Region X School Name TABLON ELEMENTARY Grade

DivisionCAGAYAN DE ORO CITY School ID 127954 Section

District 2nd Legislative Adviser URSULINA E. MAGNA Track/Strand

Male Students Profile Baseline Data Endline Data Female Studen

Learner's Name Date of Birth
(MM/DD/YYYY) Weight Height Weight Height
No. LRN (Last Name, First Name, Name No. LRN
(kg) (m) (kg) (m)
Extension, Middle Name)
40498117001
19 AGUANTA,LEANDRO, RICALDE 9/6/2011 25 1.25 17 1.15 1 127954170147
11989816006
28 BATOON,JAMES, - 7/21/2010 33 1.34 18 1.2 2 127954170100
12795417003
37 BETITA,CHRISTOPHER, JR PACANUT 5/26/2012 45 1.48 12 1.07 3 127954170124
12795417018 29 1.2
42 CABATUAN,JOHN ANDREW, CASERES 9/19/2011 16 1.14 4 127954170306
12795417016 59 1.61
52 CADAYONA,JILL MARK, CANONIO 7/10/2012 14 1.12 5 127954170282
12795417003
65 EROISA,JONATHAN REX, CAGAMPANG 09-09-2011 30 1.16 19 1.19 6 127954170146
12795417008
78 GABAYA,MARVEN JAY, CURATO 9/1/2011 32 1.35 18 1.17 7 127954170125
12795417028
84 HUGO,KYAN KING, GENELASO 12/14/2011 32 1.39 17 1.19 8 127954170233
12795417028
94 HUGO,KYAN KING, GENELASO 12/14/2011 29 1.28 27 1.18 9 127954170264
12671917003 LASQUITES,CHAEL ANGELOU,
10 5 MATUGAS
9/8/2011 28 1.3 14 1.19 10 127952170236
12795417004
11 9 LAURON,JASON, MAGDALE 3/27/2011 50 1.16 19 1.24 11 127954170121
46200117001
12 2 LIMPANGOG,JOSEPH, ACOMPANADO 3/19/2012 22 1.28 17 1.1 12 127954170060
12795417010
13 1 OBLIFIAS,RAD GREY, ABASOLA 5/23/2012 50 1.45 14 1.2 13 127954170305
12795417032
14 5 PAGON,JACOB, CUAY 9/15/2011 22 1.28 19 1.11 14 127954170297
12795417034
15 1 PAJENTE,JELIAN MAR, ALIA 3/30/2011 20 1.2 19 1.17 15 127954170312
12795417027
16 6 PANGA,EDIL JHONBERT, MALIDA 02-02-2011 22 1.17 17 1.18 16 127947170163
12795417005
17 2 SOLEBIO,NATHANIEL, EBUEZA 7/13/2012 50 1.36 18 1.18 17 127954170142
12795417026
18 1 SY,ZACHARY DANIEL, MAKINIS 7/15/2012 38 1.35 17 1.18 18 127954170292
12795417006
19 2 UBAS,IMMANOELLE, TAGUD 5/30/2012 32 1.35 18 1.18 19 127954170178
12795417006
20 8 YASAY,LEEJUN, PANGANORON 9/25/2011 30 1.35 26 1.11 20 127954170016
21 21 127954170012
22 22 127954170133
23 23 127954170169
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 1 School Year 2018-2019
SAMPAGUITA Baseline Date Assessment 6/25/2018
NOT APPLICABLE Endline Date Assessment 3/25/2019

