School Level NS Form 1

Department of Education
Region VII
Division of Mandaue City
SCHOOL NUTRITIONAL SATUS RECORD
SY_________

District: ____________________________
School: ____________________________
Grade and Section: __________________
Name of Students
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
SUMMARY

Date of Weighing: : __________________

Enrolment :
Male: ___
Date of Birth

Age

Weight
(kg)

Height
(cm)

Height
(m2)

WEIGHT

Male
No.

Female
%

No.

Severly Wasted
Wasted
Normal
Overweight
Obese
Total

Prepared by: ______________

__________________
Female: ___
BMI

NS

___________________
Class Adviser

School Level NS Form 1

Department of Education
Region VII
Division of Mandaue City
SCHOOL NUTRITIONAL SATUS RECORD
SY_________

District: ____________________________
School: ____________________________
Grade and Section: __________________
Name of Students
1. Balarote, Evan Clif
2. Bautista, Regie
3. Cabaez, Ronnel
4. Codeniera, Cris John
5. Dagasdas, Michael
6. Eruela, Aljay
7. Misiona, Lyndon John
8. Naya, John Reil
9. Ora, Jayqie
10. Osaldo, Joachim
11. Pable, Marc Johne
12. Panggasian, Jelpedio
13. Polga, Gennell
14. Pulvera, Mark Stephen
15. Pulvera, Kennith
16. Reyes Jr. , Alipio
17. Siacor, Rommel Lloyd
18. Tuason, Kerwin
19. Turno, Jade Joshua
20. Agbay, Analiza
21. Barbero, Mitchel Ann
22. Catanpatan, Fatima Kate
23. Canono, Retchely
24. Catubig, Jennibel
25. Intas, Mae Ann
26. Magale, Rachel
27. Mahinay, Mary Apple Jane
28. Montes, Minjean
29. Piadopo, Sherry Mae
30. Rosalina, Rachelle
31. Tariman, Rica

Date of Weighing: : __________________________

Enrolment :

Date of Birth

Age

11/12/1987
4/6/1997
3/3/1999
6/18/1998
9/20/1997
10/7/1998
11/7/1994
10/11/1998
5/9/1995
12/8/1996
1/8/1997
4/9/1999
11/23/1998
9/28/1998
5/7/1998
8/12/1993
2/22/1999
4/10/1999
4/12/1998
10/27/1994
8/2/1994
4/14/1998
1/30/1999
7/3/1996
5/8/1999
5/2/1999
12/22/1998
5/2/1997
8/20/1997
3/11/1998
7/9/1998

27.06
17.02
15.03
15.11
16.06
15.08
16.07
15.07
19.00
17.05
17.04
15.01
15.06
15.08
16.01
20.09
15.03
15.01
16.01
20.07
19.10
16.01
15.04
17.10
15.00
15.00
15.05
17.01
16.09
16.02
15.10

Weight
(kg)
56
29
61
41
52
42
53
48
56
52
70
44
49
43
42
58
64
54
45
44
50
41
39
45
28
35
50
35
39
42
59

Height
(cm)
165
152
160
154
159
159
167
153
167
159
164
163
163
160
157
168
166
165
165
147
159
150
145
154
146
147
155
149
149
157
153

SUMMARY
WEIGHT
Severly Wasted
Wasted
Normal
Overweight
Obese
Total

Male
No.
0
1
17
1
0
19

Female
%
0.00
5.26
89.47
5.26
0.00
100.00

No.
1
1
10
0
0
12

%
8.33
8.33
83.33
0.00
0.00
100.00

Prepared by: Francis Benzyl V. Antoliha

Class Adviser

_______________
Male: ___ Female: ___
Height
(m2)
2.72
2.31
2.56
2.37
2.53
2.53
2.79
2.34
2.79
2.53
2.69
2.66
2.66
2.56
2.46
2.82
2.76
2.72
2.72
2.16
2.53
2.25
2.10
2.37
2.13
2.16
2.40
2.22
2.22
2.46
2.34

BMI

NS

20.59
12.55
23.83
17.30
20.55
16.60
19.00
20.51
20.07
20.55
26.02
16.54
18.42
16.80
17.07
20.66
23.19
19.90
16.20
20.36
19.76
18.20
18.60
18.21
13.13
16.20
20.83
15.76
17.56
17.00
25.20

N
W
N
N
N
N
N
N
N
N
OW
N
N
N
N
N
N
N
N
N
N
N
N
N
SW
N
N
W
N
N
N

ncis Benzyl V. Antolihao

ass Adviser

School Level NS Form 1

Department of Education
Region VII
Division of Mandaue City
SCHOOL NUTRITIONAL SATUS RECORD
SY:2015-2016

