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
Title/Module: Title/Module: Code QQuarter 2 AP Title/Module: Title/Module: Quarter 2
Title/Module: Quarter Module 3 & Quarter 2 Quarter 2
NAME Quarter 2 Quarter 2 2 4 Title/Module: Module 3 Module 3 & 4
No Module 3 & 4 Module Module 3 & 4 Quarter 2 &4 Module 3 & 4
REMARKS/ACTION TAKEN
(Last Name, First Name, Middle (Please refer to the legend on last
. Reference 3&4 Reference Code: Module 3 Reference Code: Reference Code: page)
Name) Code: _____________ Reference Code: _____________ &4 _____________ _____________
_____________ Reference Code:
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

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
1 ABAS,FAREEZ, KANSI 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

ABDULRAHIM,JOHAIBER, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
2
KINUDALAN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
3 ABPAG,MOHAMMAD, ADZIS 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
4 ACAS,BENIDICK, LICO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
5 ACOB,NORHAIMEN, MIDTALIN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

AKONG,ALLADIN, DELOS 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
6
SANTOS 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

ARUYOD,MOHAMMAD JR, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
7
SOLAIMAN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
8 CHING,PAOLO MILES, - 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

DEOCAMPO,JOSHUA JOHN, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
9
CACHUELA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

GONZALES,PHILIP JAMES, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
10
BESA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
GUIALEL,PRINCE MUHAMMAD 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2
11
SAUDI, CALIM

GUILANG,ALMANSOUR, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
12
GAMAO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

IBRAHIM,AL NEESAM, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
13
MAROHOM 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
14 KANAKAN,RAYAN, MAULANA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
15 KARINDA,NAJIB, BUTO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
16 KUSAIN,MOHAIMEN, MAGUA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

17 MAS,ARCHIE, ARCADIO

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
18 MOHAMAD,EMAN, ANAN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
19 PIÑOSO,RUSTY, TOMAROY 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
20 SAGADAN,DATU ALI, GABATO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2
 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
21 TAHIR,ALADIN, ABDULLAH 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
22 TASIL,SALAHUDIN, LAUBAN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
23 TUAN,ALNOR, ODIN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
24 UMPAT,FHAISAL, LATIP 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

ZACARIA,MAHMUD, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
25
MOHAMMAD 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
26 ZULUETA,BENEDICT, S 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

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, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
1
ABAS 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

BLAH,BAI SITTIE ZAAPHRIA, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
2
ABUGANTAO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

DEOCAMPO,AMELYN, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
3
CACHUELA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

FASOY,SITTIE SHARLOWE, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
4
TAYUAN 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
5 GUIAMADEL,BUKA, ESMAEL 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
6 IBRAHIM,ASLEAH, BANTAWI 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
7 KANAKAN,RAISA, MAULANA 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

LUMENDA,NORSAIDA, 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
8
MOHAMMAD 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
9 MACMOD,JUMARA, GUIABEL 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
10 MACMOD,ZAHARIA, ABDUL 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
11 OLIVARES,PHRINCESS, REYES 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
12 PATIANG,ALEA, VELASCO 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
13 SANDAY,ROHAINIE, PEREZ 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202 111 1/25/202
14 UDI,MOHAIRA, ABAS 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2 2022 2

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.
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
NASMER KAMSALI BEMBI NAS
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: ___/___/_____