School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 309925 School Year 2020 - 2021

School Name Damaso R. Rubia Memorial High School Grade Level Grade 9 (Year III) Section

Subject Area & Title SCIENCE Subject Area & Title MATHEMATICS Subject Area & Title ENGLISH Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

NAME
No
(Last Name, First Name, Middle
.
Name) 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

1 ATENDIDO,KENNY, BERNABE 10/02/2020 10/16/2020 10/02/2020 10/09/2020 10/02/2020 10/29/2020

2 BAYRON,SANNY BOY, - 10/02/2020 10/15/2020 10/02/2020 10/09/2020

3 BETITA,RICKY BOY, OLIVA 10/02/2020 10/16/2020 10/02/2020 10/09/2020

4
BULALACAO,BRYAN, 10/02/2020 10/15/2020 10/02/2020 10/09/2020
MAGAYON

5 BULANON,JUNREY, RANA 10/02/2020 10/16/2020 10/02/2020 10/16/2020

6 GALI,EMJAY, DELA CRUZ 10/02/2020 10/15/2020 10/02/2020 10/15/2020

<=== TOTAL FOR MALE |

6
TOTAL COPIES ===>

1 BENITEZ,MARIVEL, CORDERO 10/02/2020 10/16/2020 10/02/2020 10/09/2020

2 BORDIOS,ANGEL, CAPINIG 10/02/2020 10/15/2020 10/02/2020 10/09/2020

3 CALIMUTAN,REDJOY, RAGOT 10/02/2020 10/16/2020 10/02/2020 10/09/2020 10/05/2020 10/16/2020

4 CASAS,VILMA, ROSELLOSA 10/02/2020 10/16/2020 10/02/2020 10/09/2020

5 CEDILLO,JESSA, MACUJA 10/02/2020 10/13/2020 10/02/2020 10/16/2020

6 CEDILLO,JESSABEL, RIVAS 10/02/2020 10/12/2020 10/02/2020 10/15/2020

7 CEDILLO,LORY JOY, GABATA 10/02/2020 10/09/2020 10/4/2020 10/15/2020 10/05/2020 10/19/2020

<=== TOTAL FOR FEMALE |

7
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
13
TOTAL COPIES ===>
Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

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.
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 code TDO),
JOHN PAUL MARCHAN M
PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012. (Signature of Adviser over Printed

Generated thru LIS

 DOVE
Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Date
Issued Returned

L MARCHAN MORADO
of Adviser over Printed Name)

Generated thru LIS

Date of BoSY:___/___/_____ Date of EoSY: ___/_
Date of EoSY: ___/___/_____