SF 8

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

School Name STA. MARGARITA NHS District SM 1 Division SAMAR Region VIII

School ID 303629 Grade 7 Section ADELFA Track/Strand (SHS) JHS School Year 2019-2020

Learner's Name Nutritional Status

Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 109342131096 Amit, Alexander L. 11/9/2004 15 78 1.69 2.8561 27.31 Overweight Normal
2 123996120005 Camarines, Cejie L. 5/18/2007 12 34 1.40 1.9600 17.35 Normal Normal
3 123738120217 Derio, John Rey D. 4/27/2005 14 57 1.63 2.6569 21.45 Normal Normal
4 123518120022 Egloso, Berwin Bryl T. 4/16/2006 13 38 1.47 2.1609 17.59 Normal Normal
5 123742110031 Mabajen, Willy Jr. S. 6/3/2004 15 40 1.49 2.2201 18.02 Normal Stunted
6 123738120110 Pido, Jimuel O. 10/12/2007 12 47 1.53 2.3409 20.08 Normal Normal
7 123992120018 Solitarios, Geonard S. 2/25/2007 12 55 1.45 2.1025 26.16 Normal Normal
8 123738120086 Tan, Jhonjie C. 5/17/2007 12 32 1.35 1.8225 17.56 Normal Stunted
9 123738100239 Veraces, Aljoe M. 2/19/2005 14 38 1.53 2.3409 16.23 Wasted Stunted

FEMALE
1 123738110184 Abilong, Cheyenne Marie 11/22/2006 13 31 1.42 2.5281 12.26 Normal Normal
2 123738090021 Bardelas, Christine V. 1/4/2003 17 40 1.52 2.56 15.63 Normal Normal
3 107737120040 Campo, Shanna Marie C. 2/10/2007 13 32 1.39 2.25 14.22 Normal Normal
4 123738130055 Capetillo, Jashmine Ria M. 4/26/2006 13 42 1.45 2.3716 17.71 Normal Normal
5 123738100064 Casaljay, Robelyn R. 5/4/2003 16 45 1.50 2.1904 20.54 Normal Stunted
6 123742120019 Cos, Christine B. 4/25/2007 12 35 1.38 2.1904 15.98 Normal Stunted
7 123738110062 Daque, Carla S. 7/26/2006 13 44 1.56 2.5281 17.40 Normal Normal
8 123738120178 De Guzman, Marivic L. 6/18/2006 13 40 1.46 2.3716 16.87 Normal Normal
9 123996120021 Dealabajan, Ma. Christine Joy A. 12/28/2006 13 49 1.58 2.3716 20.66 Normal Normal
10 123727120054 Dealagdon, Lou Remae M. 4/17/2007 12 30 1.37 2.3104 12.98 Normal Normal
11 123738110074 Deborbon, Melody M. 7/13/2007 12 37 1.43 2.4649 15.01 Normal Normal
12 123730120014 Dellosa, Cherry Mae D. 2/5/2007 13 38 1.43 2.4025 15.82 Normal Normal
13 123738120068 Delos Santos, Diana Elizabeth I. 1/12/2006 12 44 1.60 2.3716 18.55 Wasted Normal
14 123820120017 Dilao, Mary Grace C. 1/24/2007 13 45 1.48 2.25 20.00 Normal Normal
15 123747130068 Dultra, Rochelle S. 10/1/2006 13 41 1.45 2.4336 16.85 Wasted Normal
16 123726140015 Hapie, Claire Alyson M. 1/5/2007 13 46 1.48 2.25 20.44 Normal Normal
17 123738120181 Jamaybay, Charizz S. 2/12/2006 13 40 1.48 2.1025 19.02 Normal Stunted
18 123738120114 Magbutay, April Grace M. 4/3/2007 12 40 1.43 2.4964 16.02 Normal Normal
19 123738120111 Malda, Gracelyn Mae A. 10/29/2007 12 46 1.45 2.2201 20.72 Normal Normal
20 123518120041 Orcales, Hannah Faye A. 7/6/2007 12 38 1.45 2.1904 17.35 Normal Normal
21 123739120004 Orlanda, Eunes M. 6/23/2007 12 37 1.53 1.5376 24.06 Overweight Severely Stunted
22 123738120084 Palanas, Cindy C. 2/10/2007 13 38 1.48 2.4025 15.82 Normal Normal
23 123738120136 Palanas, Kristine D. 4/19/2007 13 45 1.44 2.1609 20.82 Normal Stunted
24 123518120043 Pedraza, Lyka Mae Y. 12/19/2006 13 40 1.54 2.56 15.63 Normal Normal
25 123738120116 Pina, Dane Erica R. 9/28/2007 12 37 1.41 2.3716 15.60 Normal Normal
26 123724120027 Sabellano, Camille M. 9/6/2007 12 42 1.48 2.2201 18.92 Normal Normal
27 123739120005 Sumagdon, Jush Nena M. 5/7/2007 12 36 1.52 2.4964 14.42 Normal Normal
28 123518110011 Tabaranza, Grace E. 9/12/2005 14 42 1.48 2.3409 17.94 Severely Wasted Normal
29 123738120091 Tagapia, Novi Faith C. 11/15/2006 13 46 1.44 2.56 17.97 Wasted Normal
30 123504120018 Tawiran, Princess Joy C. 4/1/2007 12 27 1.35 2.5921 10.42 Normal Normal

