School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 102271 School Year 2022 - 2023

School Name Cabaruan Elementary School Grade Level Grade 1 Section SAMPAGUITA
MATHEMATICS 1 - Kagamitang FILIPINO 1 - BUMASA AT ARALING PANLIPUNAN 1 - EDUKASYON SA Subject Area & Title / Module Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title / Subject Area & Title /
ng Mag-aaral - ILOKANO SUMULAT - Kagamitan ng Mag- Kagamitang ng Mag-aaral - PAGPAPAKATAO 1 - / Reference / Code Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference /
aaral ILOKANO Kagamitang ng Mag-aaral - Code Code Code Code Code
NAME
No ILOKANO 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

BACONGALLO, MARC LESTER,

1 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
APOBETSAR
DELA CRUZ, MART ANGELO,
2 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
NEVADO

3 DELIZO, RENDEL, JAVIER 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023

EGIPTO, ALADORE JUDAH

4 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
MACLEANE, DEMETILLA
GACAD, RHAEMZ HEZEKIAH,
5 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
BARTOLOME
JAVIER, PRINCE DARWIN,
6 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
IBAY

7 MINA, ANGELO, SORIO 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023

MOISES, MARTYN ANDREI,

8 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
ANSELMO
NESPIROS, LIAM AIDEN,
9 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
NAGUINLIN
UBALDO, JUZTHIN ADAM,
10 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
CORBILLON

11 ULPINDO, AUGUSTIN, - 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023

<=== TOTAL FOR MALE |

11 11 11 11 11 11 11 11 11
TOTAL COPIES ===>
ALAY-AY, PRINCESS FIDELLE,
1 1/9/2023 7/3/2023 1/9/2023 7/3/2023 1/9/2023 7/3/2023 1/9/2023 7/3/2023
SABADO
ANDRADA, FRANCHEZKA
2 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
GAIL, BALLESTEROS
ANGELES, REGINE DOROTHY,
3 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
GRAMAJE
BALLESTEROS, SOLEN MAY,
4 12/5/2022 7/3/2023 12/5/2022 7/3/2023 12/5/2022 7/3/2023 12/5/2022 7/3/2023
VELASCO
CASTILLO, ANGEL BRENNA,
5 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
GATCHALIAN
CORTES, KRIZZIAMAE
6 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
SCARLET, GATCHALIAN
DELA PEŇA, PRINCESS
7 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
SAFARA, MALATE

8 FERNANDEZ, CLAIRE, JOSE 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
 MENDOZA, PRINCESS AKHIRA,
9 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
EGIPTO
MORLA, LEIZA MAE,
10 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
COLLADO
PERALTA, XTIANHENA CZI
11 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023 8/22/2022 7/3/2023
EHN JOY, ANDRADA
<=== TOTAL FOR FEMALE |
11
TOTAL COPIES ===> 11 11 11 11 11 11 11 11
<=== TOTAL LEARNERS |
22
TOTAL COPIES ===> 22 22 22 22 22 22 22 22
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 to School Property Custodian (for code TDO),
JULIE ANN BAUTISTA BASCOS
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)

Date of BoSY: 08/22/2022 Date of EoSY: 07/03/2023