School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 500691 School Year 2020 - 2021

School Name Sultan Naga Dimaporo Memorial Integrated School Grade Level Grade 4 Section DICKINSON
Subject Area & Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title /
Title/Module Reference Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference /
NAME Code Code Code Code Code Code Code Code Code Code
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle (Please refer to the legend on last
. page)
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

1 ACMAD,ALIMAN, ARA

AMAD,ALMOHAIMEN,
2
MACMOD

3 ANTIPALA,RUSDEL, QUICO

4 ARBES,JOHN MEL, COLITA

5 BAGUIO,JUSTIN, -

6 BAYABAO,ARIP, POLAO

DEROGONGAN,MOHAMMAD
7
AAZAM, DIMAPORO

DIMARUN,FARYAL JANNATI,
8
RANGIRIS
DIRON,ZANN-NUN,
9
DIMATIMBANG
ENCABO,PRINCE JERBY,
10
ARMECIN

11 JASMIN,MARK JAMES, A

MACATANGCOG,AL-JASSER,
12
BUALE
MARQUILLA,REYMART,
13
SALAYSAY
MONIB,ABDUL JABAR,
14
MAMLE
MONSALUD,RAMIL JR,
15
SUMAYANG

16 OMAR,ANSARI, ANDAM

17 OMAR,SOHAIRIE, LAMPO

PANALANDANG,DATU NUR,
18
DEMIT
<=== TOTAL FOR MALE |
18
TOTAL COPIES ===>
ALI,PRINCESS SHAINA,
1
SEBLERO
 2 BAYABAO,ARIFAH, POLAO

BONGAROS,SAIBA,
3
ABDULLAH

4 CANTANO,RENILYN, GENES

DEROGONGAN,MARDHIYAH
5
AINUN, DIMAPORO

ESMAEL,SHAIHANE,
6
ARUMPAC
LABADOR,MARIAN,
7
ABADINAS

8 LAMPO,NOR-ASIA, ABAY

LAMPO,SITTIE RASHA,
9
COTONGAN
MANGCA,NORFATIMA,
10
ABDULLAH
REYES,PRINCESS JOHANA,
11
BUALE

12 TALIB,AIRA, SAMPORNA

13 TANTONG,ZAHERA, A

<=== TOTAL FOR FEMALE |

13
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
31
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
NORLINA BINO PUMBAGUL
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.

Generated thru LIS

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