SF 8

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

School Name CABANGAHAN INTEGRATED SCHOOL District CANTILAN Division SURIGAO DEL SUR Region CARAGA

School ID 500574 Grade 4 Section PEARL Track/Strand (SHS) N/A School Year 2022-2023

Learner's Name Nutritional Status

Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 132656180001 AGIANG,IVAN, SANDAG 07-24-2013 8 50 1.52 2.31 21.64
2 132656180002 AMPO,JARENCE PAUL, TAWAS 11-03-2012 8 50 1.52 2.31 21.64
3 500574180002 AMPO,JOHN ARJO, OMBA 04-19-2013 8 50 1.52 2.31 21.64
4 500574180003 AMPO,JOHN LIAM, BODANIO 03-20-2013 8 50 1.52 2.31 21.64
5 500574180004 AMPO,MARK JAY, ATING 08-13-2012 9 50 1.52 2.31 21.64
6 500574180005 AMPO,MARK RYANN, ATING 10-04-2012 9 50 1.52 2.31 21.64
7 132656180003 AMPO,RAFAEL, ILIGAN 07-29-2013 8 50 1.52 2.31 21.64
8 500574180006 ATING,JEMUEL DAVE, PALER 04-20-2013 8 50 1.52 2.31 21.64
9 0 BANGOY, ROMARK OMBA 8/25/2012 0 50 1.52 2.31 21.64
10 500574170009 BAQUILAR,BENSON, BUA 12-12-2011 9 50 1.52 2.31 21.64
11 500574180008 BAT-AO,EUHANN, ATING 09-27-2012 9 50 1.52 2.31 21.64
12 132656180004 BAT-AO,RJ BOY, VENTURA 12-12-2012 8 50 1.52 2.31 21.64
CONSIGNA, RENCE JAY UMBA
13 132875180084 132875180084
00 50 1.52 2.31 21.64
14 500574180011 GUINSOD,CHOLO, JUSAY 03-06-2013 8 50 1.52 2.31 21.64
15 500574180009 ILIGAN,JOHN WINCES, TAWAS 04-20-2013 8 50 1.52 2.31 21.64
16 500574170012 ILIGAN,ROBERT, AMPO 11-11-2011 9 50 1.52 2.31 21.64
17 500574180012 JUSAY,FRANK LEO, SALAHAY 04-01-2013 8 50 1.52 2.31 21.64
18 500574180013 JUSAY,JOHN MANUEL, BAT-AO 09-26-2011 10 50 1.52 2.31 21.64
19 500574180014 JUSAY,JOSHUA KENT, AMPO 10-06-2012 9 50 1.52 2.31 21.64
20 500574180015 MAGPATOK,MARK, ABANCIA 09-17-2014 7 50 1.52 2.31 21.64
21 500574180016 MOLINA,JECRIS MARK, JUSAY 07-28-2013 8 50 1.52 2.31 21.64
 Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
22 500574180017 OGANION,LIVNEY, SALAHAY 03-16-2013 8 50 1.52 2.31 21.64
23 132656180011 OMBO,DENNIS, MACA 06-28-2013 8 50 1.52 2.31 21.64
24 500574170018 PENIG,JENARD, OMBO 07-22-2011 10 50 1.52 2.31 21.64
25 500574180020 SALAHAY,GREG JAREN, AMPO 06-03-2013 8 50 1.52 2.31 21.64
26 500574180022 TAWAS,DANIELL, JR AGYANG 08-12-2012 9 50 1.52 2.31 21.64
27 500574180025 TAWAS,WELSON, TAGYAM 08-03-2013 8 50 1.52 2.31 21.64
28 500574180026 TAWIDE,ASHLEY, FRANKLIN 09-30-2011 10 50 1.52 2.31 21.64
29 500574180027 TOTOH,JEBEN CARL, EMBOK 10-26-2012 9 50 1.52 2.31 21.64
FEMALE
1 500574180029 AGSAWAY,ALVILYN, MONTERO 01-16-2013 8 50 1.52 2.31 21.64
2 500574180028 AGYANG,CYRA MAE, ATING 11-19-2012 8 50 1.52 2.31 21.64
3 500574180030 AMPO,ALMERAA, BAT-AO 09-18-2012 9 50 1.52 2.31 21.64
4 500574180031 AMPO,RHEA JANE, ATING 01-08-2013 8 50 1.52 2.31 21.64
5 ANGGAAN, LADY JOY 0 50 1.52 2.31 21.64
ANGELES, NEKKE AMPO
6 132671800100 132671800100
02-10- 0 50 1.52 2.31 21.64
7 500574180032 ANTAD,JANINE, BUA 09-20-2012 9 50 1.52 2.31 21.64
8 500574180034 BAT-AO,LORIMEL, ATING 09-07-2012 9 50 1.52 2.31 21.64
9 500574180035 BAT-AO,PRECELA JEAN, OMBA 10-15-2012 9 50 1.52 2.31 21.64
10 CONSIGNA, ELLA ONDAO 00 50 1.52 2.31 21.64
11 500574180037 DANDANON,RELIANA, ATING 11-17-2012 8 50 1.52 2.31 21.64
12 132656180005 EMBOC,KAISSER GWENN, MACA 03-12-2013 8 50 1.52 2.31 21.64
13 132656180006 EMBOC,MARIALYN, ALIMBOYONG 11-10-2012 8 50 1.52 2.31 21.64
14 500574180040 FRANKLIN,LORAINE, TAWIDE 11-30-2012 8 50 1.52 2.31 21.64
15 500574180041 NADAO,CLARICE JOY, PENA 11-16-2012 8 50 1.52 2.31 21.64
16 132656180007 SANDAG,PENCHEZ, HAYAHAY 05-15-2013 8 50 1.52 2.31 21.64
17 500574180044 TAWEDI,SUZANE, FRANKLIN 05-10-2013 8 50 1.52 2.31 21.64
18 500574180043 TAWIDE,AILYN, FRANKLIN 05-10-2013 8 50 1.52 2.31 21.64
19 132656180008 TUBAY,JUANA, DOLORIEL 05-18-2014 7 50 1.52 2.31 21.64
 Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
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
FEMALE
TOTAL

