School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

136882

School ID

Bagong Tanyag Elementary School - Annex B

School Name

2. ALOWA, ALDRIN JAY SAPAD

3.

AMASCUAL, EARL ALDRIN

LANNA

4. AMASCUAL, WILBERT OJALES

5.

BALASTA, MARK ADRIAN

EDRIAL

6. BENA JR, CRISOLO DIAZ

7.
8.
9.
10.
11.
12.
13.
14.

CABACUNGAN, ARJAY
VICENTE
CAYMAN, JUSTINE MARK
MELMON
DAHARI, AL-JAMEER
BUENAFE
DE GUZMAN, JAN KARL LUIS
MAGCAMIT
DELA CRUZ JR, ALLAN
GUTIEREZ
DIZON, JUSTINE JOSH
PENUELA
DULAY, MARK ANGELO
GRAVO
GALA, JHON CARL
BONAOBRA

15. JAVIER, JAYMARK CAETE

LAMERA, JULIAN
DIMATANGAL
LASCUNA, JOHN VINCENT
17.
BARTIDO
16.

18. MALTO, JOVANIE ODVINA

OLIVEROS, MARK BRYAN
SANTIAGO
POSEO, JOHN REY
20.
GAMPOSILAO
19.

21. PUOD, JOHN EDWARD YURO

Section

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date

Date

Date

Date

Date

Date

Issued

AGNER, LEE AUDREY

DALOGDOG

Grade 5

Grade Level

Subject Area & Title

NAME
No. (Last Name, First Name, Middle
Name)

1.

2014 - 2015

School Year

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

REMARKS/ACTION TAKEN
(Please refer to the legend on
last page)

22. QUINTO, ROWEL SENTILLAS

23.

RAMIREZ, ELIJAH AZANTI

NUYA

24. SACAY, ROMNICK ANOS

25.

SAULDA, JUSTINE CLARK

PERALTA

26. VISMANOS, JERICHO WALES

26.

<=== TOTAL FOR MALE |

TOTAL COPIES ===>

1. ACENAS, CARENE AMPORIAS

2. ALTAR, MARY JANE GUIRA
3. ARBIOL, JOELA BUCOY
ARENDAIN, HANNA BEE
MARFIL
BARIBAR, MARIA EDEN
5.
PAQUIAO
4.

6. BOBIER, ROSE ANN CAICDOY

7. CABAGUING, LAINECEL GADE
8. CATALON, CINDY CUACHIN
9.

CATUBIG, MA FLORDELIZA
JARABE

10. FALCUTAN, PATRICIA CABAB

11. GUTIERREZ, ABIGAIL CALAM
12.

LONDONIO, TRISHA MAE

JAMEO

13. MATA, SHAIRA MERELOS

14.

NARAGTAN, ANDEA
MORANTE

15. NUGUIT, CAMILLE BESA

16. OSIO, JOYCE LUMBRIA
17.

PARAYNO, JHELSIE MAE

PEARANDA

18. PARINAS, MELANIE BUSIO

19.

RUBEN, DANIELA MAY

PALERO

20. SANTOS, NICOLE DAGON

20.
46.

<=== TOTAL FOR FEMALE |

TOTAL COPIES ===>
<=== TOTAL LEARNERS |
TOTAL COPIES ===>

GUIDELINES:

In case of lost/unreturned books, please provide information with the following

code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
2. The Date of Issuance and the Date of Return shall be reflected in the form.
NEG=Negligence
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for
the form.
submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG).
5. All textbooks being used must be included. Additional copies of
References: DO#23, s.2001, DO#25, s.2003, DO#14, s.2012.

Prepared By:

HARLEY MILLARE SAN PEDRO

(Signature of Adviser over Printed Name)

Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____