Department of Education

District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE THREE PUPILS

( Baseline - June 21, 2013 )
Name of Students

No.

Birthdate

Age as of date
of Weighing

Weight
( kg. )

Height
(m)

Height
(m)

BMI

NS

1
2
3
4
5
6
7
8

Amarila
Becbec
Debulosan
Donal
Lejano
Lerio
Tan
Tobes

,
,
,
,
,
,
,
,

Lorenz
William
Kent John
Wilson
Elmer
Paulino
Clifford
Noe

A.
G.
P.
L.
Q.
Q.
Q.
G.

1/22/2005
12/1/2003
12/23/2003
9/2/2003
5/22/2004
10/31/2003
10/21/2004
3/12/2004

8.04
9.06
9.05
9.09
9.00
9.07
8.08
9.03

17
20
18
24
22.5
22
22
19

1.08
1.18
1.15
1.24
1.21
1.23
1.24
1.21

1.1664
1.3924
1.3225
1.5376
1.4641
1.5129
1.5376
1.4641

14.57
14.36
13.61
15.61
15.37
14.54
14.31
12.98

N
N
N
N
N
N
N
N

9
10
11
12
13
14
15
16
17

Amarila
Asenjo
Becbec
Cebe
Encila
Gaolon
Gesim
Matiga
Quevedo

,
,
,
,
,
,
,
,
,

Renalyn
Aiza
Shineyjen
Marinelle
Ana Moniene
Leah
Josefina
Aiza Joy
Mary Claire

Z.
2/22/2003
M. 2/11/2003
C.
8/5/2003
G. 11/18/2004
A. 11/26/2004
S.
4/13/2005
Q. 1/22/2003
S.
7/11/2004
P. 12/16/2003

10.03
10.04
9.10
8.07
8.06
8.02
9.04
8.11
9.06

20.5
20.5
26
23
18.5
20
23.5
22
20

1.19
1.15
1.29
1.18
1.12
1.19
1.21
1.19
1.15

1.4161
1.3225
1.6641
1.3924
1.2544
1.4161
1.4641
1.4161
1.3225

14.48
15.50
15.62
16.52
14.75
14.12
16.05
15.54
15.12

N
N
N
N
N
N
N
N
N

Summary

Male
No.

Male
%

Female
No.

Female
%

Total

Severely Wasted

0%

0%

Wasted

0%

0%

Normal

100%

100%

17

Overweight

0%

0%

Obese
Total

0%
100%

0
17

Reviewed by:

0%
100%
Prepared by:

GRECELIA P. QUEVEDO
Class Adviser
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:
JOYCE HONEYLEN B. VILLAHERMOSA
School Caretaker

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE TWO PUPILS

( Baseline - June 21, 2013 )
Name of Students

No.

Birthdate

Age as of date
of Weighing

Weight
( kg. )

Height
(m)

Height
(m)

BMI

NS

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Amarila
Aero
Asenjo
Asenjo
Asenjo
Becbec
Becbec
Cardenio
Cebe
Cebe
Donal
Evardo
Labajo
Quevedo
Zamora

,
,
,
,
,
,
,
,
,
,
,
,
,
,
,

Lexter
John Lloyd
Christian
Ivan
Kenneth
Carlo
Jerson
Jeffrey
James
William
Charlie
Kenneth
Aldrin
Aries
Lemuel

A. 4/12/2006
Y. 9/11/2006
C. 12/8/2006
M. 5/17/2004
M. 1/3/2000
L.
7/1/2006
G. 3/29/2005
D. 8/25/2004
Q. 3/27/2005
G. 11/10/2003
G.
4/3/2005
C. 4/23/2004
S. 6/25/2004
C. 12/2/2004
G. 10/26/2006

7.02
6.09
6.06
9.01
13.05
6.11
8.02
8.09
7.02
9.07
8.02
9.01
7.08
8.06
6.07

17.5
21
20
20
29
19
20
21
18.5
28.5
21
18
20
25
22

1.095
1.15
1.15
1.16
1.37
1.14
1.14
1.15
1.11
1.29
1.15
1.11
1.15
1.26
1.15

1.19903
1.3225
1.3225
1.3456
1.8769
1.2996
1.2996
1.3225
1.2321
1.6641
1.3225
1.2321
1.3225
1.5876
1.3225