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

SFRT 2017
 School ID 500574
School Name Cabangahan Integrated School

Sex (M/F)
NAME BIRTH DATE
LRN
(Last Name, First Name, Middle Name) (mm/dd/yyyy)
Age as of October 31

132656180001 AGIANG,IVAN, SANDAG M 07-24-2013 8

132656180002 AMPO,JARENCE PAUL, TAWAS M 11-03-2012 8

500574180002 AMPO,JOHN ARJO, OMBA M 04-19-2013 8

500574180003 AMPO,JOHN LIAM, BODANIO M 03-20-2013 8

500574180004 AMPO,MARK JAY, ATING M 08-13-2012 9

500574180005 AMPO,MARK RYANN, ATING M 10-04-2012 9

132656180003 AMPO,RAFAEL, ILIGAN M 07-29-2013 8

500574180006 ATING,JEMUEL DAVE, PALER M 04-20-2013 8

BANGOY, ROMARK OMBA 8/25/2012

500574170009 BAQUILAR,BENSON, BUA M 12-12-2011 9

500574180008 BAT-AO,EUHANN, ATING M 09-27-2012 9

132656180004 BAT-AO,RJ BOY, VENTURA M 12-12-2012 8

CONSIGNA, RENCE JAY UMBA
132875180084
500574180011 GUINSOD,CHOLO, JUSAY M 03-06-2013 8

500574180009 ILIGAN,JOHN WINCES, TAWAS M 04-20-2013 8

500574170012 ILIGAN,ROBERT, AMPO M 11-11-2011 9

500574180012 JUSAY,FRANK LEO, SALAHAY M 04-01-2013 8

500574180013 JUSAY,JOHN MANUEL, BAT-AO M 09-26-2011 10

500574180014 JUSAY,JOSHUA KENT, AMPO M 10-06-2012 9

500574180015 MAGPATOK,MARK, ABANCIA M 09-17-2014 7

500574180016 MOLINA,JECRIS MARK, JUSAY M 07-28-2013 8

500574180017 OGANION,LIVNEY, SALAHAY M 03-16-2013 8

132656180011 OMBO,DENNIS, MACA M 06-28-2013 8

500574170018 PENIG,JENARD, OMBO M 07-22-2011 10

500574180020 SALAHAY,GREG JAREN, AMPO M 06-03-2013 8

500574180022 TAWAS,DANIELL, JR AGYANG M 08-12-2012 9

500574180025 TAWAS,WELSON, TAGYAM M 08-03-2013 8

500574180026 TAWIDE,ASHLEY, FRANKLIN M 09-30-2011 10

500574180027 TOTOH,JEBEN CARL, EMBOK M 10-26-2012 9

29 <=== TOTAL MALE

500574180029 AGSAWAY,ALVILYN, MONTERO F 01-16-2013 8

500574180028 AGYANG,CYRA MAE, ATING F 11-19-2012 8

500574180030 AMPO,ALMERAA, BAT-AO F 09-18-2012 9

500574180031 AMPO,RHEA JANE, ATING F 01-08-2013 8

ANGGAAN, LADY JOY

ANGELES, NEKKE AMPO
132671800100
500574180032 ANTAD,JANINE, BUA F 09-20-2012 9

500574180034 BAT-AO,LORIMEL, ATING F 09-07-2012 9

500574180035 BAT-AO,PRECELA JEAN, OMBA F 10-15-2012 9

 CONSIGNA, ELLA ONDAO

500574180037 DANDANON,RELIANA, ATING F 11-17-2012 8

132656180005 EMBOC,KAISSER GWENN, MACA F 03-12-2013 8

132656180006 EMBOC,MARIALYN, ALIMBOYONG F 11-10-2012 8

500574180040 FRANKLIN,LORAINE, TAWIDE F 11-30-2012 8

500574180041 NADAO,CLARICE JOY, PENA F 11-16-2012 8

132656180007 SANDAG,PENCHEZ, HAYAHAY F 05-15-2013 8

500574180044 TAWEDI,SUZANE, FRANKLIN F 05-10-2013 8

500574180043 TAWIDE,AILYN, FRANKLIN F 05-10-2013 8

132656180008 TUBAY,JUANA, DOLORIEL F 05-18-2014 7

19 <=== TOTAL FEMALE

48 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Receipient

Name of Public (P) Private (PR) School & Effectivity Date Balik Aral
Transfered In T/I
Reason and Effectivity Date Learner With Disability
Reason (Enrollment beyond 1st Friday of June) Accelerated
Dropped DRP
Late Enrollment LE

Generated on: Monday, July 4, 2022

 School Form
(This replaces For

CARAGA Division
Cabangahan Integrated School School Year 2021 - 20
ADDRESS
MOTHER TONGUE (Grade 1 to 3 IP
Age as of October 31 Only) (Ethnic Group)
RELIGION
House #/ Street/ Sitio/ Purok Barangay

8 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

9 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

10 Manobo Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

7 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

10 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

10 Manobo Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

9 Manobo Manobo Christianity CABANGAHAN

 8 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

8 Manobo Manobo Christianity CABANGAHAN

7 Minanobo, Agusan / Surigao Manobo Christianity CABANGAHAN

dicators under REMARKS column

Code Required Information
CCT CCT Control/reference number & Effectivity Date

B/A Name of school last attended & Year

sability LWD Specify

ACL Specify Level & Effectivity Data

School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Surigao del Sur

2021 - 2022 Grade Level
ADDRESS PARENT

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name)

