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
BARCELON,MARK ANTHONY,
2
-
3 BARIA,FRANCIS, BARSAGA
BARRAMEDA,MELCHOR,
4
CANO
5 BERNARDEZ,JAYCO, ENERO
6 BIERZO,MICHAEL, BORJA
8 BOMBITA,JOVIN, PAYANAY
9 BONEO,JAY, BOLO
BONGAT,JHUN LEVY,
10
BORROMEO
11 BOTECARIO,KC, BELARDO
12 BURCE,RENE, JR BUTIAL
13 CORRAL,JULIUS, BONAOBRA
DEL CASTILLO,MARK
14
EMMANUEL, CORRAL
GRAGEDA,JULIUS ALBERT,
15
BORJA
16 LANON,VIRNIE, BORBE
17 LARIBA,DONDY, -
4 BEA,ANDREA, BAS
5 BERNARDEZ,KC, BELISTA
BERNARDEZ,LORY-ANN,
6
BORBE
7 BERSAMIN,REAMIE, SABADO
9 BOLDA,LAYCA, BOMBITA
BONAOBRA,ASHLEY MAE,
10
RECERDO
BONAOBRA,IVONAH
11
CHARISE, BANZAGALES
BONAOBRA,LOUIELYN,
12
BARCIA
BONGAT,SHIENA MAE,
13
BARSAGA
14 BORILLA,LEA, BARSAGA
BUENO,CLARIEFE,
15
BERNARDEZ
16 BUQUE,MEVELYN, BELARDO
DEL CASTILLO,KATHY,
17
BONAOBRA
MONTECLARO,MERLYN
18
JEWEL, CORNEL
VASQUEZ,LESLIE MAE,
19
BARRAMEDA
<=== TOTAL FOR FEMALE |
19
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
37
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 YSABEL GRACE LISTANGCO BELEN
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: ___/___/_____