DIVISION OF ANTIPOLO

DISTRICT II - B
CUPANG ELEMENTARY SCHOOL
S.Y. 2012 - 2013

IV - 12
2 : 00 PM - 6 : 00 PM

BOYS
1 ARINGO, ARMAN
2 BAGUNAS, VINCENT B.
3 BASSIG, EDWIN J.
4 BAUTISTA, JOHN RUIZ B.
5 BROSO, NICKSON G.
6 BUBAN, TRISTAN S.
7 CADAYONG, ANTHONY R.
8 EBOA, HENER
9 ESTRADA, ALEXIS G.
10 GATCHALIAN, NIO M.
11 HATCHOSO, JEFFREY L.
12 JASON, PADEL S.
13 LAGUTAN, JOHN IVAN C.
14 LORESTO, ADRIAN G.
15 MANARANG, JUSTINE L.
16 MARAA, JHON PAULO C.
17 MARELOS, ANGEL JAY M.
18 OBEREZ, PEDRO JR. R.
19 OBRETA, ALEJANDRO B.
20 PADEL, JASON S.
21 PASION, LENARD B.
22 SANTOS, NICO M.
23 TABANGAY, MARIO GALO JR. A.
24 VILLACORTA, RICHARD B.
25 VILLARIN, ANGELO C.

GIRLS
1 ALIBIO, MARY MAGDALENE A.
2 ATILANO, AIZLE JOY ANN L.
3 BASCAL, MICA MAE B.
4 BASTIAN, MICAELA S.
5 CRUZ, ANGELA C.
6 DE GUZMAN, DESSIRE D.
7 DE GUZMAN, MONIQUE
8 DELERA, ANNALYN V.
9 DIOCARIZA, DOLLY H.
10 DIOLINGO, RAVEN P.
11 FONTONOZA, MONICA P.
12 GALONO, MA. CLAIRE P.
13 JAVIER, JEZELYN
14 LLAGAS, JESSELYN A.
15 MIRANDA, KRISTEL JESSA P.
16 NALLAREZ, LOVELY
17 NEBRES, CRISELDA P.
18 OCAMPO, LEA MAE
19 OLAR, AIRENE M.
20 ORONGAN, JEZZEL A.
21 PLAGA, HANNA JUSTINE
22 ROSABEL, NOELLYN L.
23 SALONGA, RIZZA MAY
24 SANTIAGO, ROSE ANN
25 SARAULO, MARY GRACE
26 SORIANO, JUDY ANN
27 SUAN, SHIELA MAE
28 TAMBADOC, BIANCA MAE
29 TANTICO, MARIANNE D.
30 TARUC, CHRISTINE
31 VENTURA, ASHLY

MR. MARK M. PANGILINAN

ADVISER

OOL

RLS

MAGDALENE A.
LE JOY ANN L.

DESSIRE D.
MONIQUE

MONICA P.
CLAIRE P.

STEL JESSA P.

A JUSTINE

RY GRACE

BIANCA MAE
RIANNE D.

GILINAN

FOUR - TWELV
S.Y. 2012 - 201
NAME
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

TEACHER'S NAME
FORM 137 BIRTH CERTIFICATE
(GRADE III)

R - TWELVE
2012 - 2013
GUARDIAN

AGE

ADDRESS
JUNE

Mr. Mark M. Pangilinan

Adviser

MARCH

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

STUDENT PROFILE
GRADE ___________
Name: _________________________________
Birthday: ______________
Address: _______________________________
CCT Recipient: ( ) Yes ( ) No ( )
Mother's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________
Father's Name:
First Name:_____________
Middle Name:_____________
Last Name:_____________
Occupation: ______________________________________
Contact No. _____________

