Name ALAWIHAO NATIONAL HIGH SCHOOL School ID 309613 District DAET Division CAMRINES NORTE Region V
Semester 2ND School Year 2018-2019 Grade Level 12 Track and Strand GENERAL ACADEMIC STRAND
Section GENERALISTS Course/s (only for TVL) Month of APRIL
REMARKS
DATE 1. If No Longer in School (NLS), state reason,
NAME 1 2 3 4 5 6 8 9 19 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Total for the Month
please refer to legend number. 2. If
(Last Name, First Name, Name Extension,
TRANSFERRED IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY School. 3. If SHIFTING IN/OUT, write the name
of Track/Strand/Program).
1

10

11

12

13

14

<=== MALE | TOTAL Per Day ===> 0

1
 REMARKS
DATE 1. If No Longer in School (NLS), state reason,
NAME 1 2 3 4 5 6 8 9 19 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Total for the Month
please refer to legend number. 2. If
(Last Name, First Name, Name Extension,
TRANSFERRED IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY School. 3. If SHIFTING IN/OUT, write the name
of Track/Strand/Program).
2

27

<=== FEMALE | TOTAL Per Day ===> 5 5 5 5 5 10

Combined TOTAL Per Day 10

No. of Days of
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Classes: Summary

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper April 5 M F TOTAL
for Late Comer, Lower for Cutting Classes)
2. To compute the following:
* Enrolment (as of 1st Friday of the
14 5 19
semester)

2. REASONS/CAUSES FOR NO LONGER Late Enrolment during the month (beyond cut-off)
IN SCHOOL (NLS) Registered Learners as of end of the 14 5 19
a. Percentage of Enrolment = x 100
Registered Learners as of end of the month month
Enrolment as of 1st Friday of the school year Percentage of Enrolment as of end of
100% 100% 100%
a. Domestic-Related Factors the month
Total Daily Attendance a.1. Had to take care of siblings Average Daily Attendance 13.00 5
b. Average Daily Attendance = Number of School Days in reporting month a.2. Early marriage/pregnancy Percentage of Attendance for the
93% 100% 97%
a.3. Parents' attitude toward schooling month
a.4. Family problems Number of students absent for 5
c. Percentage of Attendance for the month = Average daily attendance x 100 consecutive days
Registered Learners as of end of the month b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table b.1. Illness No Longer in School (NLS)
into School Form 4. Once signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
Transferred Out
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.4. Drug Abuse
absent for 5 consecutive days and/or those at risk of dropping out. b.5. Poor Academic Performance Transferred In
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.6. Lack of Interest/Distractions
b.7. Hunger/Malnutrition
 REMARKS
DATEtable
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary b.1. Illness 1. If No Longer in School (NLS), state reason,
NAME 1 this2 form
3 should
4 5be returned
6 8 to9the19 11 Adviser.
12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Total for the Month
into School Form 4. Once signed by the School Head, Class b.2. Overage please refer to legend number. 2. If
(Last Name, First Name, Name Extension,
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.4. Drug Abuse TRANSFERRED IN/OUT, write the name of
Middle Name)
absent for 5 consecutive days and/or those at risk ofMdropping
T W out. TH F S M T W TH F S M T W TH F S b.5. M PoorT Academic
W TH FPerformance
S M T W TH F S ABSENT TARDY School. 3. If SHIFTING IN/OUT, write the name
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.6. Lack of Interest/Distractions of Track/Strand/Program).
Shifting Out
b.7. Hunger/Malnutrition
c. School-Related Factors Shifting In
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan KURLSTINE JOANNE N. ACERON
feuds) ADVISER
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work Attested By:

f. Others (Specify) ARNILO C. IBASCO

a. Death SECONDARY SCHOOL PRINCIPAL III
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
 School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
 SF3-SHS)
Division Region

d Strand

Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
 Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>

GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the Class Adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code:
Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned

ignature of Class Adviser over Printed Name

 School Form 4 Monthly Learners' Movement and Attendanc

School Name District Division

School ID Semester School Ye

ATTENDANCE DROPPED OUT TRANSFERRED OUT

REGISTERED
LEARNERS (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month
of Previous End of the of Previous of End of
Month Month Month the Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:

Signature of Sc
 ance for Senior High School (SF4-SHS)

Region

hool Year For the Month of

TRANSFERRED IN SHIFTED OUT SHIFTED IN

(A) (A+B) (A) (A+B) (A) (A+B)

Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as of Number as Number as
the Month the Month the Month
of Previous End of the of Previous End of the of Previous of End of the
Month Month Month Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T
re of School Head over Printed Name
 School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)

School Name Alawihao National High School School ID 309613 District Daet Division Camarines Norte Region V

Semester FIRST
School Year 2018-2019 Grade Level 12 Section CHEFS

Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD/ECONOMICS/HOME ECONOMICS

Course/s (only for TVL) Bread and Pastry Production, Cookery, Food and Beverage Services

