SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade V Section 1 Track/Strand (SHS) ENDLINE School Year 2021-2022

Learner's Name Nutritional Status

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 123704160001 AGAS CLATRENCE JC 12/24/2010 11 , 4 18 1.09 1.19 15.10 Normal Severely Stunted
2 123704160006 UYLA SAM H. 10/21/2010 11 , 6 26 1.35 1.82 14.20 Normal Normal
3 123704160016 BROZAS JHON O 3/31/2010 12 , 1 21 1.18 1.39 15.00 Normal Severely Stunted
4 123704160017 CABARLRES JHON L 3/31/2011 11 , 1 20 1.09 1.19 16.80 Normal Severely Stunted
5 123704160002 CONEJOS JHON 8/16/2011 10 , 9 28 1.4 1.96 14.20 Normal Normal
6 123704160019 DOLER ROTCHEL 4/29/2011 11 , 0 20 1.17 1.37 14.60 Normal Severely Stunted
7 123704160003 ECLIPSE FLORENCE D 11/18/2010 11 , 5 20 1.1 1.21 16.50 Normal Severely Stunted
8 123704160004 LARIBA ANDRIAN 3/4/2011 11 , 2 26 1.27 1.61 16.10 Normal Stunted
9 123704160005 MARCO AARON 12/31/2010 11 , 4 24 1.23 1.51 15.80 Normal Severely Stunted
10 123704160020 TIPACE JHON MILVEN 10/29/2011 10 , 6 20 1.17 1.37 14.60 Normal Severely Stunted

FEMALE
1 123704160011 PAC0MA RACHELLE 2/21/2011 11 , 2 26 1.35 1.82 14.20 Normal Normal
2 123704160007 AMISTOSO REALYN 5/3/2011 11 , 0 26 1.35 1.82 14.20 Normal Normal
3 123704160008 CABARLES DARLENE H. 8/3/2011 10 , 9 32 1.4 1.96 16.30 Normal Normal
4 123079160012 FLORALDE RHIAN 3/4/2011 11 , 2 31 1.4 1.96 15.80 Normal Normal
5 123704160012 VOLFANGGO GENIESOL 10/5/2010 11 , 7 29 1.4 1.96 14.70 Normal Normal
6 123704160013 VOLFANGO GEREMIAH 10/5/2011 10 , 7 29 1.35 1.82 15.90 Normal Normal
7 123704160027 SULTAN JOYCE ANN 5/27/2011 10 , 11 31 1.4 1.96 15.80 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 0 10 0 0 0 7 1 2 0 10
FEMALE 0 0 7 0 0 0 0 0 7 0 7
TOTAL 0 0 17 0 0 0 7 1 9 0 17

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

MAY 16, 2022 RUTH P.MAHINAY GINA B. RAQUEL FELIXZARO R. BORATA
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade VI Section 1 Track/Strand (SHS) ENDLINE School Year 2021`-2022

Learner's Name Nutritional Status

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 123704150004 AMISTOSO, OLIVER J. 10/2/2010 11 , 7 17 1.09 1.19 14.30 Normal Severely Stunted
2 123704150082 AMISTOSO,RODRIGO G. 5/10/2010 12 , 0 24 1.21 1.46 16.30 Normal Severely Stunted
3 123704150005 SULTAN EDGARDO 6/24/2010 11 , 10 21 1.18 1.39 15.00 Normal Severely Stunted
4 123704150003 TILLES, ADAMS ANDREW V. 5/3/2010 12 , 0 30 1.4 1.96 15.30 Normal Normal

