School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 301010 School Year 2015 - 2016

School Name Cabangan National High School Grade Level Grade 9 (Year III) Section EINSTEIN
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 DAGUN,MAR-IAN, MARTY

DALAMPASIG,KING DAVID,
2
PADAGAS

3 DAOS,JOHN RICK, DALINDIN

4 DEQUIÑA,ABEL, AQUINO

LABRADOR,JOHN NED
5
TRISTAN, AGDIPA
MANGLICMOT,HADJI,
6
DAGAMAT
VILLADONGA,JOHN
7
ALLENSON, GADIANA
VITUG,JEREMY RUFF,
8
GALINDEZ
<=== TOTAL FOR MALE |
8
TOTAL COPIES ===>
AMAGNA,ILLEANA AVRIL,
1
FABIA

2 APAN,MARY JOY, LALATA

3 APORONGAO,ERIKA, DANIEL

4 ARBIZO,ARIANNE JOY, DADO

BESO,TRISHA ANNE,
5
CASTILLO

6 CHIONG,JODELLE, DALINDIN

7 DAGAMAT,JESSEL, MASON

DIÑOSO,HANNAH MAE,
8
ARADO
FALLORIA,JAM EURICH GAIL,
9
DAGUN

10 LABSAN,MARINELLE, RAMOS

MANANSALA,ERICA, DEL
11
ROSARIO
 MARZAN,MARY JOY,
12
MENDIGORIN
MENDIGORIN,CHRISTINE JOY,
13
MIRADOR

14 NACIN,JELYN ROSE, ECDAO

15 NAGUIT,CAMILLA, -

16 RILLON,TWINKLE, BENIGNO

17 ROSI,MA ALLEN DAISY, -

18 RUELAN,JOAN, CABLAY

19 SUAREZ,SANDRA LYN, ACERA

20 TABIJE,HAZEL, DEQUIÑA

TOMELDEN,PAT RYCH,
21
CABANBAN

22 VERONA,KARINA, CRUZ

ZIGANAY,SOPHIA MAE,
23
GUERRERO
<=== TOTAL FOR FEMALE |
23
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
MARICEL PANES DEVERA
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: ___/___/_____