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 0 1 14 1 0 16 3 3 10 0 16
FEMALE 1 3 25 0 0 30 1 4 25 0 30
TOTAL 1 4 39 1 0 46 4 7 35 0 46

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

3-Jun-19 DARWIN C. DELOS SANTOS MARK ANTHONY G. DOMINGO GLORIA BEGONTE TAMIDLES
Class Adviser Head Teacher I Principal II
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name STA. MARGARITA NHS District SM 1 Division SAMAR Region VIII

School ID 303629 Grade 7 Section EARTH Track/Strand (SHS) JHS School Year 2019-2020

Learner's Name Nutritional Status

Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Extension, Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
1 109342131096 Amit, Alexander L. 11/9/2004 15 78 1.69 2.8561 27.31 Overweight Normal
2 123996120005 Camarines, Cejie L. 5/18/2007 12 34 1.40 1.96 17.35 Normal Normal
3 123738120217 Derio, John Rey D. 4/27/2005 14 57 1.63 2.6569 21.45 Normal Normal
4 123518120022 Egloso, Berwin Bryl T. 4/16/2006 13 38 1.47 2.1609 17.59 Normal Normal
5 123742110031 Mabajen, Willy Jr. S. 6/3/2004 15 40 1.49 2.2201 18.02 Normal Stunted
6 123738120110 Pido, Jimuel O. 10/12/2007 12 47 1.53 2.3409 20.08 Normal Normal
7 123992120018 Solitarios, Geonard S. 2/25/2007 12 55 1.45 2.1025 26.16 Overweight Normal
8 123738120086 Tan, Jhonjie C. 5/17/2007 12 32 1.35 1.8225 17.56 Normal Stunted
9 123738100239 Veraces, Aljoe M. 2/19/2005 14 38 1.53 2.3409 16.23 Normal Stunted