FEMALE
1 123704150006 CARDINAS MIAN 11/14/2009 12 , 6 18 1.1 1.21 14.80 Normal Severely Stunted
2 123704140017 GABIANA RICHELLE 10/18/2010 11 , 6 32 1.5 2.25 14.20 Normal Normal
3 123704150014 HRRRA JAHANNA MEI 3/17/2009 13 , 1 18 1.09 1.19 15.10 Normal Severely Stunted
4 123704150009 LAURON CHOLOE MARIE 10/1/2010 11 , 7 28 1.4 1.96 14.20 Normal Normal
5 123704150008 LAURON ALYSSA MAE B. 5/11/2010 12 , 0 18 1.1 1.21 14.80 Normal Severely Stunted
6 123704150010 MAHINAY SHEENAH 4/26/2010 12 , 0 25 1.27 1.61 15.50 Normal Severely Stunted
7 121240150057 SANTIAGO MARIDEL A. 6/3/2010 11 , 11 30 1.4 1.96 15.30 Normal Normal
8 123704150007 GABIANA RITCHELLE 5/7/2010 12 , 0 29 1.4 1.96 14.70 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 0 4 0 0 4 3 0 1 0 4
FEMALE 0 0 8 0 0 8 4 0 5 0 8
TOTAL 0 0 13 0 0 13 7 0 6 0 13

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

MAY 16, 2022 RHODA N. LUCERO GINA B. RAQUEL FELIXZARO R. BORATA
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade kinder Section 1 Track/Strand (SHS) ENDLINE School Year 2021-2022

Learner's Name Nutritional Status

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 123704210001 AGAS LIEMEN 9/5/2016 6 , 0 17 1.1 1.21 14.00 Normal Normal
2 123704210002 DOLLER ROEL 08/23/2016 6 , 6 16 1.08 1.17 13.70 Normal Stunted
3 123704210003 GABABE JHON PAUL 7/12/2016 68 16 1.11 Normal Normal
4 123704210004 GABANE RENZ 4/3/2016 6 , 10 18 1.1 1.21 14.80 Normal Stunted
5 123704210005 MAHINAY JHON JACOB 5/5/2016 6 , 1 19 1.18 1.39 13.60 Normal Normal
6 123704210006 PACOMA JASON 109/09/2016 6 , 0 17 1.1 1.21 14.00 Normal Normal
7 123704210007 PONDON MIAY EZEKIEL 09/24/2016 70 16 1.08 Normal Normal
8 123704210008 VOLFANGO GERSON 08/31/2016 69 16 1.11 Normal Normal
9 123704210009 VOLFANGO JUSTIN 08/20/2016 68 17 1.08 Normal Normal

FEMALE
1 123704210010 AGAS RICA 10/23/2016 66 18 1.07 Normal Normal
2 123704210011 BUERANO HEART 2/14/2016 6 , 3 17 1.1 1.21 14.00 Normal Normal
3 123704210012 AALIYA CAPISTRANO 6/3/2016 71 16 1.08 Normal Normal
4 123704210013 AIYANA CA;PISTRANO 6/3/2016 71 16 1.08 Normal Normal
5 123704210014 GABIAN CABARLES JEZEL 8/3/2016 71 16 1.04 Normal Stunted
6 123704210015 A 06/16/2016 6,1 18 1.18 1.39 13.60 Normal Stunted
7 123704210016 MARIAN LIM JEWEL 12/16/2016 71 18 1.08 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 0 9 0 0 9 0 2 7 0 9
FEMALE 0 0 7 0 0 7 0 2 5 0 7
TOTAL 0 0 16 0 0 16 0 4 12 0 16

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

MAY 16, 2022 RITCHEL M. GONZAGA GINA B. RAQUEL FELIXZARO R. BORATA
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade III Section 1 Track/Strand (SHS) ENDLINE School Year 2021-2022

