Professional Documents
Culture Documents
NAME
N REMARKS/ACTION TAKEN
(Last Name, First Name, (Please refer to the legend
o. on last page)
Middle Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
BAUTISTA,JHON DAVE,
1
SORIANO
BAUTISTA,JUSTINE,
2
VILLANUEVA
GARILIO,JOHNBRIX,
4
BAUTISTA
5 MERCADO,JONEL, DECEMBRE
PARAS,MICHAEL JOHN,
6
BAUTISTA
7 TALANIA,RANDEL, ALCALA
8 TOGONON,JASHFER, ACOSTA
9 VALDEZ,DENBERT, MENDIJE
1 BAUTISTA,JANLYN, MENDEZ
2 BELLO,JENNILYN, ALCALA
3 CABADING,NICOLE, VETERBO
FERNANDEZ,REALYN,
4
LATRANIA
FERNANDEZ,SHANICA MAE,
5
MENDOZA
GALDORES,PRECIOUS
6
SUSHEN, TANG-O
RUBIN,PRINCESS XYRENE,
7
CAWAYAN
TOGONON,JASHMINE,
8
ACOSTA
<=== TOTAL FOR FEMALE |
8
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
17
TOTAL COPIES ===>
In case of lost/unreturned books, please provide information with the Prepared By:
GUIDELINES:
following code:
In case of lost/unreturned books, please provide information with the
GUIDELINES:
following code:
1. Title of Books Issued to each learner must be recorded by the class A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
adviser. NEG=Negligence GRECELEY PALETINA BAUTISTA
2. The Date of Issuance and the Date of Return shall be reflected in the B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly
form. signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted (Signature of Adviser over Printed Name)
3. The Total Number of Copies issued at BoSY shall be reflected in the form. by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by
4. The Total Number of Copies of Books Returned at the EoSYshall be the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
reflected in the form.
5. All textbooks being used must be included. Additional copies of this form Generated thru LIS
may be used if needed.
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____