School Level NS-Form 1
Department of Education
Region
Division of
School Nutritional Status Record
District:
School: Date of Weighing: June 15, 2017
Grade & Section:
Date of Weight Height BMI
Learner's Name Age (Height)² (m²) Nutritional Status
Birth (kg) (m) (kg/m²)
MALE
6/15/2001 16.00 30 1.3 1.69 17.75 #REF!
7/6/2002 14.11 28 1.4 1.96 14.29 Severely Wasted
8/22/2003 13.09 26 1.6 2.56 10.16 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
7 test 10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
FEMALE
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
2/25/2002 15.03 20 1.35 1.82 10.99 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 3.14 9.86 4.06 #REF!
2/25/2002 15.03 37 2.12 4.49 8.24 #REF!
8/14/1999 17.10 20 5.01 25.1 0.8 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
WedzmerDesigns
Severely
Summary Table Wasted Normal Overweight Obese TOTAL
Wasted
MALE 1 0 0 0 0 1
FEMALE 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1
Severely
Percentage Summary Wasted Normal Overweight Obese TOTAL
Wasted
MALE 100.00 0.00 0.00 0.00 0.00 100
FEMALE #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name ALITAGTAG CENTRAL SCHOOL District ALITAGTAG Division BATANGAS Region IV-A CALABARZON
School ID 107215 Grade FOUR Section DIPOLOG Track/Strand (SHS) NA School Year 2024 - 2025
Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age (kg) (m) (m²) BMI (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category
MALE
1 107215200014 Adajar, Liam Jacob R. 3/24/2015 9.04 21.00 1.28 1.64 12.82 Wasted Normal
2 107215200022 Adajar, Wo Sancti S. 10/20/2014 9.09 35.00 1.37 1.88 18.65 Normal Normal
3 401554200001 Aquino, Gian Lorenzo C. 9/1/2015 8.10 33.00 1.30 1.69 19.53 Normal Normal
4 107215200023 Asia, Dwayne Dhieper C. 10/23/2015 8.09 25.00 1.29 1.66 15.02 Normal Normal
5 107215200021 Atienza, Melquisedec A. 9/28/2014 9.10 45.00 1.42 2.02 22.32 Overweight Normal
6 107215200017 Cenita, John Mark M. 10/26/2014 9.09 29.00 1.40 1.96 14.80 Normal Normal
7 107215200027 Ditan, Lourd Kristen M. 9/24/2014 9.10 34.00 1.39 1.93 17.60 Normal Normal
8 107215200028 Esguerra, Eithan Ruize A. 5/26/2015 9.02 30.00 1.33 1.77 16.96 Normal Normal
9 401584190002 Flora, Kenrich Alexis A. 11/1/2013 10.08 33.00 1.43 2.04 16.14 Normal Normal
10 107215200004 Laylo, Jhames Ansbert A. 1/10/2015 9.06 35.00 1.34 1.80 19.49 Normal Normal
11 107215200030 Lumbera, Joseph Errl Lenard A. 4/6/2015 9.03 40.00 1.33 1.77 22.61 Overweight Normal
12 107215200059 Mendoza, Darren Jann P. 6/22/2015 9.01 26.00 1.27 1.61 16.12 Normal Normal
13 401586200009 Pagsuyoin, Marco Drake 10/4/2014 9.09 62.00 2.40 5.76 10.76 Severely Wasted Tall
14 107215200067 Panoga, Savino Caden A. 9/19/2015 8.10 25.00 1.30 1.69 14.79 Normal Normal
15 107215200007 Root, King Matthew M. 1/7/2015 9.06 23.00 1.25 1.56 14.72 Normal Normal
16 107215200061 Samson, Marcelino Jr. B 10/15/2015 8.09 39.00 1.33 1.77 22.05 Overweight Normal
17 107215200035 Torres, Mart Dylan R. 9/3/2014 9.10 35.00 1.38 1.90 18.38 Normal Normal
FEMALE
1 107215200036 Adajar, Zyrish Kean F. 7/28/2015 9.00 24.00 1.21 1.46 16.39 Normal Normal
2 107215200008 Adan, Sabrina Angelique O. 12/20/2014 9.07 29.00 1.35 1.82 15.91 Normal Normal
3 107215200065 Belarmino, Roxanne L. 8/28/2014 9.11 21.00 1.20 1.44 14.58 Normal Stunted
4 107215200039 Cantos, Ayesha Lorraine A. 1/9/2019 5.06 31.00 1.35 1.82 17.01 Normal Tall
5 107215200041 Castillo, Andrea Joannah L. 7/29/2015 9.00 23.00 1.28 1.64 14.04 Normal Normal
