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 4 Section

YAMAN NG LAHI AP LM SCIENCE LM EPP LM MATH LM ESP LM PE AND HEALTH LM MUSIKA AT SINING LM

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

1
ABLIN,JAMES KENETH, 5/28/2019 3/27/2020 5/28/2019 ### 5/28/2019 3/27/2020 ### 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 ### ###
VILLANUEVA

2
ALCALA,CHARLS ANDREW, 5/28/2019 3/27/2020 5/28/2019 ### 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
DOROMAL

3
CARLOS,SCHEON MIGUEL, 5/29/2019 3/27/2020 5/28/2019 ### 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
GELASIO

4
CONCHA,DAN CRIS LOWRENS, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
ALBAO

5
COSTELO,CYRILE RYAN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
VILLANUEVA

6 DACULA,DARWIN, GONZALES 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

7
DE LEON,DYLAN MATTHEW, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
VILLANUEVA

8 DIAZ,JOMEL, RAMOS 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

9
DURANGO,REYLAN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
FAMADOR

10
HERNANDEZ,JHAREN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
FELICILDA

11
LACBAYEN,TRISTAN ACE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
MARCAIDA

12 LITA,JHUN LEE, TAMAYO 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

13
LLORENTE,WENN CYDRICK, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
RABINO

14
OCCIANO,ELLADJHON, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
DAHAN

15 PAMATMAT,RAFAEL, OYSON 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

16 RUIZ,IAN PAUL, TIBAYAN 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

17
SISON,EURI ALDRICH, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
MENDOZA

18 TADIFA,RJ LANCE, PADERNA 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

19
TAMONDONG,MARK GHIAN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
CARLOS
<=== TOTAL FOR MALE | 19
TOTAL COPIES ===>
 Section ILANG-ILANG
Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Date Date
Issued Returned Issued Returned
 1
ACUYONG,JHADE CLARIZZE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
BANAERA

2
ANDAYA,VENIE ALAINE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
DOMONDON

3 AÑONUEVO,DESIREE, CLIT 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

4
BAGTASUS,KHIARA MHARIE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
CORPUZ

5
BAUTISTA,AKIRA LHYAN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
RAMILO

6 CAASI,MONIC, CATIBOG 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

7 CONCHA,DANELYN, ALBAO 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

8
CRUZADO,JACKIE JEN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
MANAOIS

9
DEL MUNDO,QUEENZES 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
HEART, LAVERA

10
FRANI,CATE JEISEN, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
ANGCANAN

11 FUEGO,KEIMELYN, EGUIA 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

12 GARLANDO,ALTHEA, NALES 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

13 GREGORIO,SOPHIA MAE, CASI 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

14 GUILAO,MA ANDREA, MOJAR 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

15
ISIDERIO,VINE EUNICE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
BIJIMINO

16
LANON,MARIAH YZABELLE, 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020
MENDOZA

17 MASIGLA,TRISHANEAL, ORTIZ 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

18 NAPE,SHIRLYN JOY, CLET 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

19 PALANAS,TRIZZIA, RADOC 5/29/2019 3/27/2020 5/28/2019 5/28/2019 3/27/2020 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020 5/28/2019 3/27/2020

19
<=== TOTAL FOR FEMALE | 19
TOTAL COPIES ===>

38
<=== TOTAL LEARNERS | 38
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), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
SHIELA MARI
DO#14, 2.2012. (Signature of A

Gen

Date of BoSY:___/___/_____ Dat

By:

SHIELA MARIE SALAZAR PINAZO

(Signature of Adviser over Printed Name)

Generated thru LIS

SY:___/___/_____ Date of EoSY: ___/___/_____