Name

Date: ___________________
Total

1 ALIBIO, MARY MAGDALENE A.

2 ATILANO, AIZLE JOY ANN L.
3 BASCAL, MICA MAE B.
4 BASTIAN, MICAELA S.
5 DE GUZMAN, DESSIRE D.
6 DELERA, ANNALYN V.
7 DIOCARIZA, DOLLY H.
8 DIOLINGO, RAVEN P.
9 FONTONOZA, MONICA P.
10 GALONO, MA. CLAIRE P.
11 JAVIER, JEZELYN
12 LLAGAS, JESSELYN A.
13 MIRANDA, KRISTEL JESSA P.
14 NALLAREZ, LOVELY
15 NEBRES, CRISELDA P.
16 OCAMPO, LEA MAE
17 OLAR, AIRENE M.
18 ORONGAN, JEZZEL A.
19 PLAGA, HANNA JUSTINE
20 ROSABEL, NOELLYN L.
21 SANTIAGO, ROSE ANN
22 SARAULO, MARY GRACE
23 SORIANO, JUDY ANN
24 SUAN, SHIELA MAE
25 TAMBADOC, BIANCA MAE
26 TARUC, CHRISTINE B.
27 VENTURA, ASHLY B.

Name
1 ARINGO, ARMAN
2 BAGUNAS, VINCENT B.
3 BAUTISTA, JOHN RUIZ B.
4 BUBAN, TRISTAN S.
5 CADAYONG, ANTHONY R.
6 EBOA, HENER
7 ESTRADA, ALEXIS G.
8 GATCHALIAN, NIO M.
9 HATCHOSO, JEFFREY L.
10 LAGUTAN, JOHN IVAN C.
11 LORESTO, ADRIAN G.
12 MANARANG, JUSTINE L.
13 MARAA, JHON PAULO C.
14 MARELOS, ANGEL JAY M.
15 OBEREZ, PEDRO JR. R.
16 PADEL, JASON S.

Date: ___________________
Total

17 PASION, LENARD B.
18 SANTOS, NICO M.
19 TABANGAY, MARIO GALO JR. A.
20 VILLACORTA, RICHARD B.
21 VILLARIN, ANGELO C.

Date: ___________________

Date: ___________________
Total

Date: ___________________

Total

Date: ___________________
Total

Total

Date: ___________________
Total

Date: ___________________
Total

Department of Education
Region IV - A ( CALABARZON )
Division of Antipolo City
District II - B
CUPANG ELEMENTARY SCHOOL
S.Y. 2012 -2013
SCHOOL NUTRITIONAL STATUS RECORD
DISTRICT: II - B
SCHOOL : CUPANG ELEMENTARY SCHOOL
Grade: Four
Section: Twelve
Name
1 ARINGO, ARMAN
2 BAGUNAS, VINCENT B.
3 BAUTISTA, JOHN RUIZ B.
4 BUBAN, TRISTAN S.
5 CADAYONG, ANTHONY R.
6 EBOA, HENER
7 ESTRADA, ALEXIS G.
8 GATCHALIAN, NIO M.
9 HATCHOSO, JEFFREY L.
10 LAGUTAN, JOHN IVAN C.
11 LORESTO, ADRIAN G.
12 MANARANG, JUSTINE L.
13 MARAA, JHON PAULO C.
14 MARELOS, ANGEL JAY M.
15 OBEREZ, PEDRO JR. R.
16 PADEL, JASON S.
17 PASION, LENARD B.
18 SANTOS, NICO M.
19 TABANGAY, MARIO GALO JR. A.
20 VILLACORTA, RICHARD B.
21 VILLARIN, ANGELO C.