FEMALE
1 123738110184 Abilong, Cheyenne Marie 11/22/2006 13 31 1.42 2.0164 15.37 Normal Stunted
2 123738090021 Bardelas, Christine V. 1/4/2003 17 40 1.52 2.3104 17.31 Normal Normal
3 107737120040 Campo, Shanna Marie C. 2/10/2007 13 32 1.39 1.9321 16.56 Normal Stunted
4 123738130055 Capetillo, Jashmine Ria M. 4/26/2006 13 42 1.45 2.1025 19.98 Normal Stunted
5 123738100064 Casaljay, Robelyn R. 5/4/2003 16 45 1.50 2.25 20.00 Normal Normal
6 123742120019 Cos, Christine B. 4/25/2007 12 35 1.38 1.9044 18.38 Normal Stunted
7 123738110062 Daque, Carla S. 7/26/2006 13 44 1.56 2.4336 18.08 Normal Normal
8 123738120178 De Guzman, Marivic L. 6/18/2006 13 40 1.46 2.1316 18.77 Normal Normal
9 123996120021 Dealabajan, Ma. Christine Joy A. 12/28/2006 13 49 1.58 2.4964 19.63 Normal Normal
10 123727120054 Dealagdon, Lou Remae M. 4/17/2007 12 30 1.37 1.8769 15.98 Normal Stunted
11 123738110074 Deborbon, Melody M. 7/13/2007 12 37 1.43 2.0449 18.09 Normal Normal
12 123730120014 Dellosa, Cherry Mae D. 2/5/2007 13 38 1.43 2.0449 18.58 Normal Normal
13 123738120068 Delos Santos, Diana Elizabeth I. 1/12/2006 12 44 1.60 2.56 17.19 Normal Normal
14 123820120017 Dilao, Mary Grace C. 1/24/2007 13 45 1.48 2.1904 20.54 Normal Normal
15 123747130068 Dultra, Rochelle S. 10/1/2006 13 41 1.45 2.1025 19.50 Normal Normal
16 123726140015 Hapie, Claire Alyson M. 1/5/2007 13 46 1.48 2.1904 21.00 Normal Normal
17 123738120181 Jamaybay, Charizz S. 2/12/2006 13 40 1.48 2.1904 18.26 Normal Normal
18 123738120114 Magbutay, April Grace M. 4/3/2007 12 40 1.43 2.0449 19.56 Normal Normal
19 123738120111 Malda, Gracelyn Mae A. 10/29/2007 12 46 1.45 2.1025 21.88 Normal Normal
20 123518120041 Orcales, Hannah Faye A. 7/6/2007 12 38 1.45 2.1025 18.07 Normal Normal
21 123739120004 Orlanda, Eunes M. 6/23/2007 12 37 1.53 2.3409 15.81 Normal Normal
22 123738120084 Palanas, Cindy C. 2/10/2007 13 38 1.48 2.1904 17.35 Normal Normal
23 123738120136 Palanas, Kristine D. 4/19/2007 13 45 1.44 2.0736 21.70 Normal Normal
24 123518120043 Pedraza, Lyka Mae Y. 12/19/2006 13 40 1.54 2.3716 16.87 Normal Normal
25 123738120116 Pina, Dane Erica R. 9/28/2007 12 37 1.41 1.9881 18.61 Normal Normal
26 123724120027 Sabellano, Camille M. 9/6/2007 12 42 1.48 2.1904 19.17 Normal Normal
27 123739120005 Sumagdon, Jush Nena M. 5/7/2007 12 36 1.52 2.3104 15.58 Normal Normal
28 123518110011 Tabaranza, Grace E. 9/12/2005 14 42 1.48 2.1904 19.17 Normal Normal
29 123738120091 Tagapia, Novi Faith C. 11/15/2006 13 46 1.44 2.0736 22.18 Normal Normal
30 123504120018 Tawiran, Princess Joy C. 4/1/2007 12 27 1.35 1.8225 14.81 Normal Stunted

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 0 0 7 2 0 9 0 3 6 0 9
FEMALE 0 0 30 0 0 30 0 6 24 0 30
TOTAL 0 0 37 2 0 39 0 9 30 0 39

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

24-Feb-20 TERENCIO B. DEALAGDON MARK ANTHONY G. DOMINGO GLORIA BEGONTE TAMIDLES
Class Adviser Head Teacher I Principal II
SFRT 2017