School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 500439 School Year 2021 - 2022

School Name Bancal Integrated School Grade Level Grade 4 Section VENUS
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

ASPIRAS,VINCENT,
1
CULAGBANG
CERVANTES,ZHIN JOHNZHEL,
2
ALMENDAREZ

3 DALIDA,BEN KEMPER, ALDAY

DE LEON,JOHN CRISTOPHE,
4
PASCUAL

5 DIMASIN,PAUL EVO, CORTEZ

ESPINO,PATRICK JOHN,
6
PANALIGAN

7 FUENTES,ANGELO, -

GAMBA,JOHN CARL,
8
GARIANDO
LABRAGUE,KING WILLIAM,
9
MONTAJES

10 LEONES,KENT JOHN, CABUG

LINCALLO,JOHN EXEQUEL,
11
CABORNAY
LOMBOY,YASSI KEITH,
12
OROLFO

13 LOPEZ,JEREMY VIN, GELLA

MACAPAGAL,PAUL JAKE,
14
BUNA
NOVELO,MARK CHIELO,
15
TURNO

16 REDOLOZA,ANDRIE, FLOREN

STA MARIA,KARL ANDREI,

17
GUTIERREZ
TAPALES,JUNFUL, JR
18
PEDROSA
<=== TOTAL FOR MALE |
18
TOTAL COPIES ===>
AGUSTIN,CHLOE MARIE
1
CASSANDRA, BULAWIT
 2 ALIG,CRISTEL MAE, -

AVENDAÑO,SOPHIA ROSE,
3
ESPELIMBERGO
BAUTISTA,LOUISE KATE,
4
DIOCAMPO
BERBA,NIJALY FAITH,
5
ALFONSO

6 CAMILON,RAINE, TORRES

7 DE LEON,NIKAELLA, BRIZAL

FRANCISCO,LOUISE JHAZZ,
8
DELA CRUZ
GEOCADO,PRINCESS
9
SHECAYNA, -
IGNACIO,MERCEDES
10
GREIJANZHY, ARUELO
LABRADOR,ARABELLA
11
SAMANTHA, BAUTISTA

12 MANZON,PRINCESS ALTHEA, -

PALACIO,LOVE,
13
RAYANDAYAN
PERCIGO,KIT RHAINE,
14
NAVARRO
PRAXIDES,JHAZREEL,
15
VELASCO
<=== TOTAL FOR FEMALE |
15
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
33
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
PURITA FAINSAN MANZON
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: ___/___/_____