Date of Weighing: February 4, 2013

Birthdate
Age Weight KGs.
11/7/2000 11.1
28
10/4/2001 11.2
25
10/6/2001 11.7
25
9/29/2000 12.4
26
6/15/2003
9.7
31
10/19/2000 12.3
25
1/10/1997 16.1
35
4/17/2003
9.9
18
3/8/2001 11.10
18
4/24/2002 10.9
17
6/29/2002 10.9
21
4/9/2003
9.9
22
1/10/2000 13.2
22
8/30/2001 10.8
22
7/23/2002 10.6
24
11/14/2001 11.2
25
5/26/2000 12.8
29
10/19/2000 12.3
24
12/19/2002 10.2
24
12/5/2001 10.1
32
9/8/2002 10.4
25

Height M
1.28
1.28
1.28
1.31
1.31
1.26
1.32
1.11
1.11
1.11
1.23
1.2
1.27
1.32
1.37
1.31
1.31
1.3
1.25
1.17
1.24

Summary:
Severely Wasted: 2
Wasted: 2
Normal : 17
Overweight: 1
Obese: 0
Total: 21

Prepared by:
Mr. Mark M. Pangilinan
Teacher

ruary 4, 2013

(Height)2
1.64
1.64
1.64
1.72
1.72
1.59
1.74
1.23
1.23
1.23
1.51
1.44
1.61
1.74
1.88
1.72
1.72
1.69
1.56
1.37
1.54

M. Pangilinan
acher

BMI
17.09
15.26
15.26
15.15
18.06
15.75
20.09
14.61
14.61
13.80
13.88
15.28
13.64
12.63
12.79
14.57
16.90
14.20
15.36
23.38
16.26

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

Department of Education
Region IV - A ( CALABARZON )
Division of Antipolo City
District II - B
CUPANG ELEMENTARY SCHOOL
S.Y. 2012 -2013
SCHOOL NUTRITIONAL STATUS RECORD
DISTRICT: II - B
SCHOOL : CUPANG ELEMENTARY SCHOOL
Grade: Four
Section: Twelve
Name
1 ALIBIO, MARY MAGDALENE A.
2 ATILANO, AIZLE JOY ANN L.
3 BASCAL, MICA MAE B.
4 BASTIAN, MICAELA S.
5 DE GUZMAN, DESSIRE D.
6 DELERA, ANNALYN V.
7 DIOCARIZA, DOLLY H.
8 DIOLINGO, RAVEN P.
9 FONTONOZA, MONICA P.
10 GALONO, MA. CLAIRE P.
11 JAVIER, JEZELYN
12 LLAGAS, JESSELYN A.
13 MIRANDA, KRISTEL JESSA P.
14 NALLAREZ, LOVELY
15 NEBRES, CRISELDA P.
16 OCAMPO, LEA MAE
17 OLAR, AIRENE M.
18 ORONGAN, JEZZEL A.
19 PLAGA, HANNA JUSTINE
20 ROSABEL, NOELLYN L.
21 SANTIAGO, ROSE ANN
22 SARAULO, MARY GRACE
23 SORIANO, JUDY ANN
24 SUAN, SHIELA MAE A.
25 TAMBADOC, BIANCA MAE
26 TARUC, CHRISTINE B.
27 VENTURA, ASHLY B.
Summary:
Severely Wasted: 0
Wasted: 3
Normal : 24
Overweight: 0

Date of Weighing: February 4, 2013

Birthdate
3/16/2003
11/17/2000
7/8/2002
3/20/2003
12/22/2002
9/5/2001
1/22/2001
11/10/2002
12/4/2000
1/22/2000
7/22/1998
11/9/1999
7/29/2001
2/28/2003
3/14/2001
7/14/2003
9/25/1998
11/22/2002
4/6/2002
4/8/2001
12/2/2000
4/24/1999
10/29/1997
8/20/2002
5/10/2003
12/9/2001
6/6/2002

Age
9.10
12.2
10.6
9.10
10.1
11.8
12.1
10.2
12.8
13.1
14.6
13.2
11.6
9.11
12
9.6
14.4
10.2
10.9
11.9
13.1
13.9
15.2
10.8
9.8
11.1
10.7

Weight KGs.
22
24
25
26
17
23
21
17
27
26
39
36
25
21
25
22
32
20
22
23
27
36
44
26
21
27
23