Nutritional Status
Learner's Name (Last Name, First Name, Birthdate Weight Height
No. LRN Age Height² (m²) BMI Height for Age (HFA) Remarks
Name Extension, Middle Name) (MM/DD/YYYY) (kg) (m) BMI Category
(kg/m²)
MALE
1 123704180003 AGRICULA HERMIE JAY 26/03/2012 10 , 1 19 1.17 1.37 13.80 Normal Severely Stunted
2 123704180001 AMISTOSO JHINO JABEIN 16/02/2013 9 , 3 19 1.17 1.37 13.80 Normal Stunted
3 123704180002 BALONDO ISIDRO III 7/23/2012 9 , 9 19 1.04 1.08 17.50 Normal Severely Stunted
4 123704180003 BRAVO JHON ANTHONY 1/19/2013 9 , 3 20 1.19 1.42 14.10 Normal Stunted
5 123704180004 CABARLES OSCAR 8/15/2013 8 , 9 19 1.17 1.37 13.80 Normal Stunted
6 123836180001 CAPISTRANO YAEL M. 1/9/2013 9 , 4 26 1.35 1.82 14.20 Normal Normal
7 123704180006 DOLLER RUCHEL L. 8/21/2013 8 , 8 19 1.17 1.37 13.80 Normal Stunted
8 123704180029 GAGAP ERWIN H. 12/22/2012 9 , 4 20 1.14 1.30 15.30 Normal Severely Stunted
9 123704180010 HERRA ZHEIN REY G. 7/17/2013 8 , 9 25 1.34 1.80 13.90 Normal Normal
10 123704180011 MABUTIN JETRO C. 8/5/2013 8 , 9 15 1 1.00 15.00 Normal Severely Stunted
11 123704180012 MARCO JM A. 10/8/2013 8 , 7 19 1.19 1.42 13.40 Normal Normal
12 123704180013 TERROZO BERNARD L. 12/26/2012 9 , 4 19 1.17 1.37 13.80 Normal Stunted
13 123704180014 VOLFANGGO GEONASH 9/5/2012 9 , 8 21 1.18 1.39 15.00 Normal Stunted
14 123704180015 VOLFANGGO JERIC S. 9/27/2012 9 , 7 16 1.07 1.14 13.90 Normal Severely Stunted

FEMALE
1 123704180017 BROZAS KAREN O 12/15/2012 9 , 5 19 1.17 1.37 13.80 Normal Stunted
2 123704180018 CABARLES ZAIREN MAE D. 2/13/2012 10 , 3 19 1.18 1.39 13.60 Normal Severely Stunted
3 123704180021 ECLIPSE PRINCES BEA 05/09/2012 9 , 8 26 1.35 1.82 14.20 Normal Normal
4 123704180022 HERRA LENDIWEE NGOHO 23/12/2012 9 , 4 20 1.17 1.37 14.60 Normal Stunted
5 123704180023 HERRA PRINCESS GRACE W. 08/09/2012 9 , 8 23 1.25 1.56 14.70 Normal Normal
6 123704180024 JABENAR CYRIL P. 07/03/2012 10 , 2 19 1.18 1.39 13.60 Normal Severely Stunted
7 123704180025 LABASBAS ANGELA 27/09/2012 9 , 7 19 1.17 1.37 13.80 Normal Severely Stunted
8 123704180026 MARTINEZ XYRA MAE 22/03/2012 10 , 1 19 1.18 1.39 13.60 Normal Severely Stunted
9 123704180027 SULTAN MYLENE A. 27/09/2012 9 , 7 19 1.17 1.37 13.80 Normal Severely Stunted
10 123704180028 VERZOSA NATASHA MAE 12/05/2012 10 , 0 20 1.17 1.37 14.60 Normal Severely Stunted
11 406040180038 VILLAGANAS JHONA 08/07/2012 9 , 10 19 1.18 1.39 13.60 Normal Severely Stunted

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Wasted Wasted Normal Overweight Obese TOTAL Severely Stunted Stunted Normal Tall Total

MALE 0 0 14 0 0 0 5 6 3 0 14
FEMALE 0 0 11 0 0 0 7 2 2 0 11
TOTAL 0 0 25 0 0 0 12 8 5 0 25

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

MAY 16, 2022 RUTH M. FILLER GINA B. RAQUEL FELIXZARO R. BORATA
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade I Section 1 Track/Strand (SHS) ENDLINE School Year 2021-2022

