SF 8

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

School Name District Division

School ID Grade Section Track/Strand (SHS)

Learner's Name Nutritiona

Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
MALE
1 122071180018 BAGUIO,KENNETH, - 07-07-2013

2 122071180048 BALDOZA,JOHN ALBERT, BASACA 06-22-2013

3 122071180019 CAMOTE,JHOCAM, CINCO 05-31-2013

4 122071180026 DIONOLA,RANIEL, SALVADOR 02-20-2013

5 122071180025 EPONDULAN,JERO LOUISSE, OMANTOD 09-17-2013

6 405923180001 LLAMERA JR,KENNETH, BALUNDO 08-04-2013

7 122071180022 MOLDES,LESTER, GOLLE 06-21-2013

8 122071180024 OO,JED VINCENT, DEL ROSARIO 03-27-2013

9 122071180023 PASTERA,BRIANT, BALLINAS 09-06-2012

10 122071180020 PURAY,JAMES CHARDY, - 01-10-2013

11 122071180038 ROSALES,LEONARD, BONGCAYAO 07-08-2013

12 122071180041 TOLERO,VINCE JAY, VERO 09-24-2012

13 122071180027 TOMBOC,GIEO SUNDRE, - 07-03-2013

14 122071180021 VILLASANTE,KYRIE LUKE, MASING 07-02-2013

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16
FEMALE
1 122071180050 ABAD,JULLIE ANN, ARCAYNA 10-06-2013

2 122071180033 ALIBANGBANG,SHONTILLE MARIZ, ESTOPIA 08-04-2012

3 122071180043 ALMACIN,JHEAN MEA, NAMILIT 11-26-2012

4 122071180034 BALMOJA,BEA ANGELINE, GETES 11-26-2012

5 122071180036 CAÑETE,KRISTINE KYLE, PALIMA 07-02-2013

6 122071180028 CORRIDOR,IVANA PAULA, - 04-29-2013

7 122071180032 DIPUNDUGUN,ALNAYRHA, H YASIN 05-19-2013

8 466029180018 JAPSON,HAILY GRACE, PEÑARANDA 10-31-2012

9 122071170034 LINOG,RAISHIEL, PAGPAGON 01-01-2012

10 122071180031 MALAKI,ERYLLE MAY, CANDIMATO 05-08-2013

11 122071180030 MERAFUENTES,CARLEI ALEXI, CAPAO 07-19-2013

12 122071180039 PARADERO,LEANDRA, ABELLA 10-13-2012

13 122071180044 PEDRERA,ALWENA BELLA, HAPAYAN 09-06-2013

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 Learner's Name Nutritiona
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
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SUMMARY TABLE
Nutritional Status Hei
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL

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

SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name HINUNDAYAN CENTRAL SCHOOL District HINUNDAYAN Division SOUTHERN
 Learner's Name Nutritiona
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
School ID 122071 Grade KINDER Section MORNING Track/Strand (SHS)

Learner's Name Nutritiona

Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
MALE
 Learner's Name Nutritiona
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)

FEMALE
 Learner's Name Nutritiona
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)

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

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

 Region

School Year

ional Status
Height for
BMI Remarks
Age (HFA)
Category
ional Status
Height for
BMI Remarks
Age (HFA)
Category

Height for Age (HFA)

Summary Table
Tall Total

Reviewed By:

SFRT 2017

HERN LEYTE Region VIII

ional Status
Height for
BMI Remarks
Age (HFA)
Category
School Year 2017-2018

ional Status
Height for
BMI Remarks
Age (HFA)
Category
ional Status
Height for
BMI Remarks
Age (HFA)
Category
ional Status
Height for
BMI Remarks
Age (HFA)
Category

Height for Age (HFA)

Summary Table
Tall Total

Reviewed By: