SF 8

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

School Name UNION ELEMENTARY SCHOOL District CALABANGA WEST Division CAMARINES SUR Region V-BICOL

School ID 112497 Grade VI Section HONESTY Track/Strand (SHS) School Year 2021-2022
Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(DD/MM/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 112497140192 ABRAHAM,DIXTER, SJ. 1/19/2009 12.07 26.00 1.26 1.59 16.38 Normal Severely Stunted
2 112497140033 ABRAHAM,NOEL, JR B. 3/9/2009 12.06 24.00 1.30 1.69 14.20 Wasted Severely Stunted
3 403689150001 ALTO,JAN GABRIEL, A. 4/17/2010 11.04 27.00 1.28 1.64 16.48 Normal Stunted
4 112497150011 ALTO,JOEY, - 7/7/2009 12.02 23.00 1.30 1.69 13.61 Wasted Stunted
5 112497120078 AZCARRAGA,BENEDICT, S. 7/31/2005 16.01 42.00 1.60 2.56 16.41 Normal Normal
6 112470150002 AZURO,JAMES MATTHEW, E. 9/16/2010 10.11 23.00 1.30 1.69 13.61 Wasted Normal
7 112497150004 BADURIA,FLONIL, C. 6/30/2010 11.02 27.00 1.30 1.69 15.98 Normal Stunted
8 112497150116 BOGOC,DOMINIC, M. 10/26/2010 10.10 22.00 1.28 1.64 13.43 Wasted Stunted
9 112497150005 CALOMOS,MATTHEW, B. 4/14/2010 11.04 28.00 1.30 1.69 16.57 Normal Stunted
10 112488150006 DAZAL,JOHN CHRISTOF, B. 12/21/2009 11.08 29.00 1.31 1.72 16.90 Normal Stunted
11 112472150010 DILLO,SHAUN ZEUS ERICK, D. 9/5/2010 11.00 21.00 1.25 1.56 13.44 Wasted Stunted
12 112497150016 FUERTE,MARK ANTHONY, S. 12/7/2009 11.09 29.00 1.28 1.64 17.70 Normal Stunted
13 112497150248 GUTIERREZ,RICHARD, N. 11/22/2009 11.09 23.00 1.28 1.64 14.04 Wasted Stunted
14 112497140090 MARISCAL,JOB, V. 11/11/2008 12.10 22.00 1.24 1.54 14.31 Wasted Severely Stunted
15 112497150176 NEBIAR,RUSSEL JAY, A. 3/19/2010 11.05 27.00 1.30 1.69 15.98 Normal Stunted
16 112497150087 RITA,MYK ZHAIJAN, V. 11/22/2009 11.09 29.00 1.30 1.69 17.16 Normal Stunted
FEMALE
1 112497150027 AGAPAY,SHELLA MAE, A. 5/15/2010 11.03 22.00 1.27 1.61 13.64 Wasted Stunted
2 112497150028 AZANES,ANGEL DIANNE, D. 3/8/2010 11.06 30.00 1.35 1.82 16.46 Normal Normal
3 112497150090 AZANES,DANICA MAE, N. 12/26/2009 11.08 22.00 1.26 1.59 13.86 Wasted Severely Stunted
4 112497150091 AZAÑES,GILLIANNE, L. 4/14/2010 11.04 30.00 1.32 1.74 17.22 Normal Stunted
5 112497150132 BONDOY,SARAH JEAN, B. 8/28/2010 11.00 21.00 1.25 1.56 13.44 Wasted Severely Stunted
6 112497150094 CIUDADANO,JASMIN, V. 8/23/2010 11.00 29.00 1.30 1.69 17.16 Normal Stunted
7 112497150215 FRANSO,PRINCESS MARIZ, F. 3/18/2010 11.05 29.00 1.28 1.64 17.70 Normal Stunted
8 403689150012 LILLO,KHYM DENMART, P. 11/15/2009 11.09 28.00 1.30 1.69 16.57 Normal Stunted
9 112497150037 MARISCAL,LINABELLE, C. 6/26/2010 11.02 29.00 1.29 1.66 17.43 Normal Stunted
10 112497150099 NARVADEZ,MONICA JEAN, V. 2/24/2010 11.06 21.00 1.25 1.56 13.44 Wasted Severely Stunted
11 403689150187 NODADO,MARIANE JOYCE, F. 11/6/2009 11.10 23.00 1.28 1.64 14.04 Wasted Severely Stunted
12 403857150044 REYES,CZARINA MAE, L. 5/1/2010 11.04 29.00 1.30 1.69 17.16 Normal Stunted
13 112497150187 VIOLA,AIRA MAE, A. 6/3/2010 11.03 30.00 1.35 1.82 16.46 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 7 9 0 0 16 3 11 2 0 16
FEMALE 0 5 8 0 0 13 4 7 2 0 13
TOTAL 0 12 17 0 0 29 7 18 4 0 29

