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School Form 3 (SF3) Books Issued and Returned
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School Form 3 (SF3) Books Issued and Returned
School Form 3 (SF3) Books Issued and Returned
Uploaded by
Nasmer BembiCopyright:
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School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID 304629 School Year 2021 - 2022
School Name Cotabato City NHS - Rojas #13 Grade Level Grade 8 (Year II) Section CARNATION
Subject Area: Subject Area: Subject Area: Subject Area & Title / Subject Area: Subject Area: Subject Area: Subject Area
ENGLISH FILIPINO MATHEMATICS SCIENCE Reference / ESP TLE MAPEHitle Quarter 1
NAME Title/Module: Title/Module: Code Quarter 1 AP Title/Module: Title/Module: Module 1
No Title/Module: Quarter Module 3 & Quarter 1 Quarter 1 Module 3 & 4 REMARKS/ACTION TAKEN
(Last Name, First Name, Middle Quarter 1 Quarter 1 1 4 Title/Module: Module 3 & Module
(Please refer to the legend on last
. page)
Name) Module 3 & 4
DateReference Date Module Module 3 & 4
DateReference Date Quarter 1
Date Module 4
Date 3&4
Date Date Date Date
3&4 Reference Code: Reference Code:
Code:
Issued_____________
Returned Reference Code:
Issued Returned Code:
Issued_____________
Returned Issued Returned 3& 4
Issued Returned _____________
Issued Returned _____________
Issued Returned Issued Returned Issued Returned Issued Returned
_____________ Reference Code:
10/28/20 10/28/20 10/28/20 10/28/20 _____________
10/28/20 10/28/20 10/28/20 10/28/20
1 ABAS,FAREEZ, KANSI 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
ABDULRAHIM,JOHAIBER, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
2 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
KINUDALAN 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
3 ABPAG,MOHAMMAD, ADZIS 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
4 ACAS,BENIDICK, LICO 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
5 ACOB,NORHAIMEN, MIDTALIN 10 07 21 21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
AKONG,ALLADIN, DELOS 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
6 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
SANTOS 21 21 21 21 21 21 21 21
ARUYOD,MOHAMMAD JR, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
7 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
SOLAIMAN 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
8 CHING,PAOLO MILES, - 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
DEOCAMPO,JOSHUA JOHN, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
9 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
CACHUELA 21 21 21 21 21 21 21 21
GONZALES,PHILIP JAMES, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
10 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
BESA 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
GUIALEL,PRINCE MUHAMMAD 10 07 21 21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
11
SAUDI, CALIM
GUILANG,ALMANSOUR, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
12 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
GAMAO 21 21 21 21 21 21 21 21
IBRAHIM,AL NEESAM, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
13 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
MAROHOM 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
14 KANAKAN,RAYAN, MAULANA 10 07 21 21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
15 KARINDA,NAJIB, BUTO 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
16 KUSAIN,MOHAIMEN, MAGUA 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
17 MAS,ARCHIE, ARCADIO
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
18 MOHAMAD,EMAN, ANAN 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
19 PIÑOSO,RUSTY, TOMAROY 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
20 SAGADAN,DATU ALI, GABATO 10 07 21 21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
21 TAHIR,ALADIN, ABDULLAH 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
22 TASIL,SALAHUDIN, LAUBAN 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
23 TUAN,ALNOR, ODIN 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
24 UMPAT,FHAISAL, LATIP 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
ZACARIA,MAHMUD, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
25 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
MOHAMMAD 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
26 ZULUETA,BENEDICT, S 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
26
<=== TOTAL FOR MALE | 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26
TOTAL COPIES ===>
BINASING,SARAH BELLE, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
1 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
ABAS 21 21 21 21 21 21 21 21
BLAH,BAI SITTIE ZAAPHRIA, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
2 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
ABUGANTAO 21 21 21 21 21 21 21 21
DEOCAMPO,AMELYN, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
3 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
CACHUELA 21 21 21 21 21 21 21 21
FASOY,SITTIE SHARLOWE, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
4 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
TAYUAN 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
5 GUIAMADEL,BUKA, ESMAEL 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
6 IBRAHIM,ASLEAH, BANTAWI 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
7 KANAKAN,RAISA, MAULANA 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
LUMENDA,NORSAIDA, 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
8 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21 10 07 21
MOHAMMAD 21 21 21 21 21 21 21 21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
9 MACMOD,JUMARA, GUIABEL 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
10 MACMOD,ZAHARIA, ABDUL 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
11 OLIVARES,PHRINCESS, REYES 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
12 PATIANG,ALEA, VELASCO 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
13 SANDAY,ROHAINIE, PEREZ 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20 10/28/20
14 UDI,MOHAIRA, ABAS 10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
10 07 21
21
14
<=== TOTAL FOR FEMALE | 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
TOTAL COPIES ===>
40
<=== TOTAL LEARNERS | 40 40 40 40 40 40 40 40 40 40 40 40 40 40 40 40
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. 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
NASMER KAMSALI BEMBI NAS
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if s.2001, DO#25, s.2003, DO#14, 2.2012.
needed.
Generated thru LIS
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____
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