14.60
15.88
15.12
14.86
15.45
14.62
15.39
15.88
15.02
17.13
15.88
14.61
15.12
15.75
16.64

N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

16
17
18
19
20
21
22
23
24
25
26
27
28

Aero
Becbec
Chavez
Debulosan
Donal
Gedorio
Ibarola
Jerezon
Lejano
Maglente
Parame
Plando
Quevedo

,
,
,
,
,
,
,
,
,
,
,
,
,

Jonamae
Jerame
Princess Diane
Karyl
Crestel Jean
Crislyn
Rhea Fe
Jemarie
Lebith
Ignacia
Angie Rose
Marifel
Jelian

Q. 13/15/2006
Q. 3/19/2005
8/8/2006
P. 9/17/2006
A. 1/2/2006
Q. 12/24/2005
M. 2/5/2006
C. 5/29/2006
Q. 8/13/2001
I. 7/31/2005
D. 8/19/2005
A. 2/26/2006
C. 4/4/2005

7.03
8.03
6.10
6.09
7.05
7.05
7.04
7.00
11.10
7.10
7.10
7.03
8.02

19
20
21
14
20.5
21
17.5
17
26
19.5
19
19.5
23

1.13
1.21
1.17
1.04
1.15
1.23
1.13
1.05
1.30
1.18
1.09
1.12
1.22

1.2769
1.4641
1.3689
1.0816
1.3225
1.5129
1.2769
1.1025
1.6900
1.3924
1.1881
1.2544
1.4884

14.88
13.66
15.34
12.94
15.50
13.88
13.71
15.42
15.38
14.00
15.99
15.55
15.45

N
N
N
N
N
N
N
N
N
N
N
N
N

Summary

Male
No.

Male
%

Female
No.

Female
%

Total

Severely Wasted

0%

0%

Wasted

0%

0%

Normal

15

100%

13

100%

28

Overweight

0%

0%

Obese
Total

0%
100%

0
28

Reviewed by:

15

0%
100%
Prepared by:

13

GRECELIA P. QUEVEDO
Class Adviser
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:
JOYCE HONEYLEN B. VILLAHERMOSA
School Caretaker

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE FOUR PUPILS

( Baseline - June 21, 2013 )
Name of Students

No.

Birthdate

Age as of date
of Weighing

Weight
( kg. )

Height
(m)

Height
(m)

BMI

NS

1
2
3
4
5
6

Asenjo
Becbec
Bustamante
Donal
Encila
Evardo

,
,
,
,
,
,

Jun Patrick
Richard
Melvin
Jimmy
Kent Joshua
Rico

C.
C.
O.
A.
A.
C.

2/20/2002
9/26/2001
1/29/2003
11/3/2003
8/6/2003
1/20/1999

11.04
11.08
10.04
9.07
10.00
14.05

23.5
23
37.5
32
21.5
29

1.25
1.23
1.29
1.34
1.23
1.37

1.5625
1.5129
1.6641
1.7956
1.5129
1.8769

15.04
15.20
22.53
17.82
14.21
15.45

N
N
N
N
N
N

7
8
9
10
11
12
13
14
15
16
17
18

Amarila
Aero
Asenjo
Becbec
Becbec
Cebe
Donal
Encila
Gedorio
Quevedo
Quevedo
Quevedo

,
,
,
,
,
,
,
,
,
,
,
,

Mylene
Marycris
Melanie
Janice
Ritchel
Rany Faye
Rowena
Nia Grace
Irish
Charity
Karen
Rica

S.
Y.
C.
Q.
L.
Q.
B.
A.
Q.
C.
G.
C.

6/30/2004
3/22/2004
7/22/2003
3/26/2003
12/14/2002
11/18/2002
1/4/2002
4/4/2002
4/28/2004
10/19/2003
1/7/2004
9/13/2003

