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

School Name Arriesgado-Sevilleno High School School ID 309903 District Placer East Division Masbate Region Region V

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Academic Track -General Academic Strand

Section Porras 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 ANCERO,RECO CUEVAS

2 CAPOTE,JONEL ANCERO

3 COLONGAN,JESSIE CODERA

4 DIAZ,KEVIN CODERA

5 DUBLIN,LARRY JUGAN

6 DUMORAN,JASON OLIVO

7 HAGNAYA,AIGIE SALVADOR

HAGNAYA,DOMINIC
8
VILLEGAS

9 HORTILANO,NEIL MARIBOJOC

10 JUMAO-AS,CARLO SOLMAYOR

JUMAO-AS,NOEL
11
ARGAWANON

12 MARINA,JOJIE ILUSTRISIMO

13 MORALDE,JESSIE JR MARINA

14 NEBATO,ROMEL PERINO

15 NEBATO,RUBEN VERACES

16 NEDRUDA,JUSTINE PONCE
17 PACALDO,ROBERT DELA PIÑA

18 PAGAL,MARLOU OLIVO

TOTAL MALE===>

1 ACUÑA,ANNA URSAL

ALMENCION,RENELYN
2
HORTELANO

3 ANCERO,GERALDINE -

4 ANCERO,RECA CUEVAS

5 ANGELO,ANGELA MERCOLITA

6 ANIÑON,RETCHEN PERINO

7 ARANZADO,RHEA ANCERO

8 BACATIN,CATHY ESTAÑERO

9 BROVO,JACKIELOU ARIZALA

BRUSAS,MA LOURDES
10
JUMAO-AS

11 BRUSAS,RHEA BACASMO

12 CLAROS,EVELYN BACATIN

CODERA,JENA MAE DELA

13
PEÑA

14 CUIZON,RONA BACIA

DELA RAMA,LENY DELA

15
CRUZ
DOSDOS,MARIA FE
16
ALMENCION
DUMORAN,JOEMARIE
17
TOLENTINAS
ESPINOSA,GERRY ANN
18
SALVADOR

19 GODINEZ,CHARLYN ANGGOT

20 GODINEZ,CHEY PERINO

GODINEZ,MARY ROSE
21
CABATINGAN

22 HAGNAYA,JENNY SALVADOR

HAGNAYA,NOVELYN
23
MORALDE

24 JEREZ,ROCZAN TERO
 JUGAN,MERRY JOY
25
CRISOSTOMO

26 TIMBOL,JAMAICA SUAN

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.