School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 107858 School Year 2020 - 2021

School Name Dagatan Elementary School Grade Level Grad

Subject Area & Title/Module Reference Code Subject Area & Title / Module / Reference / Code MATH 1 FILIPINO 1 MTB 1 ESP 1 BEGINNING READING 1

NAME
No
(Last Name, First Name, Middle
.
Name) Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
ABUAN,PRINCE MARHU, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
BINALLA

2
ADVINCULA,CHRIS LOURINCE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
DINO

3
ALARCON,NATHAN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
BACONGUIS

4 ALFEREZ,MJAY, MACANDOG 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

5 AMBUNAN,JHEROME, VALABA 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

6
BALASABAS,RENZ, DELA 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
TORRE

7 BALIBER,KEN LIAM, RAMOS 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

8
BANAERA,MARION ARKIEL, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
VILLANUEVA

9
BAUTISTA,LORD LIAM, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
TAMONDONG

10 CABIG,JAKE LANCE, AGUILA 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

11
CORTEZANO,JAMES MATHEW, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
-

12
DELOS SANTOS,JORDAN JAY, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
MANJARES

13
HERNANDEZ,ANGELO, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
VILLANUEVA

14
HERNANDEZ,JAKE CARLOS, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
RESURRECCION

15
HERNANDEZ,SHAN LARY, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
PALOMO

16
MONEDA,JHON FRANNY, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
PAGHUBASAN

17 NAPE,JOWEL, CLET 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

18
ORTIZ,JOHN DANIEL, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
TUMBAGA

19 PALACIO,RIO, DITAN 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

20
PASCUA,LANCE ANGELO, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
PAYABAN
 Grade 1 Section SANTAN
AP 1 SUHAY 1 Subject Area & Title /
Module / Reference /
Code
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Date Date Date
Issued Returned Issued Returned Issued Returned

10/2/2020 7/13/2020 10/2/2020 7/13/2020

10/2/2020 7/13/2020 10/2/2020 7/13/2020

10/2/2020 7/13/2020 10/2/2020 7/13/2020

10/2/2020 7/13/2020 10/2/2020 7/13/2020

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10/2/2020 7/13/2020 10/2/2020 7/13/2020

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10/2/2020 7/13/2020 10/2/2020 7/13/2020

21
TORLA,ETHAN JHON, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
ELOSENDO

22
TORLA,NATHAN JAKE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
ELOSENDO
<=== TOTAL FOR MALE |
22
TOTAL COPIES ===>

1
ABARDO,RICHEL MHAE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
MAGDAMIT

2
ALOC,PRINCESS JILIANE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
OSTONAL

3 ANONUEVO,JOSHANE, CLIT 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

4
BAUTISTA,DANIELLA LHAYN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
RAMILO

5
BAYAS,REINEEZ DESSA, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
HERNANDEZ

6 CANILLO,MICKIE, BROZO 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

7
CELIS,ASHLY MICHAELA, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
SAUT

8
DE LUNA,KIANA MARZELLE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
CABALLAS

9
DELA REA,ARRIANE DREI, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
OBEREZ

10
ERAYA,EHRA NICOLE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
ANGCANAN

11 GARLANDO,ALMIRA, NALES 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

12
GONZALES,TRISHA MAE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
ABAINZA

13
HERNANDEZ,AICAH JAYNE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
MIRALLES

14
HERNANDEZ,LAISLIE-ANN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
OSTONAL

15
LLORENTE,LHIAN NICOLLE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
RABINO

16
MACASINAG,RINZE CASSEY, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
BALUCOS

17 MIJARES,JASMINE MAE, SAUT 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

18
OBISPO,INGRID BAHRAIN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
HERNANDEZ

19
OCAMPO,ANNIE JIN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
ESPADERO

20
PAMPORA,ANA MARRIE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
BAZAR

21 POBLETE,MACKIE, - 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

22
RAZON,KEISHA MAHAD, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
GAPAS

23 REYES,JASMINE, BRINGINO 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020

24 RIVERA,ALIYAH KATE, BANEZ 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
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10/2/2020 7/13/2020 10/2/2020 7/13/2020

25
RODIL,AMIRA JHOHARA, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
HERNANDEZ

26
SARAYNO,NICKALYN, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
PASCUAL

27
TARIG,ANNE MARGARETTE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
BAYOT

28
TONGA,ALLIA NICOLE, 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2021 10/2/2020 7/13/2020 10/2/2020 7/13/2020 10/2/2020 7/13/2020
MEDINA
<=== TOTAL FOR FEMALE |
28
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
50
TOTAL COPIES ===>

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), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
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10/2/2020 7/13/2020 10/2/2020 7/13/2020

10/2/2020 7/13/2020 10/2/2020 7/13/2020

Prepared By:

JOSEPHINE AMBAT PARUNGAO

(Signature of Adviser over Printed Name)

Generated thru LIS

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