8.11
9.02
9.10
10.02
10.06
10.07
11.04
11.02
9.01
9.08
9.05
9.09

19.5
20
20.5
25.5
24
28
28
22.5
20
20.5
20.5
23

1.12
1.20
1.25
1.31
1.28
1.30
1.36
1.20
1.22
1.20
1.19
1.25

1.2544
1.44
1.5625
1.7161
1.6384
1.6900
1.8496
1.4400
1.4884
1.4400
1.4161
1.5625

15.55
13.89
13.12
14.86
14.65
16.57
15.14
15.63
13.44
14.24
14.48
14.72

N
N
N
N
N
N
N
N
N
N
N
N

Summary

Male
No.

Male
%

Female
No.

Female
%

Total

Severely Wasted

0%

0%

Wasted

0%

0%

Normal

100%

12

100%

18

Overweight

0%

0%

Obese
Total

0%
100%

0
18

0%
100%
Prepared by:

12
GIRLIE L. ORTIZ
Class Adviser

Reviewed by:
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:

JOYCE HONEYLEN B. VILLAHERMOSA

School Caretaker

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE SIX PUPILS

(Baseline-June 21, 2013)
No.

Name of Students

Birthdate

Age as of date Weight

of Weighing
( kg. )

Height
(cm)

Height

BMI

NS

1
2
3
4
5
6
7
8

Boys
Becbec
Cebe
Donal
Donal
Encila
Plando
Quevedo
Tamparong

,
,
,
,
,
,
,
,

Ryan
Arnel
Joselito
Marlon
John Paul
Reymart
Darwin
Eugenio

L.
G.
C.
G.
A.
M.
G.
B.

1/7/2001
9/9/1998
8/11/2001
3/18/2001
11/24/1999
6/18/2001
4/7/2001
12/24/1999

12.05
14.09
11.10
12.03
13.06
12.00
12.02
13.05

32
44
30
28
31
27
35
35

1.44
1.55
1.37
1.31
1.39
1.32
1.43
1.35

2.0736
2.4025
1.8769
1.7161
1.9321
1.7424
2.0449
1.8225

15.43
18.31
15.98
16.32
16.04
15.50
17.12
19.20

N
N
N
N
N
N
N
N

1
2
3
5
6
7
8

Girls
Amarila
Asenjo
Debolusan
Ludovice
Macmac
Quevedo
Quevedo

,
,
,
,
,
,
,

Almira
Jerah Mae
Gemarie
Alma
Jerica
Sheryl
Victorina

Z.
M.
P.
Q.
T.
C.
B.

5/7/2001
10/2/1998
3/1/2002
6/8/1999
1/1/2002
9/8/2001
12/30/2000

12.01
14.08
11.03
14.00
11.05
11.09
12.05

29
44
23
48
31
28
25

1.36
1.42
1.26
1.56
1.42
1.30
1.33

1.8496
2.0164
1.5876
2.4336
2.0164
1.6900
1.7689

15.68
21.82
14.49
19.72
15.37
16.57
14.13

N
N
N
N
N
N
N

Summary
Severly Wasted
Wasted
Normal
Overweight
Obese
Total

Male
No.
0
0
8
0
0
8

Male
%
0%
0%
100%
0%
0%
100%

Female
No.
0
0
8
0
0
8

Female
%
0%
0%
100%
0%
0%
100%

Prepared by:
LILIAN L. CARIQUITAN
Class Adviser

Reviewed by:
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:

JOYCE HONEYLEN B. VILLAHERMOSA

School Caretaker

TOTAL
0
0
16
0
0
16

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE FIVE PUPILS

( Baseline - June 21, 2013 )
Name of Students

No.

