School Form 3 (SF3) Books Issued and Returned For Senior High School (SF3-SHS)

School Name Valencia National High School School ID 303662 District Ormoc VI Division Ormoc City Region Region VIII

Semester Second Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand Technical-Vocational-Livelihood Track

Section 11 ATS 2 Course (for TVL only) Automotive Servicing (NC I)

Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title Book/Module Title

NAME
N REMARKS/ACTION TAKEN
(Last Name, First Name, (Please refer to the codes
o. below)
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

1 ADOLFO,JESUS DAGOY

2 ALPECHE,KEN HERSOLIA

3 ALPECHE,KIM HERSOLIA

4 ARDEMER,JAY PAUL GIGANTO

5 ASOY,ALMER CASTILLO

AYUBAN,CHRISTIAN
6
COLANGGO
BENITO,MARK JEFFERSON
7
ERMAC

8 CABALEJO,JOSHUA MOLDEZ

CADAMPOG,MARLOU IVAN
9
BALORO
CAOCTOY,JAN BRYAN
10
SABROSO

11 DELA CRUZ,MARK PARRILLA

DELLERA,JASON
12
CONSTANTINO
DELLERA,JOMAR null
13
CONSTANTINO

14 DESUCATAN,DANNY CASIRO

15 DIMPAS,JAY MIRAFUENTES

DOMAIL,UZZIEL SEAN
16
MARTIN null LAPAZ
 FERNANDO,EDWARD JR DEL
17
ROSARIO
FLORES,JOHN SELWYN null
18
DAUSAN

19 FLORES,NIÑO JAY MASIAS

20 FORMENTERA,ALJON SAQUEZ

21 GOMEZ,JAMESON RODRIGO

22 HATAMOSA,ELMER GABLINO

23 HIDALGO,JAYRALD FLORITO

LAZAGA,VINCENT
24
GUARDADOS

25 LINGO,JERVIE SUMALINOG

26 LUCERO,MARK IAN DIANO

27 MAÑOZA,DARREN null ORTEZ

28 MANTO,RODNEY AYROSA

29 MATA,JOSHUA JAY RIOS

NAVARRO,MIGUEL DOMINIC
30
SURIMA
NAZARENO,JUN PETER
31
GERALDEZ

32 POLENIO,HERNY BISLUMBRE

33 RAMA,RAYMOND JOHN BIYU

34 RAMONES,RENEJOY TORALBA

SUMALINOG,EDGAR JR
35
PARILLA

36 TAN,BRYAN CUENCO

37 TANDOY,JUNRYLL PATRICIO

TOLIBAO,CHRISTIAN
38
PEÑALOSA

39 TORRES,MATT ARGALLON

TOTAL MALE===>

1 ALIPONGA,BELLAMIE VILLAS

AQUILES,DAISY MARIE
2
DELGADO
ARROFO,ANA MARIE null
3
GULLIM
 BATOCTOY,ANGEL MAE
4
LOGAGAY

5 CALO,JONALISA MENDOZA

RABADON,MARY ANN null

6
GABAJAR

7 RABADON,ROSEMARIE null -

8 ROCACORBA,RENSIE EPE

SOTERO,JOANNA MAE
9
MENDOZA

10 VILLAMERO,IRENE SITON

TOTAL FEMALE===>

COMBINED ===>

GUIDELINES:
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 be used if needed.
In case of lost/unreturned books, please provide information with the Prepared By:
following code:
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 (Signature of Adviser over Printed Name)
by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by
the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.