Nutritional Status
Learner's Name (Last Name, First Birthdate Weight Height
No. LRN Age Height² (m²) BMI Height for Age (HFA) Remarks
Name, Name Extension, Middle Name) (MM/DD/YYYY) (kg) (m) BMI Category
(kg/m²)
MALE
1 123704200001 ACOSTA VINCENT 7/23/2014 7 , 9 17 1.09 1.19 14.30 Normal Severely Stunted
2 123704200011 AGAS DAEEN 10/5/2014 7 , 7 16 0.98 0.96 16.60 Normal Severely Stunted
3 123704200002 ARCENAL DANIEL 4/20/2014 8 , 0 18 1.09 1.19 15.10 Normal Severely Stunted
4 123704200003 BALANDRO XANDER 1/16/2014 8 , 4 16 1.08 1.17 13.70 Normal Severely Stunted
5 123704200004 BRAVO PRINCE ANDY 1/9/2014 8 , 4 16 1.06 1.12 14.20 Normal Severely Stunted
6 123704200005 LABASBAS DAREEN 7/9/2014 7 , 10 16 1.08 1.17 13.70 Normal Severely Stunted
7 123704200006 LAURON C JAY 4/8/2014 8 , 1 19 1.17 1.37 13.80 Normal Normal
8 123704200115 MALINAIO DANE 5/7/2014 8 , 0 17 1.08 1.17 14.50 Normal Severely Stunted
9 123704200007 PACOMA JHUNLIREY 3/2/2014 8 , 2 16 1.08 1.17 13.70 Normal Severely Stunted
10 123704200009 SULTAN JHON FRANCIS 9/21/2014 7 , 7 17 1.09 1.19 14.30 Normal Stunted
11 123704200010 VERGARA JHON PATRICK 11/28/2014 7 , 5 17 1.11 1.23 13.70 Normal Stunted
12 123704200008 VILLANUEVA JESSI 6/28/2014 7 , 10 16 1.08 1.17 13.70 Normal Severely Stunted
13 193515200002 DOMAEL DENVER C 4/12/2014 7,5 16 1.07 1.19 13.40 Normal Normal
14 113964200012 TERROZO ANTHONY 11/08.2014 7,6 16 1.09 1.19 13.40 Normal Stunted

FEMALE
1 123704200019 ABALAJEN JESSICA 10/23/2014 7 , 6 16 1.06 1.12 14.20 Normal Severely Stunted
2 123704200012 DOLLER REZALYN 1/13/2014 8 , 4 15 1.07 1.14 13.10 Normal Severely Stunted
3 123704200013 GABANE LYZA MAY 12/11/2014 7 , 5 16 1.09 1.19 13.40 Normal Stunted
4 123704200018 GAGAP SHERA 4/25/2014 8 , 0 16 1.07 1.14 13.90 Normal Severely Stunted
5 123704200014 LERA RACHELLE 1/7/2014 8 , 4 16 1.08 1.17 13.70 Normal Severely Stunted
6 123704200016 MARCO CRISTHEL 4/28/2014 8 , 0 16 1.1 1.21 13.20 Normal Stunted
7 123704200015 SINOY JO ANA 10/5/2014 7 , 7 16 0.98 0.96 16.60 Normal Severely Stunted
8 123704200011 MARTINEZ JESSLYN 9/28/2014 7 , 7 16 1.09 1.19 13.40 Normal Stunted
9 406040200006 MATILDO VIOLET 9/22/2014 7 , 7 16 1.09 1.19 13.40 Normal Stunted
10 123704190010 GABIANA ROSA MARIE 08/27/2014 7, 8 16 1.09 .1.19 13.40 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 14 0 0 14 9 3 2 0 14
FEMALE 0 0 10 0 0 10 5 4 0 0 9
TOTAL 0 0 24 0 0 24 14 7 2 0 24

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

MAY 16, 2022 LREZELDA H. CABARLES GINA B. RAQUEL FELIXZARO R. BORATA

SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name QUEZON ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade II Section 1 Track/Strand (SHS) ENDLINE School Year 2021-2022

Learner's Name Nutritional Status

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 123704190001 ARCENAL CHRISTHIAN 2/14/2014 8 , 3 17 1.11 1.23 13.70 Normal Severely Stunted
2 12343``90076 GAMAS JHON A. 1/17/2004 18 , 3 21 1.07 1.14 18.30 Normal Severely Stunted
3 123704190002 PACOMAJESSIE 1/24/2014 8 , 3 17 1.08 1.17 14.50 Normal Severely Stunted
4 123704190004 PACOMA NOEL 2/8/2004 18 , 3 21 1.08 1.17 18.00 Normal Severely Stunted
5 123704190005 VOILLAGANAS ACE 3/22/2014 8 , 1 18 1.11 1.23 14.60 Normal Stunted