Birthdate

Age as of date
of Weighing

Weight
( kg. )

Height
(m)

Height
(m)

BMI

NS

1
2
3
4
5
6

Amarila
Becbec
Bustamante
Cebe
Cebe
Tobes

,
,
,
,
,
,

Louie
Danilo
Marvin
Jason
Mike
Aladin

A.
L.
O.
Q.
G.
G.

6/21/2002
1/22/2003
10/3/2001
8/11/1999
12/2/2001
4/4/2002

11.00
10.04
11.08
13.10
11.06
11.02

25
26
28
34
32
24

1.24
1.35
1.30
1.43
1.38
1.27

1.5376
1.8225
1.69
2.0449
1.9044
1.6129

16.26
14.27
16.57
16.63
16.80
14.88

N
N
N
N
N
N

7
8
9
10
11
12
13
14
15
16
17
18

Asenjo
Cebe
Donal
Donal
Donal
Donal
Donal
Gesim
Macmac
Macmac
Parame
Quevedo

,
,
,
,
,
,
,
,
,
,
,
,

Rodelyn
Mary Joy
Cristina
Gritchen
Lea
Ma. Fe
Ma. Nica
Husitina
Jenessa
Jezzel Mae
Catherine
Arianne Mae

C.
G.
B.
G.
B.
L.
C.
Q.
M.
T.
D.
C.

1/2/2000
3/23/2001
5/14/2000
10/16/2002
4/3/2002
5/3/2001
9/6/2002
5/19/2001
5/1/2001
4/4/2003
9/22/2002
11/21/2002

13.05
12.02
13.01
10.08
11.02
12.01
10.09
12.01
12.01
10.02
10.08
10.07

28
33
31
23
29
27
31
34
25
26
24
43

1.38
1.37
1.37
1.23
1.31
1.31
1.34
1.36
1.24
1.28
1.22
1.42

1.9044
1.8769
1.8769
1.5129
1.7161
1.7161
1.7956
1.8496
1.5376
1.6384
1.4884
2.0164

14.70
17.58
16.52
15.20
16.90
15.73
17.26
18.38
16.26
15.87
16.12
21.33

N
N
N
N
N
N
N
N
N
N
N
N

Summary

Male
No.

Male
%

Female
No.

Female
%

Total

Severly Wasted

0%

0%

Wasted

0%

0%

Normal

100%

12

100%

18

Overweight

0%

0%

Obese
Total

0%
100%

0
18

0%
100%
Prepared by:

12

LILIAN L. CARIQUITAN
Class Adviser

Reviewed by:
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:

JOYCE HONEYLEN B. VILLAHERMOSA

School Caretaker

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR GRADE ONE PUPILS

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
21
22
23
24
25
26
27
28
29
30
31

( Baseline - June 21, 2013 )

Age as of date Weight
Birthdate
of Weighing
( kg. )

Name of Students
Boys
Donal
Donal
Lodovice
Quevedo
Quevedo
Salmeron
Tamparong
Amarila
Asenjo
Becbec
Carubio
Donal
Encila
Labajo

Summary
Severely Wasted
Wasted
Normal
Overweight
Obese
Total

,
,
,
,
,
,
,
,
,
,
,
,
,
,

Ronel
Rustom
Ronel
Ray
Vincent
John Keven
Tomas
Aileen
Noeme
Rhosel
Grace
Jessa
Joana Marie
Ruffa Mae

Male
No.
0
0
7
0
0
7

B.
G.
Q.
C.
P.
A.
B.
Z.
C.
G.
B.
A.
S.

1/25/2004
1/19/2007
3/18/2005
6/3/2006
1/15/2007
7/2/2013
1/28/2007
11/30/2006
6/8/2007
7/20/2007
11/6/2006
6/21/2013
8/9/2007
4/26/2007

Male
%
0%
0%
100%
0%
0%
100%
Prepared by:

9.04
6.05
8.02
7.00
6.05
5.09
6.04
6.06
5.11
5.11
6.07
9.08
5.10
5.01

Female
No.
0
0
7
0
0
7

22
17
17
18
14
15
19
16
15
15
13
22
16
17

Height Height
(m)
(m)
1.21
1.03
1.13
1.06
1.05
1.04
1.07
1.09
1.01
1.02
1.09
1.18
1.04
1.02

1.4641
1.0609
1.2769
1.1236
1.1025
1.0816
1.1449
1.1881
1.0201
1.0404
1.1881
1.3924
1.0816
1.0404