CANTILAN SURIGAO DEL SUR AGIANG, BETWEL PONSON

CANTILAN SURIGAO DEL SUR AMPO, GONZALO AGYANG

CANTILAN SURIGAO DEL SUR AMPO, JOPHY BAT-AO

CANTILAN SURIGAO DEL SUR AMPO, JANITO OMBA

CANTILAN SURIGAO DEL SUR AMPO, JUNRIE ANGELES

CANTILAN SURIGAO DEL SUR AMPO, ESMAEL NADAO

CANTILAN SURIGAO DEL SUR AMPO, JEMMY AGYANG

CANTILAN SURIGAO DEL SUR ATING, JEMUEL BUA

CANTILAN SURIGAO DEL SUR BAQUILAR, ROGELIO PAMA

CANTILAN SURIGAO DEL SUR BAT-AO, ERWIN JOSOL

CANTILAN SURIGAO DEL SUR BAT-AO, ARNEL AMPO

CANTILAN SURIGAO DEL SUR GUINSOD, AMY AMPO

CANTILAN SURIGAO DEL SUR ILIGAN, JAYPEE TAGYAM

CANTILAN SURIGAO DEL SUR ILIGAN, ROGER ANGCOG

CANTILAN SURIGAO DEL SUR JUSAY, RANDY TAWAS

CANTILAN SURIGAO DEL SUR JUSAY, MANUEL ANGELES

CANTILAN SURIGAO DEL SUR JUSAY, RICO ATING

CANTILAN SURIGAO DEL SUR MAGPATOK, MARLON AMPO

CANTILAN SURIGAO DEL SUR MOLINA, JESRYL VELASQUES

CANTILAN SURIGAO DEL SUR OGANION, BOBBY MACA

CANTILAN SURIGAO DEL SUR OMBO, DOMENIE AMPO

CANTILAN SURIGAO DEL SUR PENIG, BERNARD MONTENEGRO

CANTILAN SURIGAO DEL SUR SALAHAY, JEMBOY OMBA

CANTILAN SURIGAO DEL SUR TAWAS, DANIEL HUNAHUNAN SR

CANTILAN SURIGAO DEL SUR TAWAS, WENDELINO MACA

CANTILAN SURIGAO DEL SUR TAWEDI, MARIANO AMPO

CANTILAN SURIGAO DEL SUR TOTOH, BENZAR ARABIAN

CANTILAN SURIGAO DEL SUR AGSAWAY, ALVIN NADAO

CANTILAN SURIGAO DEL SUR AGYANG, EDGAR TAWAS

CANTILAN SURIGAO DEL SUR AMPO, RENANTE SARIM

CANTILAN SURIGAO DEL SUR AMPO, RAMEL MACA

CANTILAN SURIGAO DEL SUR ANTAD, JEFFREY TAWEDI

CANTILAN SURIGAO DEL SUR BAT-AO, EDMON MANGYAY

CANTILAN SURIGAO DEL SUR BAT-AO, YOYOY AMPO

CANTILAN SURIGAO DEL SUR DANDANON, REAGAN SUMANDA

CANTILAN SURIGAO DEL SUR EMBOC, GEORGE NADAO

CANTILAN SURIGAO DEL SUR EMBOC, ARLO NADAO

CANTILAN SURIGAO DEL SUR FRANKLIN, LUCIANO CAVITE

CANTILAN SURIGAO DEL SUR NADAO, CHRISTOPHER AGYANG

CANTILAN SURIGAO DEL SUR SANDAG, ELPEDIO BATIGULAO JR