District: West
School: Casili Night High School
Grade and Section: Grade 9- Orchid
Name of Students

Date of Weighing: :
Enrolment :
Male: 16

Date of Birth Age

1 BANUAG, JAKE BRYAN CODINIERA

2 CARIQUITAN, VLADIMIR CORO
3 CATANPATAN, JESRYL CODENIERA
4 DINOPOL, JOHN DAVE BORDARIO
5 ENCARNACION, JOHNROMEL TALAID
6 GETIO, ABNER LABANDERO
7 HERBIETO JR, MELVEN MONTUERTO
8 IBALE, JELMAR 9 ISOK, JOHN CHRISTIAN DINOPOL
10 LIMUTAN, LENON SERVANO
11 MANUNAG, JOHN MICHAEL OPENDO
12 MENDEZ, JAY BRIAN SENO
13 PABLE, JUVEL JAY LUTAO
14 POLGA, GENMIR OPORTO
15 SONDO, DANIEL CODILLA
16 SUMARAGO, JOVEN PASIGNAJIN
17 TUASON, KLENT VILLAFUERTE
18 TUMBIGA, ROSENICK NAURTE
19 VILLAMOR, JOMARIE ROSATASE

04-14-2000

15.01

05-25-1996

19

03-06-1998

17.02

09-12-2000

14.06

08-16-2000

14.09

1 ALMODIEL, REALYN OFQUERIA

2 APOSTOL, LEAH JANE
3 BETUIN, RICA JOY AMARILLO
4 CATANPATAN, RENZYL CODENIERA
5 CONDE, MAEVIL BORDARIO
6 DAKOYKOY, JOAN LAGNASON
7 DAMAOLAO, ANGEL 8 GAUDICOS, GRACE LYN PALARAO
9 INTAS, VENESSA KOREN NOCOS
10 LASMARIAS, JEAN MARIE ESTOLE
11 LLANTO, MARIBETH DORO
12 MALINAO, REGEN 13 MONTEGRANDE, ABEGAIL 14 NOTARION, MA AGNES BIHAG
15 PANGGASIAN, KIM DOLLY EWAY
16 RUBIO, JOANNE CODENIERA
SUMMARY

09-07-1999
04-20-1997

18.01

09-06-1999

15.08

12-11-2000

14.05

04-14-1999

16.01

45
45
38
47

12-29-2000
09-01-2000

64
48
42
40
45
48
48

Height
Height
(cm)
(m2)
161
2.59
167
2.79
157
2.46
154
2.37
167
2.79
Transferred out
160
2.56
156
2.43
146
2.13
160
2.56
Transferred out
Transferred out
164
2.69
159
2.53
160
2.56
154
2.37
160
2.56
156
2.43
169
2.86

02-25-2000

15.03

01-05-2001

14.05

01-05-2000

15.05

12-29-2000

14.05

05-09-2000

15

05-01-1997

18.01

05-31-1998

17

11-27-1999

15.06

1/24/2001

14.04

04-25-2000

15.02

02-07-1997

18.03

06-02-2001

14

06-24-2001

13.11

06-09-2000

14.11

01-01-2000

15.05

12-10-2000

14.05

08-21-1999

15.09

02-25-2001

14.03

10-25-1995

15.01

10-18-1999

15.07

11-01-2000

13.7

03-30-2000

15.03

09-13-2000

14.08

40
47
47
40
34
36
42
45
41
45
55
48
40
36
41
38

%
0.00
6.25
93.75
0.00
0.00
100.00

Female
No.
%
0
0
0
0
16
100
0
0
0
0
0
0

WEIGHT
Severly Wasted
Wasted
Normal
Overweight
Obese
Total

Weight
(kg)
42
53
50
54
63

Male
No.
0
1
15
0
0
16

135
151
151
147
143
151
151
154
148
155
152
156
151
149
157
155

Prepared by:

1.82
2.28
2.28
2.16
2.04
2.28
2.28
2.37
2.19
2.40
2.31
2.43
2.28
2.22
2.46
2.40

JONRELL A. LA

Female: 16
BMI

NS

16.20
19.00
20.28
22.77
22.59

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

17.58
18.49
17.83
18.36

NORMAL
NORMAL
NORMAL
NORMAL

23.80
18.99
16.41
16.87
17.58
19.72
16.81

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
WASTED

21.95
20.61
20.61
18.51
16.63
15.79
18.42
18.97
18.72
18.73
23.81
19.72
17.54
16.22
16.63
15.82

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

erred out

erred out
erred out

JONRELL A. LAYOS
Class Adviser