Height M
1.12
1.26
1.28
1.24
1.16
1.18
1.22
1.16
1.3
1.31
1.49
1.37
1.28
1.19
1.31
1.32
1.37
1.21
1.17
1.23
1.3
1.37
1.51
1.29
1.15
1.25
1.29

Obese: 0
Total: 27

Prepared by:
Mr. Mark M. Pangilinan
Teacher

bruary 4, 2013

(Height)2
1.25
1.59
1.64
1.54
1.35
1.39
1.49
1.35
1.69
1.72
2.22
1.88
1.64
1.42
1.72
1.74
1.88
1.46
1.37
1.51
1.69
1.88
2.28
1.66
1.32
1.56
1.66

BMI
17.54
15.12
15.26
16.91
12.63
16.52
14.11
12.63
15.98
15.15
17.57
19.18
15.26
14.83
14.57
12.63
17.05
13.66
16.07
15.20
15.98
19.18
19.30
15.62
15.88
17.28
13.82

NS
N
N
N
N
W
N
N
W
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

M. Pangilinan
acher

Department of Education
Region IV - A ( CALABARZON )
Division of Antipolo City
District II - B
CUPANG ELEMENTARY SCHOOL
FORM 137
IV - 12
S. Y . 2012 - 2013
Girls
Name

Section

Grade V
Date

1 ALIBIO, MARY MAGDALENE A.

2 ATILANO, AIZLE JOY ANN L.
3 BASCAL, MICA MAE B.
4 BASTIAN, MICAELA S.
5 DE GUZMAN, DESSIRE D.
6 DELERA, ANNALYN V.
7 DIOCARIZA, DOLLY H.
8 DIOLINGO, RAVEN P.
9 FONTONOZA, MONICA P.
10 GALONO, MA. CLAIRE P.
11 JAVIER, JEZELYN
12 LLAGAS, JESSELYN A.
13 MIRANDA, KRISTEL JESSA P.
14 NALLAREZ, LOVELY
15 NEBRES, CRISELDA P.
16 OCAMPO, LEA MAE
17 OLAR, AIRENE M.
18 ORONGAN, JEZZEL A.
19 PLAGA, HANNA JUSTINE
20 ROSABEL, NOELLYN L.
21 SANTIAGO, ROSE ANN
22 SARAULO, MARY GRACE
23 SORIANO, JUDY ANN
24 SUAN, SHIELA MAE
25 TAMBADOC, BIANCA MAE
26 TARUC, CHRISTINE B.
27 VENTURA, ASHLY B.

Prepared by:

Mr. Mark M. Pangilina

Adviser

Department of Education
Region IV - A ( CALABARZON )
Division of Antipolo City
District II - B
FORM 137
IV - 12
S. Y . 2012 - 2013
Boys
Name

Section

Grade V
Date

1 ARINGO, ARMAN
2 BAGUNAS, VINCENT B.
3 BAUTISTA, JOHN RUIZ B.
4 BUBAN, TRISTAN S.
5 CADAYONG, ANTHONY R.
6 EBOA, HENER
7 ESTRADA, ALEXIS G.
8 GATCHALIAN, NIO M.
9 HATCHOSO, JEFFREY L.
10 LAGUTAN, JOHN IVAN C.
11 LORESTO, ADRIAN G.
12 MANARANG, JUSTINE L.
13 MARAA, JHON PAULO C.
14 MARELOS, ANGEL JAY M.
15 OBEREZ, PEDRO JR. R.
16 PADEL, JASON S.
17 PASION, LENARD B.
18 SANTOS, NICO M.
19 TABANGAY, MARIO GALO JR. A.
20 VILLACORTA, RICHARD B.
21 VILLARIN, ANGELO C.

Prepared by:

Mr. Mark M. Pangilina

Adviser

V
Received

Mark M. Pangilinan
Adviser

V
Received

Mark M. Pangilinan
Adviser