BACK SUBJECT/S END OF

LEARNER'S NAME List down subjects where END OF SCHOOL
No. LRN SEMESTER
(Last Name, First Name, Name Extension, Middle Name) learner obtained a rating below YEAR STATUS
STATUS (Regular/ Irregular)
75%) (Complete/ Incomplete)

MALE
SUMMARY TABLE 1ST SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

REGULAR

IRREGULAR

TOTAL

FEMALE
 BACK SUBJECT/S END OF
LEARNER'S NAME List down subjects where END OF SCHOOL
No. LRN SEMESTER
(Last Name, First Name, Name Extension, Middle Name) learner obtained a rating below YEAR STATUS
STATUS (Regular/ Irregular)
75%) (Complete/ Incomplete)

1 112140060006 ALEGRE, DIANLY ARANDIA Complete

2 112140060021 BODOTA,RACHEL VILLAGRACIA Complete
3 309613130031 BRIONGOS,CZARINA MAY DOCTOR Complete
4 112140060023 CALITIS,JHASMINE PIA FACTOR Complete
5 112140060024 CAMPOSANO,DONNA ROMANO Complete
6 112139060047 GUTIERREZ,JULIE ANN Complete Prepared By:

7 112131060045 LARA, MICCAH PANOTES Complete

8 112131060047 LEDESMA,RICHEL TILLO Complete CHRISTINA D. QUERIJERO
9 112140060057 MORADO,HIEDELYN DOCTA Complete Class Adviser

10 112131050052 PANOTES,GIZZEL BUENO Complete

11 112131060066 RAMOS,JOY AGNITE Complete
12 112139060078 SABALBORO, MA.SALVE Complete
13 112140060078 SARICAL, REN-REN CRUZ Complete Certified Correct By:

14 112135060071 VASQUEZ, CHRISTINE DARIA Complete

ARNILO C. IBASCO
Secondary School Principal III

Reviewed By:

Signature of Division Representative over Printed Name

GUIDELINES:

This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the
end of the 1st Semester. These data elements shall be filled up only after the 2nd semester or at the end of the School Year.

INDICATORS:
End of Semester Status
 BACK SUBJECT/S END OF
LEARNER'S NAME List down subjects where END OF SCHOOL
No. LRN SEMESTER
(Last Name, First Name, Name Extension, Middle Name) learner obtained a rating below YEAR STATUS
STATUS (Regular/ Irregular)
75%) (Complete/ Incomplete)

Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)

End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
 School Form 6 Summarized Report of Learner Status as of End of Semester and Scho

School Name School ID District

Semester School Year

END OF SEMESTER STATUS

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By:

Signature of School Head over Printed Name Signature of Division Representative o
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall comput
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
and School Year for Senior High School (SF6-SHS)

Division Region

END OF SCHOOL YEAR

(Fill up only at the end of the second semester.)

REGULAR IRREGULAR TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name
shall compute the grade level total per track/strand/course and school total.
 School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items

Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)

EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

of Designation
(Contractual, Fund Source
(as it appears in the contract/document:
Substitute, (SEF, PTA,
her, Clerk, Security Guard, Driver etc.)
Volunteer, Others NGO's etc.) Teaching Non-Teaching
specify)

Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

movement of teachers and other

k to the lowest. Signature of School Head over Printed Name

rted.
Updated as of:

School Form 7, Page ___ of ________

SF 8

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

School Name ALAWIHAO NATIONAL HIGH SCHOOL District DAET ivision CAMARINE

School ID 309613 Grade 12 Section CHEFS ck/Strand (SHS) TVL/H

Learner's Name Nutritiona

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Extension, Age BMI
(MM/DD/YYYY) (kg) (cm)
Middle Name)
MALE
1 ### KATIGBAK,JOFEL PURCIA JULY 25,1999 53 165
2 ### OSAL, ELOHIM JR. ZAGUIRRE MARCH 7,2001
3 ### VELASCO, GHOLAN ABAINZA MARCH 8,2001 64 158
FEMALE
1 11214007001 ABANTE, MABEL STA. ROSA MARCH 12, 2000 45 143
2 112139070034 ALCAYA, BERNADETTE ESPINA JULY 25,2001 48 156
3 112139070025 CEBA, ROSEMARIE RUBI OCTOBER 2,2001 38 142
112139070027 CEDRO,ROSE ANN MACEDA NOVEMBER 24,
4 1999 45 159
5 112131070028 DE LUNA, JOAN PONAYO APRIL 30,2002 56 157
6 309613150001 RAFER, MYLA REVILLA JANUARY 30,1995 42 154
7 112135070068 RUIZ, RUFFA MAE QUIBRAL MARCH 15, 2001 46 160

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

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

SFRT 2017
igh School (SF8-SHS)

ARINES NORTE Region V

TVL/HE School Year 2019-2020

itional Status
Height for
Remarks
BMI Category Age (HFA)

Height for Age (HFA)

Summary Table
Tall Total

Reviewed By:

SFRT 2017

SFRT 2017