School Form 3 (SF3) Books Issued and Returned For Senior High School (SF3-SHS)

School Name Delfin Albano (Magsaysay) Stand School ID 305731 District Delfin Albano Division Isabela Region Region II

Semester Second Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand Academic Track -Humanities and Social Sciences

Section Molave Course (for TVL only)

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 / Subject Area & 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 codes below)
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 BALICAO,LEONARD MANUEL

BALLESTEROS,JHON REY
2
GALUT
CADIENTE,RONALD JR
3
BAGAIN
CARIAGA,MELMAR JAY
4
MACALINAO

5 CURAMMENG,JULIUS MEJIA

6 CUREG,AUSTINE BURAGA

DORUELO,MARIJUN JR
7
AGTANG
ESPOSO,EUGENE ALDRIN
8
GAPPI

9 MABALOT,DAN MARK GINES

10 QUIABANG,BENZEL HOP

QUIMING,MARKE ARVI DE
11
VERA
RESURRECCION,JOHN
12
RICHMOND VIERNES
VERDIDA,FRENSTER
13
LACBAYAN

TOTAL MALE===>

1 ACIO,KYLA MAE AGUB

2 AGRIAM,JANELLE NARAG
 ALASKA,APPLE GENEVIEVE
3
DIONISIO
BERRAS,CAMILA PRINCESS
4
FENIX

5 CORDOVA,MARICLAIRE C.

DEL ROSARIO,RIECEN MAE

6
IBARRA
DUMAYAS,SUNSHINE
7
HIDALGO
FRONDA,LEI ANDREA
8
HIDALGO

9 GAMBALAN,ALTHEA IBARRA

JACOBE,PRINCESS DIANE
10
ACOSTA

11 LACISTE,KYLA QUIABANG

MACALINAO,JHONAMAE
12
VIDAD

13 MAGNO,LOVELY ANN GARAIS

MARTINEZ,GAIL KARLA
14
SORIANO

15 MASIDDO,MARYJANE ECHORE

16 OCTOMAN,WINIE HIDALGO

RAFANAN,MHAY-DEN
17
OBCENA

18 SIRIBAN,COREEN DORUELO

19 TOLENTINO,MARIE CORPUZ

UMIPIG,RONALYN
20
FERNANDEZ
VALIENTE,KAYLA SUZET
21
MACALINAO

TOTAL FEMALE===>

COMBINED ===>

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, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.