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School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 101035 School Year 2018 - 2019

School Name Sevilla Elementary School Grade Level Grade 1 Section I-T
Bumasa ta Sumulat Filipino Edukasyon sa Pagpapakatso I Mathematics I Mother Tongue-Based Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
I Multilingual Education I

No NAME REMARKS/ACTION TAKEN


(Please refer to the legend on last
. (Last Name, First Name, Middle Name) page)
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 ALCANTARA,YANNCI, PACIO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

2 APOLINAR,JOHN JOSEPH, APILADO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

3 CATBAGAN,JACOB GABRIEL, MACABITAS June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

4 CORTEZ,AARON JOSEF, FORTES June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

5 HUFANA,NEIGEL CHESTER, BUGTONG June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

6 LIM,CYJAN LUIZ, PIÑERO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
7 MARCELLA,ARIS JEDRIEL, REYES June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

8 MARIANO,BOBBY JOE, CUADRA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
9 MARIGMEN JR,DYLAN, MARIGMEN June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
10 RAQUEPO,ZANE RAY, MAPANAO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
11 ROCAPOR,JOSHUA, ALCANTARA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

12 ROXAS,STEVEN, - June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

13 URBIZTONDO,MARK CIELO, VALDEZ June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

14 VILLENA,PRINCE REINE, JUCUTAN June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
15 YANTE,BRIAN, EISMA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018
<=== TOTAL FOR MALE | TOTAL COPIES ===> 15 15 15 15
1 CAMAMA,YRICHEL, MILANES June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

2 FARRO,PRECIOUS JHEM, GARCIA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

3 GALVEZ,PRINCESS, FABRO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

4 GATCHALIAN,RAVEN MARCEL, ABUAN June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

5 GOJAR,JHANELLA, NERPIO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

6 LOPEZ,NEYAN JHOI, BANIDA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

7 MARABE,CRYSTAL JOY, VALORA June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

8 MARTINEZ,MIKAELA, COSTALES June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

9 OCHOCO,RHEENEA REIGHN, DE GUZMAN June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

10 SALANGO,APRIL JOY, SUBAD June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

11 VALDEZ,IRISH, APILADO June 4, 2018 June 4, 2018 June 4, 2018 June 4, 2018

<=== TOTAL FOR FEMALE | TOTAL COPIES ===> 11 11 11 11

<=== TOTAL LEARNERS | TOTAL COPIES ===> 26 26 26 26

GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
1. Title of Books Issued to each learner must be recorded by the class adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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.
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),
SILVESTRA APOLINAR TUDAS
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012. (Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if needed.

Generated thru LIS

Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____

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