6 107215200042 Cuadro, Sheerlove Fame N. 1/1/2015 9.06 25.00 1.24 1.54 16.26 Normal Normal
7 107215200109 Cumpas, Jhanarra Kylie T. 12/11/2013 10.07 42.00 1.49 2.22 18.92 Normal Normal
Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age (kg) (m) (m²) BMI (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category
8 109621200056 Delizo, Savienah Jhane A. 10/28/2014 9.09 34.00 1.36 1.85 18.38 Normal Normal
9 107215200069 Dungan, Akira Rhine M. 7/24/2015 9.00 25.00 1.26 1.59 15.75 Normal Normal
10 107215200043 Eguia, Shaelley Rhianne B. 2/14/2015 9.05 34.00 1.35 1.82 18.66 Normal Normal
11 107215200105 Genovania, Nethcluizel P. 6/10/2014 10.01 26.00 1.31 1.72 15.15 Normal Normal
12 401554200003 Gonzalvo, Mary Ysabelle B. 12/7/2014 9.07 27.00 1.25 1.56 17.28 Normal Normal
13 107220200029 Hernandez, Amiel Margarette A. 10/21/2015 8.09 21.00 1.19 1.42 14.83 Normal Normal
14 401554200004 Hernandez, Princess Alquina Leilani 8/28/2014 9.11 29.00 1.21 1.46 19.81 Normal Stunted
15 107215200072 Leynes, Nikolina Pyton I. 10/5/2015 8.09 48.00 1.50 2.25 21.33 Overweight Tall
16 407722170004 Lu, Marinellie C. 3/23/2010 14.04 45.00 1.45 2.10 21.40 Normal Stunted
17 107215200073 Malaluan, Kyth Ayesha Mckenzie M. 11/7/2014 9.08 41.00 1.34 1.80 22.83 Overweight Normal
18 107215200013 Panopio, Mariane Christine A. 5/12/2015 9.02 35.00 1.27 1.61 21.70 Overweight Normal
19 107215200076 Salud, Jhaelyn Kersteine H. 1/20/2018 6.06 46.00 1.50 2.25 20.44 Overweight Tall
20 107554200045 Vergara, Ashley Viel D. 4/21/2015 9.03 43.00 1.33 1.77 24.31 Overweight Normal
21 107215220036 Villalobos, Neriah Wren T. 6/9/2015 9.01 27.00 1.30 1.69 15.98 Normal Normal
22 107215200096 Villanueva, Princess Dinisse M. 1/12/2015 9.06 39.00 1.26 1.59 24.57 Overweight Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Wasted Wasted Normal Overweight Obese TOTAL Severely Stunted Normal Tall Total
Stunted
MALE 1 1 12 3 0 17 0 0 16 1 17
FEMALE 0 0 16 6 0 22 0 3 16 3 22
TOTAL 1 1 28 9 0 39 0 3 32 4 39
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
7/31/2024 JHOAN CELESTE A. ADAYA JOCELYN I. MONTALBAN EDITA L. MONTALBO
SFRT 2017
Growth reference 5-19 yea
Links for BMI Tables in P
z-scores
BOYS [Link]
GIRLS [Link]
Growth reference 5-19 yea
Links for Height-for-Age Table
z-scores
BOYS [Link]
GIRLS [Link]
Table retrieved from [Link]
ference 5-19 years
s for BMI Tables in PDF
precentile
[Link]
[Link]
ference 5-19 years
Height-for-Age Tables in PDF
precentile
[Link]
[Link]
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name ALITAGTAG CENTRAL SCHOOL District ALITAGTAG Division BATANGAS Region IV-A CALABARZON
School ID 107215 Grade FOUR Section DIPOLOG Track/Strand (SHS) NA School Year 2024 - 2025
Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age (kg) (m) (m²) BMI (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category
MALE
1 107215200014 Adajar, Liam Jacob R. 3/24/2015 9.04 24.00 1.30 1.69 14.20 Normal Normal
2 107215200022 Adajar, Wo Sancti S. 10/20/2014 9.09 37.00 1.40 1.96 18.88 Normal Normal
3 401554200001 Aquino, Gian Lorenzo C. 9/1/2015 8.10 34.00 1.32 1.74 19.51 Normal Normal
4 107215200023 Asia, Dwayne Dhieper C. 10/23/2015 8.09 25.00 1.30 1.69 14.79 Normal Normal
5 107215200021 Atienza, Melquisedec A. 9/28/2014 9.10 46.00 1.45 2.10 21.88 Overweight Normal
6 107215200017 Cenita, John Mark M. 10/26/2014 9.09 31.00 1.42 2.02 15.37 Normal Normal
7 107215200027 Ditan, Lourd Kristen M. 9/24/2014 9.10 34.00 1.43 2.04 16.63 Normal Normal