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

09/13/2021 JULIE ANN C. SALAZAR

SFRT 2017
Note: This area is NOT included in printing. Use A4.
SF8 retreived from http://support.lis.deped.gov.ph/support/downloads/schoolforms/School%20Form%208%20SF8%20Learner%20Basic%20Health%20and%20Nutrition%20Report.xlsx
Growth reference retrieved from http://www.who.int/growthref/en/
Developed by Michael Angelo B. Pagara https://www.facebook.com/michaelangelopagara
for questions and suggestions contact me
SF 8

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

School Name UNION ELEMENTARY SCHOOL District CALABANGA WEST Division CAMARINES SUR Region V-BICOL

School ID 112497 Grade V Section OBEDIENCE Track/Strand (SHS) School Year 2021-2022
Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(DD/MM/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 112497140192 ABRAHAM,DIXTER, SJ. 1/19/2009 12.07
2 112497140033 ABRAHAM,NOEL, JR B. 3/9/2009 12.06
3 403689150001 ALTO,JAN GABRIEL, A. 4/17/2010 11.04
4 112497150011 ALTO,JOEY, - 7/7/2009 12.02
5 112497120078 AZCARRAGA,BENEDICT, S. 7/31/2005 16.01
6 112470150002 AZURO,JAMES MATTHEW, E. 9/16/2010 10.11
7 112497150004 BADURIA,FLONIL, C. 6/30/2010 11.02
8 112497150116 BOGOC,DOMINIC, M. 10/26/2010 10.10
9 112497150005 CALOMOS,MATTHEW, B. 4/14/2010 11.04
10 112488150006 DAZAL,JOHN CHRISTOF, B. 12/21/2009 11.08
11 112472150010 DILLO,SHAUN ZEUS ERICK, D. 9/5/2010 11.00
12 112497150016 FUERTE,MARK ANTHONY, S. 12/7/2009 11.09
13 112497150248 GUTIERREZ,RICHARD, N. 11/22/2009 11.09
14 112497140090 MARISCAL,JOB, V. 11/11/2008 12.10
15 112497150176 NEBIAR,RUSSEL JAY, A. 3/19/2010 11.05
16 112497150087 RITA,MYK ZHAIJAN, V. 11/22/2009 11.09
FEMALE
1 112497150027 AGAPAY,SHELLA MAE, A. 5/15/2010 11.03
2 112497150028 AZANES,ANGEL DIANNE, D. 3/8/2010 11.06
3 112497150090 AZANES,DANICA MAE, N. 12/26/2009 11.08
4 112497150091 AZAÑES,GILLIANNE, L. 4/14/2010 11.04
5 112497150132 BONDOY,SARAH JEAN, B. 8/28/2010 11.00
6 112497150094 CIUDADANO,JASMIN, V. 8/23/2010 11.00
7 112497150215 FRANSO,PRINCESS MARIZ, F. 3/18/2010 11.05
8 403689150012 LILLO,KHYM DENMART, P. 11/15/2009 11.09
9 112497150037 MARISCAL,LINABELLE, C. 6/26/2010 11.02
10 112497150099 NARVADEZ,MONICA JEAN, V. 2/24/2010 11.06
11 403689150187 NODADO,MARIANE JOYCE, F. 11/6/2009 11.10
12 403857150044 REYES,CZARINA MAE, L. 5/1/2010 11.04
13 112497150187 VIOLA,AIRA MAE, A. 6/3/2010 11.03
 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 0 0 0 0 0 0 0 0 0
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0

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

9/13/2021 JULIE ANN C. SALAZAR