School Form 3 (SF3) Books Issued and Retur

(This replaces Form 1 & Inventory of Textbooks)

School ID 105015 School Year 2018-2019

School Name Balatong Elementary School

Subject Area & Title:Fil Subject Area & Title: Subject Area & Subject Area & Title: Subject Area & Title
Filipino I AP I Title:Math ESP En
NAME Matimatika I Katangiang Pilipino I Express I
No. (Last Name, First Name, Middle
Name)
Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued
1 Adenit, Mark Angelo C. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

2 Agsamosam, John Aries O. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

3 Alberto, Prince Edward D. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

4 Alberto, Ian Kurk I. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

5 Alvaro, Angelo DC. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

6 Arceo, Jhuan R. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

7 Arceo, Jaecey S. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

8 Asuncion, Raymartin M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

9 Cabardo, Prince L. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

10 Cabral, Jm Rae M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

11 Cleofas, Alfredo B. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

12 Coronel, Prince Rayvhen T. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

13 Cruz, Bernardo JR. M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

14 Cruz, john Lloyd P. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

15 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

David, Izen Ace T.
16 Domiquel, Aedrian B. 4-Jun-18 4-Jun-18 4-Jun-18 4-Jun-18 4-Jun-18

17 Escanilla, Yukii B. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

18 Fernandez, Deo 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

19 Fidelson, Rhey Harvey M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

20 Mendoza, Aldraine S. 4-Jun-18 4-Jun-18 4-Jun-18 4-Jun-18 4-Jun-18

21 Peralta, Juan Rafael S. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

22 Valentin, Mark Christopher 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

<=== TOTAL FOR MALE | TOTAL

COPIES ===>

Subject Area & Subject Area & Title: Subject Area & Tit
Subject Area & Title:Fil Subject Area & Title: AP
Title:Math ESP Eng.
NAME Filipino I Matapat I
Matimatika I Katangiang Pilipino I English Express
No. (Last Name, First Name, Middle
Name) Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued

ArceArceo, Christine Rose B. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

ArceArceo, Mary Grace S. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

FloreFlores, Marie toni E. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

GonzGonzales, Klein Lexie E. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

 Returned

Grade Level One Section Malinis

t Area & Title: Subject Area & Title
English MAPEH I REMARKS/ACTION TAKEN
Express I (Please refer to the legend on
last page)

Date Date
Returned Issued Returned
30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

4-Jun-18

30-May-18

30-May-18

30-May-18

4-Jun-18

30-May-18

30-May-18

ect Area & Title: REMARKS/ACTION TAKEN

Subject Area & Title (Please refer to the legend on
glish Express I last page)
Date Date
Returned Issued Returned
30-May-18

30-May-18

30-May-18

30-May-18
Juan,Juan, Zaira R. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

LeonLeonardo, Rizalyn R. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

NavaNavarro, Mariel M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

Peri Peralta, Ella Marie M. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

PeralPeralta, Roselyn P.
PeralPeria, Ysalene Joy C. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

Polo,Polo, Princess Ahrej L.
VictoVictoria, Princess Aura B. 30-May-18 30-May-18 30-May-18 30-May-18 30-May-18

<=== TOTAL FOR FEMALE | TOTAL

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

GUIDELINES: Prepared By:

1. Title of Books Issued to each learner must be recorded by the class
adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the
form.
3. The Total Number of Copies issued at BoSY shall be reflected in the
form.
4. The Total Number of Copies of Books Returned at the EoSYshall be
reflected in the form.
5. All textbooks being used must be included. Additional copies of this
form may use if needed.
A. In Column Date Returned, codes are: FM=Force Majeure,
TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured (
Letter from Learner duly signed by parent/guardian (for code
FM), TLTR=Teacher prepared letter/report duly noted by
School Head for submission to School Property Custodian (for Date of BoSY: 6/1/2015 Date
code TDO), PTL=Paid by the Learner (for code NEG).
References: DO#23, s.2001, DO#25, s.2003, DO#14,
2.2012.
Date BoSY:
 30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

30-May-18

d By:

EMILY C.ROBERTO
(Signature of Adviser over Printed Name)

2015 Date of EoSY: 4/1/2016

e BoSY: Date EoSY: