School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 180047 School Year 2023 - 2024

School Name Edmundo Dayot MPS Grade Level Grade 3 Section EMERALD
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 Subject Area & Title

NAME
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 BARIGUEZ,JENCEL, ROCHE

2 BAYLEN,ALFEE, NARCISO

CHAVEZ,CHAD DEREK,
3
VILLOTE

4 LUCHAR,JUSTHINE, BEGAYO

LUCHAR,KYLE JAMES,
5
PATANAO
MELOCOTON,DOMINIQUE
6
JOVAN, PEÑA

7 PARILLON,CARLO, LABISTE

8 PASQUIN,FELIX, FRANCO

PEÑAFIEL,ALEXANDER,
9
SARGADO
PEÑAFIEL,JAN LESTER,
10
CAPILLO
PENETRANTE,MICHAEL KINJE,
11
LAZO
PEREZ,JONATHAN JR,
12
PEÑAFLORIDA
<=== TOTAL FOR MALE |
12
TOTAL COPIES ===>
ALINCASTRE,KHEIRA
1
SAMANTHA, MAG-OSARA
ARSENIO,JAZLYN GAIL,
2
PASTERA
CAABAY,LHORIEGN,
3
PEÑAFIEL
 4 CARISMA,YHASMEEN, NANIT

DE LA VILLA,ALEXANDRA,
5
BARNESO
DIVINAGRACIA,MARIALYN,
6
CANJA
PELOTEA,STEPHANIE,
7
CAMACHO
PEREZ,ASHLEE SAMANTHA,
8
LUMBO
<=== TOTAL FOR FEMALE |
8
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
20
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
WYLIE ARROYO BAGUING
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: ___/___/_____