8 107215200028 Esguerra, Eithan Ruize A. 5/26/2015 9.02 32.00 1.35 1.82 17.56 Normal Normal
9 401584190002 Flora, Kenrich Alexis A. 11/1/2013 10.08 33.00 1.45 2.10 15.70 Normal Normal
10 107215200004 Laylo, Jhames Ansbert A. 1/10/2015 9.06 36.00 1.38 1.90 18.90 Normal Normal
11 107215200030 Lumbera, Joseph Errl Lenard A. 4/6/2015 9.03 41.00 1.36 1.85 22.17 Overweight Normal
12 107215200059 Mendoza, Darren Jann P. 6/22/2015 9.01 28.00 1.30 1.69 16.57 Normal Normal
13 401586200009 Pagsuyoin, Marco Drake 10/4/2014 9.09 62.00 2.55 6.50 9.53 Severely Wasted Tall
14 107219200057 Panoga, Savino Caden A. 9/19/2015 8.10 27.00 1.35 1.82 14.81 Normal Normal
15 107215200007 Root, King Matthew M. 1/7/2015 9.06 25.00 1.29 1.66 15.02 Normal Normal
16 107215200061 Samson, Marcelino Jr. B 10/15/2015 8.09 40.00 1.35 1.82 21.95 Overweight Normal
17 107215200035 Torres, Mart Dylan R. 9/3/2014 9.10 37.00 1.41 1.99 18.61 Normal Normal
FEMALE
1 107215200036 Adajar, Zyrish Kean F. 7/28/2015 9.00 26.00 1.24 1.54 16.91 Normal Normal
2 107215200008 Adan, Sabrina Angelique O. 12/20/2014 9.07 30.00 1.36 1.85 16.22 Normal Normal
3 107215200066 Belarmino, Roxanne L. 8/28/2014 9.11 23.00 1.25 1.56 14.72 Normal Stunted
4 107215200039 Cantos, Ayesha Lorraine A. 1/9/2019 5.06 33.00 1.38 1.90 17.33 Normal Tall
5 107215200041 Castillo, Andrea Joannah L. 7/29/2015 9.00 25.00 1.31 1.72 14.57 Normal Normal
6 107215200042 Cuadro, Sheerlove Fame N. 1/1/2015 9.06 28.00 1.26 1.59 17.64 Normal Normal
7 107215200109 Cumpas, Jhanarra Kylie T. 12/11/2013 10.07 45.00 1.52 2.31 19.48 Normal Normal
Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age (kg) (m) (m²) BMI (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category
8 109621200056 Delizo, Savienah Jhane A. 10/28/2014 9.09 36.00 1.39 1.93 18.63 Normal Normal
9 107215200069 Dungan, Akira Rhine M. 7/24/2015 9.00 28.00 1.29 1.66 16.83 Normal Normal
10 107215200043 Eguia, Shaelley Rhianne B. 2/14/2015 9.05 36.00 1.38 1.90 18.90 Normal Normal
11 107215200105 Genovania, Nethcluizel P. 6/10/2014 10.01 28.00 1.32 1.74 16.07 Normal Normal
12 401554200003 Gonzalvo, Mary Ysabelle B. 12/7/2014 9.07 29.00 1.29 1.66 17.43 Normal Normal
13 107220200029 Hernandez, Amiel Margarette A. 10/21/2015 8.09 23.00 1.21 1.46 15.71 Normal Normal
14 401554200004 Hernandez, Princess Alquina Leilani 8/28/2014 9.11 31.00 1.25 1.56 19.84 Normal Stunted
15 107215200072 Leynes, Nikolina Pyton I. 10/5/2015 8.09 50.00 1.55 2.40 20.81 Normal Tall
16 407722170004 Lu, Marinellie C. 3/23/2010 14.04 45.00 1.47 2.16 20.82 Normal Normal
17 107215200073 Malaluan, Kyth Ayesha Mckenzie M. 11/7/2014 9.08 43.00 1.36 1.85 23.25 Overweight Normal
18 107215200013 Panopio, Mariane Christine A. 5/12/2015 9.02 37.00 1.29 1.66 22.23 Overweight Normal
19 107215200076 Salud, Jhaelyn Kersteine H. 1/20/2018 6.06 47.00 1.52 2.31 20.34 Overweight Tall
20 107554200045 Vergara, Ashley Viel D. 4/21/2015 9.03 45.00 1.35 1.82 24.69 Overweight Normal
21 107215220036 Villalobos, Neriah Wren T. 6/9/2015 9.01 28.00 1.32 1.74 16.07 Normal Normal
22 107215200096 Villanueva, Princess Dinisse M. 1/12/2015 9.06 40.00 1.27 1.61 24.80 Overweight Normal
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX
Severely Wasted Wasted Normal Overweight Obese TOTAL Severely Stunted Normal Tall Total
Stunted
MALE 1 0 13 3 0 17 0 0 16 1 17
FEMALE 0 0 17 5 0 22 0 2 17 3 22
TOTAL 1 0 30 8 0 39 0 2 33 4 39
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
3/31/2025 JHOAN CELESTE A. ADAYA JOCELYN I. MONTALBAN EDITA L. MONTALBO
SFRT 2017