CANTILAN SURIGAO DEL SUR TAWEDI, MARIANO AMPO

CANTILAN SURIGAO DEL SUR TAWIDE, MARIANO AMPO

CANTILAN SURIGAO DEL SUR TUBAY, NESTOR AGYANG

REGISTERED BoSY EoSY

MALE 31

FEMALE 16

TOTAL 47
 District
Grade 3 Section
GUARDIAN
PARENTS
(if Not Parent)
First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name) Name

SANDAG,JANETH,BATIGULAO,

TAWAS,JENESA,OMBA,

OMBA,ROSELYN,TAWAS,

BODANIO,TERESA,MONTERO,

ATING,MADELYN,DANDANON,

ATING,GEGIE,MATANOG,

ILIGAN,VANESSA,DAGING,

PALER,JOSEPHINE,TAWIDE,

BUA,YOLANDA,ATING,JR

ATING,SHIELA,AMPO,

VENTURA,ELVIE,GUINSOD,

JUSAY,JENEFER,TAWAS,

TAWAS,DIANA,AGYANG,

AMPO,MERCY,HUNAHUNAN,

SALAHAY,BELINDA,OMBA,

BAT-AO,ELIZABETH,ATING,

AMPO,MARIVIC,ATING,

O ABANCIA,CRISTINA,LABLO,

ES JUSAY,MARICHAN,TAWAS,

SALAHAY,MERNALYN,ATING,

MACA,GINA,HAYAHAY,

EGRO OMBO,JENAFE,,

AMPO,JACKELYN,ONDAO,

AN SR AGYANG,ALICIA,NADAO,

A TAGYAM,MARIFE,AMPO,

FRANKLIN,MARIA,CAVITE,

EMBOK,JERLYN,ILIGAN,

MONTERO,EMELYN,ARIATE,

ATING,MERCY,DANDANON,

BAT-AO,WILL,OMBO,

ATING,JHODEY-ANN,BUA,

BUA,EDRALYN,ATING,

Y ATING,HERMILYN,LUMAYNO,

OMBA,LINA,SALAHAY,
ANDA ATING,LAILALYN,BAT-AO,

MACA,GELYN,AGIANG,

ALIMBOYONG,CHERRY,SAGAYSAY,

TE TAWIDE,ELVIE,MACA,

YANG PENA,JOSEPHINE,ONDAO,

LAO JR HAYAHAY,ALLEN,ALIMBOYONG,

FRANKLIN,MARIA,CAVITE,

FRANKLIN,MARIA,CAVITE,

DOLORIEL,MERALIZA,SAMSON,

Prepared by; Certified Correct:

ANDREW

(Signature of Sch
GERLY L. ARREZA
(Signature of Adviser over Printed Name)

BoSY Date:

BoSY Date: EoSY Date:

Gen
 Cantilan I
MANGO
REMARKS
Contact Number of Parent or Learning
Guardian Modality (Please refer to the legend on last
Relationship
page)

Blended T/I DATE:2021-09-13

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Blended T/I DATE:2021-09-15

Certified Correct:

ANDREW NADAO SUMBERAN

(Signature of School Head over Printed Name)

BoSY Date: EoSY Date:

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