School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 107858 School Year 2019-2020

School Name Dagatan Elementary School Grade Level Grade 2 JASMIN

Ang Bagong Batang Pinoy Araling Panlipunan 2 Edukasyon sa Pagpapakatao 2 MAPEH LM 2 Mother Tongue-Based Multi- English Learner's Materials Mathematics Learning Subject Area & Title / Module / Subject Area & Title / Subject Area & Title / Module /
Filipino 2 lingual Education 2 Materials 2 Reference / Code Module / Reference / Code Reference / Code
NAME
No
(Last Name, First Name, 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

ABUAN,MARK ANGELO, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

1
BINALLA
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
2 ABUAN,MART GIAN, -

ALBACIETE,MYRON RUIZ, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
3
BUCOG
ALPEREZ,CRIS ANGEL, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
4
MACANDOG
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
5 AMBAT,BIEL STEVEN, VIDAL

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

6 AÑONUEVO,ELVIEN, CLIT

BALUCOS,ARRON JAMES, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
7
PALANAS
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
8 CABIG,JAMES, AGUILA

CONCHA,DARYL ANGELO, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
9
ALBAO
COSTELO,CYRUS KEAN, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
10
VILLANUEVA
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
11 DE JUAN,JAREN, VERGANIO

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
12 DECANO,MARCK, II ESTRELLA

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

13 GENEROSO,ARGEL, -

HERNANDEZ,JAY DAVEN, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

14
RESURRECCION
INCOGNITO,MAICO REG, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
15
LOYOLA
ISIDERIO,ADRIAN MARCUS, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
16
BIJIMINO
LOYOLA,JELO GIAN, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
17
GUTIERREZ
MABUTI,NATHANIEL, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
18
SOBERANO
MANIAUL,HECTOR, JR 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
19
CARONAN
MONTANO,JOSH LANCE, DE 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
20
LEON
 JASMIN
ect Area & Title / Module /
Reference / Code
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Date
Returned
 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
21 NAPE,JHON JACOB, CLET

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

22 POMAREJOS,JOEL, JR CLET

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020

23 REGASPI,REYMART, LAUDATO

SALAZAR,ERIC MARK, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
24
LUCAÑAS
VALERA,RAEGAN VLADIMIR, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
25
VILLAOS

25
<=== TOTAL FOR MALE | 18 18 15 15
TOTAL COPIES ===>
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
1 ABUBO,CUTIE AGATA, -

ALCANTARA,ELIZA JANE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
2
OBENITA
DARIO,ANNETTE STORM, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
3
VERGARA
DEL MUNDO,SHIN ZYRILLE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020
4
LAGERA
ESCOLAR,XYRYHZE JHEN, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
5
LORENTE
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
6 GAPAS,RYZA MAE, ARGANA

GONZALES,SHAILEY AEREESE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
7
SALAZAR
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
8 JAVIER,JULIA, MONTAÑEZ

MONEDA,ALEA SHANE, DE 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
9
BORJA
MONEDA,SHIENE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
10
PAGHUBASAN
MONTALES,MA NOEMI 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
11
DANIELA, SAN PEDRO
5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
12 MONTESCLAROS,VANGIE, -

5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
13 PAMPORA,RUBY ANN, BAZAR

PAYABAN,SHANELLE MAE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
14
GARCIA
PUNONGBAYAN,RHEGEN 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
15
VENUS, DADULO
RABINO,EMMA MARTINA, DEL 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
16
MUNDO
ZAPANTA,JANICA MAE, 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020 5/6/2019 5/4/2020
17
AMBUNAN

17
<=== TOTAL FOR FEMALE | 12 12 15 15 10 10
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
42
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),
RACQUEL JOY H MACULING
PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
MACULING
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),
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 Name)
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