Female
%
0
0
100%
0
0
100%

JOYCE HONEYLEN B. VILLAHERMOSA

Class Adviser

Reviewed by:
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:

JOYCE HONEYLEN B. VILLAHERMOSA

School Caretaker

BMI

NS

15.03
16.02
13.31
16.02
12.70
13.87
16.60
13.47
14.70
14.42
10.94
15.80
14.79
16.34

N
N
N
N
N
N
N
N
N
N
N
N
N
N

TOTAL
0
0
14
0
0
14

Department of Education
District of Dalaguete I

Amonsao Elementary School

School Year 2013 - 2014

NUTRITIONAL STATUS REPORT FOR KINDERGARTEN PUPILS

( Baseline - June 21, 2013 )
Name of Students

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Asenjo
Donal
Ibarola
Plando
Quevedo
Rivas
Zamora
Amarila
Cardenio
Debulosan
Donal
Gedorio
Libradilla
Parame
Quevedo
Quevedo
Sala
Tamparong

,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,

Gian Carlo
M.
Dexter
G.
Renz Jerome
M.
Michael
A.
Renyboy
C.
Eljohn
E.
John Rey
G.
Leahris
A.
Jennifer
D.
Kimberly
P.
Anita
L.
Ivy
Q.
Chantelle
G.
Kate Hazel Jane D.
Chariss
C.
Jonalyn
G.
Carmelita
A.
Irish

Birthdate

Age as of date
of Weighing

Weight
( kg. )

Height
(m)

Height
(m)

BMI

NS

1/24/2008
9/26/2008
1/19/2008
10/15/2007
10/25/2008
7/1/2008
7/31/2008
5/16/2008
6/16/2008
12/6/2008
7/28/2008
1/22/2008
10/29/2008
3/1/2008
10/6/2007
10/6/2007
2/28/2008
7/18/2008

5.04
4.08
5.05
5.08
4.07
4.11
4.10
5.00
4.11
4.05
4.10
5.04
4.07
5.03
5.08
5.06
5.07
4.11

15
13
17
15
13
21
16
12
14
13
13
15
13
15
16
15
15
17

0.97
0.95
1.06
1.01
0.95
1.07
1.02
0.94
0.98
0.94
0.97
1.04
1.01
0.98
1.04
1.05
1
1.05

0.9409
0.9025
1.1236
1.0201
0.9025
1.1449
1.0404
0.8836
0.9604
0.8836
0.9409
1.0816
1.0201
0.9604
1.0816
1.1025
1
1.1025

15.94
14.40
15.13
14.70
14.40
18.34
15.38
13.58
14.58
14.71
13.82
13.87
12.74
15.62
14.79
13.61
15.00
15.42

N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

Summary

Male
No.

Male
%

Female
No.

Female
%

Total

Severely Wasted

0%

0%

Wasted

0%

0%

Normal

100%

11

100%

18

Overweight

0%

0%

Obese
Total

0%
100%

0
18

0%
100%
Prepared by:

11

JOYCE HONEYLEN B. VILLAHERMOSA

Class Adviser

Reviewed by:
LILIAN L. CARIQUITAN
School Nurse
Contents Noted by:

JOYCE HONEYLEN B. VILLAHERMOSA

School Caretaker

GRADE ONE

GRADE FOUR

AGE

MALE

FEMALE

AGE

MALE

FEMALE

5
6
7
8
9

1
3
1
1
1

4
2
0
0
1

8
9
10
11

0
1
2
2

1
6
3
2

GRADE TWO

GRADE FIVE

AGE

MALE

FEMALE

AGE

MALE

FEMALE

6
7
8
9
10
11
12
13

4
3
4
3
0
0
0
1

2
8
2
0
0
1
0
0

10
11
12
13
14

1
4
0
1
0

5
1
3
2
0

GRADE THREE

GRADE SIX

AGE

MALE

FEMALE

AGE

MALE

FEMALE

8
9
10

2
6
0

4
3
2

11
12
13
14

1
4
2
1

3
2
0
2