Female Students Profile Baseline Data Endline Data

Learner's Name Date of Birth
(Last Name, First Name, Name (MM/DD/YYYY) Weight Height Weight Height
(kg) (m) (kg) (m)
Extension, Middle Name)
ABBU,JUDY, TOPACIO 8/29/2011 20 1.4 20 1.26
BARILLO,ALIYAH HEDREEN, OCENA 3/26/2012 16 1.39 16 1.2
BENDONG,CHARICE, LABUCANA 10/26/2011 17 1.47 17 1.12
BORAR,AINOLHAYYAH, MOCSARA 12-09-2011 19 1.51 19 1.26
CAGATCAGAT,KATHLEEN, EBCAY 2/5/2012 20 1.37 20 1.19
CALAGUE,EMEBE, ROJAS 01-01-2012 15 1.47 15 1.22
CANTIL,EUNICE, ROBLES 5/15/2012 15 1.3 15 1.13
DAROY,JUDY MAE, PORLAS 12/17/2011 15 1.5 15 1.12
GANORA,KAIRA CZEN, BATIQUEN 4/14/2012 14 1.42 14 1.12
GENELSA,SOPHIA, DEITA 5/6/2012 24 1.41 24 1.12
LA VICTORIA,GLAIZA MAE, JACUTIN 5/14/2012 18 1.5 18 0.92
LIBAO,MARIA LOURDES, GALVEZ 3/16/2012 16 1.32 16 1.18
LINSAG,SCARLET JOHANN, PAGUTAYAO 8/5/2012 20 1.45 20 1.18
LUTERO,ELLERY, BANAAG 2/26/2012 22 1.32 22 1.13
MAGNA,NICOLE SHAYNE, - 9/10/2011 21 1.3 21 1.14
MUNDO,RHIAN JADE, NACNAC 9/1/2011 17 1.3 17 1.21
NOB,ALEXAROSE, SANG-AN 12/20/2011 17 1.35 17 1.2
OCENA,KRISTEL MAE, MAGALLENES 5/10/2012 15 1.43 15 1.15
PORLAS,FLORICA, OCLARIT 7/15/2012 17 1.42 17 1.12
RAUTO,YESHA MAE, ROMERO 11/1/2011 27 1.35 27 1.15
ROBLES,MA ROMARIE, VALE 8/18/2012 16 1.41 16 1.26
SAGUAGAN,MARYDAN, AGAPAY 1/7/2012 16 1.42 16 1.5
SULAPAS,MEG QUEENIE, BUGHAW 10/28/2011 18 1.36 18 1.16
Body Mass Index Chart:
Height for Age Chart
SF 8

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

School Name TABLON ELEMENTARY District2nd Legislative Division CAGAYAN DE ORO CITY Region
6/25/2018

School ID 127954 Grade 1 Section SAMPAGUITA Track/Strand NOT APPLICABLE School Year

