School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 501265 School Year 2018 - 2019

School Name Severo Tejada Integrated School Grade Level Grade 7 (Year I) Section HUMILITY
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 Subject Area & Title

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

AMARGO,JOHN PATRICK,
1
POBLETE

2 BALANGBANG,ADRIAN, -

3 COSTO,JENSIL, BRES

DAPOC,JHON SECOND AXEL,

4
ANTIQUIERA
ERANISTA,RONIEL JAY,
5
MARAPAO

6 GRACILLA,JOSHUA, CUDILLO

LAURORA,JHON JADE,
7
DIMAYUGA

8 LEYNES,JOHN PAUL, GALVO

9 MENDOZA,ALJUNE, -

10 MERCIALES,ALDWIN, ORBASE

MOSCOSO,DAVERYL,
11
CASEÑO
PANUELOS,CHRIS MARK,
12
DEJAICO
REGODON,RONELL ALLEN,
13
AVENILLA
ROSLINDA,JOHN CARL,
14
RITUAL
RUZOL,MARK JORDAN,
15
ARMANDO

16 SALE,LEANDRO, AMARGO

17 SERDEÑA,ADRIAN, DURANTE

URSOLINO,JHIM REX,
18
REMOROZA
<=== TOTAL FOR MALE |
18
TOTAL COPIES ===>
ARJETE,TRIXIE LYKA,
1
AVELLANO
 ATENDIDO,KRISTEL ANN,
2
BAUTISTA
BACUNAWA,CRISTINA,
3
BUITIZON
BAROGA,JEDIA,
4
BALANGBANG

5 BOREGA,JANNIN, CORPUZ

GABUYO,GERALDINE,
6
BAROGA

7 JARINO,RICA, PARIL

8 MORFE,JHEN-JHEN, CATAPAT

9 NIPAS,ANGELA, SERVANO

OJANO,CIELO, DELOS
10
SANTOS
PELINGON,HANNAH GRACE,
11
AUMENTADO
REYES,MA CHLOE LIECEL,
12
HERVERA

13 RODRIGUEZ,IRISH, AMARGO

14 ROSALES,ERICA, AMPARO

15 SIENA,ROMELYN, -

16 SIENA,ROWENA, -

<=== TOTAL FOR FEMALE |

16
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
34
TOTAL COPIES ===>
In case of lost/unreturned books, please provide information with the Prepared By:
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 VERONICA OCADO REYES
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: ___/___/_____