2. School Form 8 (SF8) Basic Health and Nutrition Profile
Parents or guardians may administer the
actual measuring of weight and height (Body
Mass Index) and submit a reading result to
the class adviser.
Updating of SF8 through the LIS facility is
highly encouraged for elementary grade
levels but not mandatory except for the
learner-recipient of any program promoting
health and nutrition. JHS and SHS are not
required to accomplish SF8 and update BMI
in LIS.
DepEd Memorandum no. 14, s. 2021
3. School Form 8 (SF8)
Basic Health and
Nutrition Profile
SF8 - SHS
We Create Quality Professional
PPT Presentation
1
2
3
4 104908090085
CONCEPCION,JOMARIE IVAN, -
15/12/2003 17
105054090006
BUENAVENTURA,JOHN LLOYD,
UBALDO 05/04/2004 17
105134090020
BERNALDEZ,JAYVEE, NOLASCO
19/10/2003 17
105120090032
BERMUDEZ,NATHANIEL, CUNANAN
23/01/2004 17
MALE
Height (m) Height² (m²)
Nutritional Status
Height for Age
(HFA)
Remarks
BMI
(kg/m²)
BMI
Category
STEM 12 - A Track and Strand Academic Track -Science, Technology, Engineering, and Mathematics
No. LRN
Learner's Name (Last Name, First
Name, Name Extension, Middle Name)
Birthdate
(MM/DD/YYYY)
Age Weight (Kg)
Region Region III School Year 2021-2022
School ID 300748 Grade Grade 12 Section
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
School Name Carlos F. Gonzales High School District San Rafael Division Bulacan
4. School Form 8 (SF8)
Basic Health and
Nutrition Profile
SF8 - SHS
We Create Quality Professional
PPT Presentation
Date of Assessment:
11/15/2021
Conducted/Assessed By: Certified Correct By: Reviewed By:
SFRT 2017
45 0 0 45 0 45
TOTAL 0 0 45 0 0
20 0 0 20 0 20
FEMALE 0 0 20 0 0
25 0 0 25 0 25
MALE 0 0 25 0 0
TOTAL Severely Stunted Stunted Normal Tall TOTAL
SUMMARY TABLE
SEX
Nutritional Status
Summary Table
Height for Age (HFA)
Summary Table
Severely Wasted Wasted Normal Overweight Obese
5. School Form 9 (SF9) Progress Report
Indicate at the bottom part of each
column the learning modality being
adopted in each quarter.
The character traits and core values
portions of SF9 are not required to be
accomplished.
DepEd Memorandum no. 14, s. 2021
6. Sep Oct Nov Dec Jan Feb Mar Apr May June July Total
16 26 23 15 24 21 27 22 14 21 0 209 Name: DELA CRUZ, JUAN CRUZ
Age: Sex:
Grade: Section :
16 26 School Year: LRN:
Track/Strand:
0 0 Dear Parent:
Admitted to Grade:
Eligibility for Admission to Grade :
Approved:
Admitted in:
Date:
4th Quarter
C ERTIF IC ATE OF TRAN SF ER
Teacher
EFREN M. SANTIAGO
The school welcomes you should you desire to know more about
PARENT / GUARDIAN'S SIGNATURE
1st Quarter
2nd Quarter
3rd Quarter
Principal IV
REPORT ON ATTENDANCE
DEPARTMENT OF EDUCATION
LEARNER'S PROGRESS REPORT CARD
made in the different learning areas as well as his/her core values.
your child's progress.
No. of
school
days
No. of
days
present
No. of
days
absent
CARLOS F. GONZALES HIGH SCHOOL
Maguinao, San Rafael, Bulacan
Principal IV
Teacher
CATHERINE V. IBAY
CATHERINE V. IBAY
Principal IV
MALE
EFREN M. SANTIAGO
Republic of the Philippines
This report card shows the ability and progress your child has
Schools Division of Bulacan
105112345678
17
SF9-SHS
ACADEMIC TRACK - SCIENCE, TECHNOLOGY, ENGINEERING AND MATHEMATICS
C AN C ELLATION OF ELIGIBILITY TO TRAN SF ER
12 STEM 12 - A
2021 - 2022
Region III
EFREN M. SANTIAGO
Section:
12. SUMMARY OF AMENDMENTS
DepEd Memorandum no. 14, s. 2021
School Form Action Adjustments/Amendments
SF 1 Required
Addition of Learning Modality
Age cut-off as of October 31, 2020
SF 2 Required
LACT
NLPA
SF 3 Highly encouraged Module Reference Code
SF 4 Required
Quarterly submission
NLPA
Mortality/Death
SF 9 Required
Addition of Learning Modality
Character traits and core value portions are not required.
SF 10 Required SF10 shall be prepared at the end of the school year.