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 404981170019 AGUANTA,LEANDRO, RICALDE 9/6/2011 6.09 25 1.25 1.56 16.03 Normal Normal
2 119898160068 BATOON,JAMES, - 7/21/2010 7.11 33 1.34 1.8 18.33 Normal Normal
3 127954170037 BETITA,CHRISTOPHER, JR PACANUT 5/26/2012 6.00 45 1.48 2.19 20.55 Overweight Tall
4 127954170182 CABATUAN,JOHN ANDREW, CASERES 9/19/2011 6.09 29 1.2 1.44 20.14 Overweight Normal
5 127954170162 CADAYONA,JILL MARK, CANONIO 7/10/2012 5.11 59 1.61 2.59 22.78 Obese Tall
EROISA,JONATHAN REX,
6 127954170035 09-09-2011 #VALUE! 30 1.16 1.35 22.22 Obese Normal
CAGAMPANG
7 127954170088 GABAYA,MARVEN JAY, CURATO 9/1/2011 6.09 32 1.35 1.82 17.58 Normal Tall
8 127954170284 HUGO,KYAN KING, GENELASO 12/14/2011 6.06 32 1.39 1.93 16.58 Normal Tall
9 127954170284 HUGO,KYAN KING, GENELASO 12/14/2011 6.06 29 1.28 1.64 17.68 Normal Normal
LASQUITES,CHAEL ANGELOU,
10 126719170035 9/8/2011 6.09 28 1.3 1.69 16.57 Normal Normal
MATUGAS
11 127954170049 LAURON,JASON, MAGDALE 3/27/2011 7.02 50 1.16 1.35 37.04 Obese Normal
12 462001170012 LIMPANGOG,JOSEPH, ACOMPANADO 3/19/2012 6.03 22 1.28 1.64 13.41 Normal Tall
13 127954170101 OBLIFIAS,RAD GREY, ABASOLA 5/23/2012 6.01 50 1.45 2.1 23.81 Obese Tall
14 127954170325 PAGON,JACOB, CUAY 9/15/2011 6.09 22 1.28 1.64 13.41 Normal Normal
15 127954170341 PAJENTE,JELIAN MAR, ALIA 3/30/2011 7.02 20 1.2 1.44 13.89 Normal Normal
16 127954170276 PANGA,EDIL JHONBERT, MALIDA 02-02-2011 #VALUE! 22 1.17 1.37 16.06 Normal Normal
17 127954170052 SOLEBIO,NATHANIEL, EBUEZA 7/13/2012 5.11 50 1.36 1.85 27.03 Obese Tall
18 127954170261 SY,ZACHARY DANIEL, MAKINIS 7/15/2012 5.11 38 1.35 1.82 20.88 Obese Tall
19 127954170062 UBAS,IMMANOELLE, TAGUD 5/30/2012 6.00 32 1.35 1.82 17.58 Normal Tall
20 127954170068 YASAY,LEEJUN, PANGANORON 9/25/2011 6.09 30 1.35 1.82 16.48 Normal Tall
 FEMALE
1 127954170147 ABBU,JUDY, TOPACIO 8/29/2011 6.09 20 1.4 1.96 10.2 Severely Wasted Tall
2 127954170100 BARILLO,ALIYAH HEDREEN, OCENA 3/26/2012 6.02 16 1.39 1.93 8.29 Severely Wasted Tall
3 127954170124 BENDONG,CHARICE, LABUCANA 10/26/2011 6.07 17 1.47 2.16 7.87 Severely Wasted Tall
4 127954170306 BORAR,AINOLHAYYAH, MOCSARA 12-09-2011 #VALUE! 19 1.51 2.28 8.33 Severely Wasted Tall
5 127954170282 CAGATCAGAT,KATHLEEN, EBCAY 2/5/2012 6.04 20 1.37 1.88 10.64 Severely Wasted Tall
6 127954170146 CALAGUE,EMEBE, ROJAS 01-01-2012 #VALUE! 15 1.47 2.16 6.94 Severely Wasted Tall
7 127954170125 CANTIL,EUNICE, ROBLES 5/15/2012 6.01 15 1.3 1.69 8.88 Severely Wasted Tall
8 127954170233 DAROY,JUDY MAE, PORLAS 12/17/2011 6.06 15 1.5 2.25 6.67 Severely Wasted Tall
9 127954170264 GANORA,KAIRA CZEN, BATIQUEN 4/14/2012 6.02 14 1.42 2.02 6.93 Severely Wasted Tall
10 127952170236 GENELSA,SOPHIA, DEITA 5/6/2012 6.01 24 1.41 1.99 12.06 Wasted Tall
11 127954170121 LA VICTORIA,GLAIZA MAE, JACUTIN 5/14/2012 6.01 18 1.5 2.25 8 Severely Wasted Tall
12 127954170060 LIBAO,MARIA LOURDES, GALVEZ 3/16/2012 6.03 16 1.32 1.74 9.2 Severely Wasted Tall
LINSAG,SCARLET JOHANN,
13 127954170305 8/5/2012 5.10 20 1.45 2.1 9.52 Severely Wasted Tall
PAGUTAYAO
14 127954170297 LUTERO,ELLERY, BANAAG 2/26/2012 6.03 22 1.32 1.74 12.64 Normal Tall
15 127954170312 MAGNA,NICOLE SHAYNE, - 9/10/2011 6.09 21 1.3 1.69 12.43 Wasted Normal
16 127947170163 MUNDO,RHIAN JADE, NACNAC 9/1/2011 6.09 17 1.3 1.69 10.06 Severely Wasted Normal
17 127954170142 NOB,ALEXAROSE, SANG-AN 12/20/2011 6.06 17 1.35 1.82 9.34 Severely Wasted Tall
18 127954170292 OCENA,KRISTEL MAE, MAGALLENES 5/10/2012 6.01 15 1.43 2.04 7.35 Severely Wasted Tall
19 127954170178 PORLAS,FLORICA, OCLARIT 7/15/2012 5.11 17 1.42 2.02 8.42 Severely Wasted Tall
20 127954170016 RAUTO,YESHA MAE, ROMERO 11/1/2011 6.07 27 1.35 1.82 14.84 Normal Tall
21 127954170012 ROBLES,MA ROMARIE, VALE 8/18/2012 5.10 16 1.41 1.99 8.04 Severely Wasted Tall
22 127954170133 SAGUAGAN,MARYDAN, AGAPAY 1/7/2012 6.05 16 1.42 2.02 7.92 Severely Wasted Tall
23 127954170169 SULAPAS,MEG QUEENIE, BUGHAW 10/28/2011 6.07 18 1.36 1.85 9.73 Severely Wasted Tall