FEMALE
1 123704190006 ABELLA ADELYN 2/12/2014 8 , 3 19 1.06 1.12 16.90 Normal Severely Stunted
2 123847190017 CAJRING JANINE 12/7/2014 7 , 6 16 1.11 1.23 12.90 Normal Stunted
3 123704190011 MANOZA ROSELYN 7/5/2013 8 , 10 16 1.08 1.17 13.70 Normal Severely Stunted
4 123704190007 VERZOSA YHNNA 4/19/2014 8 , 0 16 1.09 1.19 13.40 Normal Severely Stunted
5 123704190008 VILLANUEVA GELYN 11/17/2014 7 , 5 17 1.13 1.28 13.30 Normal Normal
6 123704190012 VOLFANGOO ELANE 9/22/2014 7 , 7 18 1.15 1.32 13.60 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 0 5 0 0 5 4 1 0 0 5
FEMALE 0 0 6 0 0 6 3 1 2 0 6
TOTAL 0 0 11 0 0 11 7 2 2 0 11

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

MAY 16, 2022 ELMA H. QUILITANO GINA B. RAQUEL FELIXZARO R. BORATA
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name MABUHAY ELEMENTARY SCHOOL District SAN JORGE Division SAMAR Region VIII

School ID 123704 Grade IV Section 1 Track/Strand (SHS) ENDLINE School Year 2021- 2022

Nutritional Status
Learner's Name (Last Name, Birthdate Weight Height
No. LRN Age Height² (m²) BMI Height for Age (HFA) Remarks
First Name, Name Extension, Middle Name) (MM/DD/YYYY) (kg) (m) BMI Category
(kg/m²)
MALE
1 123700180012 ALINAN, KHIE JAY SABIO 7/13/2012 11 , 0 27 1.1 1.21 14.80 Normal Severely Stunted
2 123700180007 BARCOMA, STIPHENE JOHN BERNALES 5/4/2013 10 , 0 48 1.2 1.44 15.40 Normal Normal
3 12346180017 MOLITO, LEO JAY MANLANGIT 5/5/2013 10 , 0 28 1.4 1.96 14.80 Normal Normal
4 123700170006 RIVAMONTE, KHEN MARIN SABIO 8/1/2012 10 , 99 31 1.26 1.59 13.70 Normal Normal
5 123700180004 SANICO, NATHAN DALIDIA 1/8/2013 10 , 7 32 1.4 1.96 14.60 Normal Normal
6 123700180003 VELARDO, JHON ERON BARCOMA 8/10/2013 10 , 0 26 1.17 1.37 15.50 Normal Severely Stunted
FEMALE
1 123700180006 ALPIZ, LEANN JOY AMONGGO 1/10/2013 10 , 2 23 1.3 1.69 13.60 Normal Severely Stunted
2 123700180001 AMONGGO, QUENNIE BLASQUENIO 12/10/2012 11 , 4 33 1.17 1.99 13.60 Normal Normal
3 123700180002 BELDAD, AUDREY ELAINE BERNALES 2/12/2013 10 , 4 27 1.17 1.99 13.60 Normal Normal
4 123700180005 DONATO, MIRVELYN NONO 10/9/2013 9 , 80 30 1.4 1.96 15.40 Normal Normal
5 123700180010 ROYANDOYAN, RYZA JANE GONZAGA 5/5/2013 10 , 5 28 1.4 1.96 15.40 Normal Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Wasted Wasted Normal Overweight Obese TOTAL Severely Stunted Stunted Normal Tall Total

MALE 0 0 6 0 0 6 2 0 4 0 6
FEMALE 0 0 5 0 0 5 1 0 4 0 5
TOTAL 0 0 11 0 0 11 3 0 6 0 11

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

16-May-23 JESSA N. MABINI RACQUEL B. FENIZA FELIXZARO R. BORATA

SFRT 2017