School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 127922 School Year 2021 - 2022

School Name Biga ES Grade Level Grade 5 Section B-MAPAGMAHAL

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

1 AMARGA,EDMILE, PABUALAN

CALUNOD,MARK KEVIN,
2
SARIAS

3 MAGABILIN,KIN, OLIVEROS

4 MAHOSAY,JUDEL, JUMALON

5 MALABAR,JETH, LAGNASON

MEÑOZA,JESSIE JAMES,
6
VILLAN
MONDOÑEDO,ALVIN,
7
BETACURA
PASCO,KURTH ANGELO,
8
AMOMONGPONG

9 PASCO,REYMAR, LAGRADA

SORTONES,JIMMY, JR
10
LAGRADA
SUMAMPONG,CHARLES RP,
11
DELA CORTA

12 TUTOR,JEDAN, BUZARANG

<=== TOTAL FOR MALE |

12
TOTAL COPIES ===>
ALICABO,ALCHERA MAE,
1
SANCHEZ

2 ALICABO,MILJEAN, ANDAM

3 ANOOS,GERALDINE, CODILLA

ANTIGUA,SILVER CATHERINE,
4
MODEQUILLO

5 BALABA,JE-ANN, ENCABO

6 BALABA,JILLIAN, ENCABO

CABATUAN,MARTHA JOY,
7
PANSACALA
 CABOLBOL,SHANE ANN,
8
CIMENI
CONOG,FRANCINE ANGELIC,
9
BACAOCO
HERNANDO,NIÑA LYN,
10
ALFEREZ

11 LABAJO,SABINA BIANCA, -

LATAYADA,JHANDY MAIRE,
12
NAMALATA

13 LLESOL,EULANDA, MAGDALE

14 TUTOR,DINA MAE, TUBLE

<=== TOTAL FOR FEMALE |

14
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
26
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
CLINT JARANTILLA MONSANTO
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: ___/___/_____