Integrated School Forms

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Sex
Severely Wasted Wasted Normal Overweight Obese Total Severely Stunted Stunted Normal Tall

MALE 0 0 12 2 6 20 0 0 10 10
FEMALE 19 2 2 0 0 23 0 0 2 21
TOTAL 19 2 14 2 6 43 0 0 12 31

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

Monday, June 25, 2018 URSULINA E. MAGNA
 X

2018-2019

Remarks
WedzmerDesigns

Total

20
23
43
SF 8

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

School Name TABLON ELEMENTARY District 2nd Legislative Division CAGAYAN DE

School ID 127954 Grade 1 Section SAMPAGUITA Track/Strand NOT APPL

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 404981170019 AGUANTA,LEANDRO, RICALDE 9/6/2011 7.06 17 1.15 1.32 12.88
2 119898160068 BATOON,JAMES, - 7/21/2010 8.08 18 1.2 1.44 12.5
3 127954170037 BETITA,CHRISTOPHER, JR PACANUT 5/26/2012 6.09 12 1.07 1.14 10.53
4 127954170182 CABATUAN,JOHN ANDREW, CASERES 9/19/2011 7.06 16 1.14 1.3 12.31
5 127954170162 CADAYONA,JILL MARK, CANONIO 7/10/2012 6.08 14 1.12 1.25 11.2
EROISA,JONATHAN REX,
6 127954170035 09-09-2011 #VALUE! 19 1.19 1.42 13.38
CAGAMPANG
7 127954170088 GABAYA,MARVEN JAY, CURATO 9/1/2011 7.06 18 1.17 1.37 13.14
8 127954170284 HUGO,KYAN KING, GENELASO 12/14/2011 7.03 17 1.19 1.42 11.97
9 127954170284 HUGO,KYAN KING, GENELASO 12/14/2011 7.03 27 1.18 1.39 19.42
LASQUITES,CHAEL ANGELOU,
10 126719170035 9/8/2011 7.06 14 1.19 1.42 9.86
MATUGAS
11 127954170049 LAURON,JASON, MAGDALE 3/27/2011 7.11 19 1.24 1.54 12.34
12 462001170012 LIMPANGOG,JOSEPH, ACOMPANADO 3/19/2012 7 17 1.1 1.21 14.05
13 127954170101 OBLIFIAS,RAD GREY, ABASOLA 5/23/2012 6.1 14 1.2 1.44 9.72
14 127954170325 PAGON,JACOB, CUAY 9/15/2011 7.06 19 1.11 1.23 15.45
15 127954170341 PAJENTE,JELIAN MAR, ALIA 3/30/2011 7.11 19 1.17 1.37 13.87
16 127954170276 PANGA,EDIL JHONBERT, MALIDA 02-02-2011 #VALUE! 17 1.18 1.39 12.23
17 127954170052 SOLEBIO,NATHANIEL, EBUEZA 7/13/2012 6.08 18 1.18 1.39 12.95
18 127954170261 SY,ZACHARY DANIEL, MAKINIS 7/15/2012 6.08 17 1.18 1.39 12.23
19 127954170062 UBAS,IMMANOELLE, TAGUD 5/30/2012 6.09 18 1.18 1.39 12.95
20 127954170068 YASAY,LEEJUN, PANGANORON 9/25/2011 7.06 26 1.11 1.23 21.14

