School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 300812 School Year 2017 - 2018

School Name Juan R. Liwag Mem. NHS Grade Level Grade 7 (Year I) Section MASUNURIN
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
N REMARKS/ACTION TAKEN
(Last Name, First Name, (Please refer to the legend
o. on last page)
Middle 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

BARDINAS,LEI ALDRIN
1
SOLEDAD
CANDELARIA,MARK JOSEPH
2
REYES

3 CORTEZ,JEREMIE GON

DE OCAMPO,JUSTIN JOLO
4
MATEO
JAVIER,CARL MICHAEL
5
FRANCISCO

6 JOSON,CEDRICK MARIÑAS

7 MANA,JONARD -

MASILANG,GERALD
8
TRINIDAD

9 OBUNGEN,JAYVEE OLINO

PACA-ANAS,DIOSITO JR
10
AMLANE
PAUNAN,LEBRON JAMES
11
DAVID

12 REYES,GREN CARLOS

SACDALAN,ARJAY
13
VALENCIANA
SAMSON,ARON PAUL
14
ARCEGA

15 SIMON,ALFIE FRANCISCO

TABALDO,JOHN ROVY
16
DUENAS
VALERIANO,IAN PAUL
17
CARLOS
<=== TOTAL FOR MALE |
17
TOTAL COPIES ===>
ALTIA,ROSEMARIE
1
CASANARES
ALZONA,RAVENCLAWN
2
ROQUE
 CAMINO,MIRACLE DELA
3
CRUZ

4 CAPINLAC,SHAMEL RAMPAS

DE JESUS,ANGELICA JOY
5
ONGPAUCO
FALCON,ANA ROSE
6
LINSANGAN

7 FALCON,JADE CORALDE

FRAYRES,MARICAR
8
ESCROPION
GARDUQUE,JUSTINE NICOLE
9
MIRHAN

10 GUERRERO,MEA ROMERO

JUAN,ALTHEA KYLA
11
DULDULAO

12 LEGASPI,JIELYN VITERBO

13 LORENZO,SHERIE MEL D

14 MAGAT,A-JAY ESCUADRO

15 NAVARRO,JENNY DELA CRUZ

16 NICOLAS,ALIYAH LAMPANO

OPERARIO,KATE NICOLE
17
SONIGA
PANGILINAN,JELICA JADE
18
QUIRANTE

19 PIMENTEL,RYZA DIMALANTA

SIERRA,ANNA DELOS
20
SANTOS

21 SIOSON,LEAH ARESTA

<=== TOTAL FOR FEMALE |

21
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
38
TOTAL COPIES ===>
In case of lost/unreturned books, please provide information with the Prepared By:
GUIDELINES:
following code:
1. Title of Books Issued to each learner must be recorded by the class A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
adviser. NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly
form. signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted ELOISA BAYRO LACANILAO
3. The Total Number of Copies issued at BoSY shall be reflected in the form. by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by (Signature of Adviser over Printed Name)
4. The Total Number of Copies of Books Returned at the EoSYshall be the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
reflected in the form.
5. All textbooks being used must be included. Additional copies of
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____