School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 301182 School Year 2022-2023

School Name PALIPARAN NATIONAL HIGH SCHOOL Grade ____ Section

REMARKS/
Music and PE and ACTION
Filipino English Math Science AP ESP HG 1 HG 2 HG 3 HG 4 HG 5 HG 6 HG 7
LEARNER'S NAME Arts Health TAKEN
NO. (Last Name,
(Please

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned

Returned
First Name, Middle Name) Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued

Issued
refer to the
legend on
last page)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TOTAL FOR MALE | TOTAL COPIES
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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24
25
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

Direction: Please put a check under the Column ISSUED.
School Form 3 (SF3) FIRST QUARTER MODULES Issued and Returned
SUBJECT:

GRADE AND SECTION:

LEARNER'S NAME LEARNER'S NAME LEARNER'S NAME

Returned

Returned

Returned
Issued

Issued

Issued
NO. NO. NO.
(Last Name, First Name, Middle (Last Name, First Name, Middle (Last Name, First Name, Middle
Name) Name) Name)
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
6 6 6
7 7 7
8 8 8
9 9 9
10 10 10
11 11 11
12 12 12
13 13 13
14 14 14
15 15 15
16 16 16
17 17 17
18 18 18
19 19 19
20 20 20
21 21 21
22 22 22
23 23 23
24 24 24
25 25 25
26 26 26
27 27 27
28 28 28
29 29 29
30 30 30
31 31 31
32 32 32
33 33 33
34 34 34
35 35 35
36 36 36
37 37 37
38 38 38
39 39 39
40 40 40
TOTAL TOTAL TOTAL

BOOKS ARE ISSUED ON _______________________ BOOKS ARE ISSUED ON _______________________ BOOKS ARE ISSUED ON _______________________
Submitted by: _______________________________

Submitted on:______________________________________
 School Form 3 (SF3) PERSONAL COMPUTER TABLETS
School ID: 301182 School Year: 2022-2023
Grade Level: 10
School Name: Paliparan National High School
Section:___________________
LEARNER'S NAME
NO. (Last Name, First Name, Middle Name) CODE BRAND Date Issued Signature REMARKS

1
2
3
4
5
6
7
8
9
10
11
12
13
14
TOTAL
Prepared by:
(Print Name and sign above.)