FEMALE
1 127954170147 ABBU,JUDY, TOPACIO 8/29/2011 7.06 20 1.26 1.59 12.58
2 127954170100 BARILLO,ALIYAH HEDREEN, OCENA 3/26/2012 6.11 16 1.2 1.44 11.11
3 127954170124 BENDONG,CHARICE, LABUCANA 10/26/2011 7.04 17 1.12 1.25 13.6
4 127954170306 BORAR,AINOLHAYYAH, MOCSARA 12-09-2011 #VALUE! 19 1.26 1.59 11.95
5 127954170282 CAGATCAGAT,KATHLEEN, EBCAY 2/5/2012 7.01 20 1.19 1.42 14.08
6 127954170146 CALAGUE,EMEBE, ROJAS 01-01-2012 #VALUE! 15 1.22 1.49 10.07
7 127954170125 CANTIL,EUNICE, ROBLES 5/15/2012 6.1 15 1.13 1.28 11.72
8 127954170233 DAROY,JUDY MAE, PORLAS 12/17/2011 7.03 15 1.12 1.25 12
9 127954170264 GANORA,KAIRA CZEN, BATIQUEN 4/14/2012 6.11 14 1.12 1.25 11.2
10 127952170236 GENELSA,SOPHIA, DEITA 5/6/2012 6.1 24 1.12 1.25 19.2
11 127954170121 LA VICTORIA,GLAIZA MAE, JACUTIN 5/14/2012 6.1 18 0.92 0.85 21.18
12 127954170060 LIBAO,MARIA LOURDES, GALVEZ 3/16/2012 7 16 1.18 1.39 11.51
LINSAG,SCARLET JOHANN,
13 127954170305 8/5/2012 6.07 20 1.18 1.39 14.39
PAGUTAYAO
14 127954170297 LUTERO,ELLERY, BANAAG 2/26/2012 7 22 1.13 1.28 17.19
15 127954170312 MAGNA,NICOLE SHAYNE, - 9/10/2011 7.06 21 1.14 1.3 16.15
16 127947170163 MUNDO,RHIAN JADE, NACNAC 9/1/2011 7.06 17 1.21 1.46 11.64
17 127954170142 NOB,ALEXAROSE, SANG-AN 12/20/2011 7.03 17 1.2 1.44 11.81

18 127954170292 OCENA,KRISTEL MAE, MAGALLENES 5/10/2012 6.1 15 1.15 1.32 11.36

19 127954170178 PORLAS,FLORICA, OCLARIT 7/15/2012 6.08 17 1.12 1.25 13.6

20 127954170016 RAUTO,YESHA MAE, ROMERO 11/1/2011 7.04 27 1.15 1.32 20.45
21 127954170012 ROBLES,MA ROMARIE, VALE 8/18/2012 6.07 16 1.26 1.59 10.06
22 127954170133 SAGUAGAN,MARYDAN, AGAPAY 1/7/2012 7.02 16 1.5 2.25 7.11
23 127954170169 SULAPAS,MEG QUEENIE, BUGHAW 10/28/2011 7.04 18 1.16 1.35 13.33

Integrated School Forms

SUMMARY TABLE
Nutritional Status
Sex
Severely Wasted Wasted Normal Overweight Obese Total Severely Stunted Stunted

MALE 6 7 5 2 0 20 0 4
FEMALE 8 5 8 2 0 23 1 0
TOTAL 14 12 13 4 0 43 1 4

Date of Assessment Conducted/Assessed By Certified Correct By:

Monday, March 25, 2019 URSULINA E. MAGNA

 REMINDER:
SF8)
This
worksheet is designed
to fit in a Long Bond
AN DE ORO CITY Region X Paper (8.5" x 13")
3/25/2019

APPLICABLE School Year 2018-2019

ritional Status
Height for Age
Remarks
BMI Category (HFA)

Wasted Normal
Wasted Normal
Severely Wasted Stunted
Wasted Normal
Severely Wasted Normal
Normal Normal
Normal Normal
Severely Wasted Normal
Overweight Normal
Severely Wasted Normal
Wasted Normal
Normal Stunted
Severely Wasted Normal
Normal Stunted
Normal Normal
Severely Wasted Normal
Wasted Normal
Wasted Normal
Wasted Normal
Overweight Stunted

Wasted Normal
Severely Wasted Normal
Normal Normal
Wasted Normal
Normal Normal
Severely Wasted Normal
Wasted Normal
Wasted Normal
Severely Wasted Normal
Normal Normal
Overweight Severely Stunted
Severely Wasted Normal
Normal Normal
Normal Normal
Normal Normal
Severely Wasted Normal
Wasted Normal

Severely Wasted Normal

Normal Normal
 Overweight Normal
Severely Wasted Normal
Severely Wasted Tall
Normal Normal

WedzmerDesigns

Height for Age (HFA)

Normal Tall Total

16 0 20
21 1 23
37 1 43

Reviewed by: