School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 302320 School Year 2019-2020

School Name Maloco NHS Grade Level Grade 10 Section Pascal

Mathematics Physical Education and Science Horizons Edukasyon sa Panitikang Filipino Journey to World Literature
Health Learner's Pagpapakatao
NAME Learner's Materials Materials Learner's Modyul para sa Mag-aaral
N Learner's Materials Materials Kagamitan ng Mag- REMARKS/ACTION TAKEN
(Last Name, First Name, (Please refer to the legend
o. aaral 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

1 Ascaño, Jhon Ronald D. ### ### ### ### ### ###

2 Del Carmen, Keith Lloyd S. ### ### ### ### ### ###

3 Del Carmen, Jann's I. ### ### ### ### ### ###

4 Gumboc, Mark Roan M.

5 Jontilano, Dhan Deny S. ### ### ### ### ### ### ###

6 Oyrando, Aaron Joseph G. ### ### ### ### ### ###

7 Perucho, Denz Gian S. ### ### ### ### ### ### ###

8 Repesencia, Andro M. ### ### ### ### ### ### ###

9 Samuya, Rodmar E.

10 Vargas, Ryan Andrie P. ### ### ### ### ### ### ###
<=== TOTAL FOR MALE | 8 4 8 8 8 8 8
TOTAL COPIES ===>

1 Araneta, Joana Marie A. ### ### ### ### ### ###

2 Balatico, Esperanza S. ### ### ### ### ### ### ###

3 Candol, Patricia F.

4 Dailisan, Divina A. ### ### ### ### ### ### ###

5 Española Mary Ann

6 Francisco, Freziel M.

7 Fortu, Erica F.

8 Magluyan, Glece May B. ### ### ### ###

9 Magpusao, GJ V. ### ### ### ### ### ### ###

10 Magpusao, Maridel D. ### ### ### ### ### ### ###

11 Magpusao, Natasha Lyn C. ### ### ### ###

12 Magsael, Elsa A. ### ### ### ### ### ###

13 Salido, Denise Anne B. ### ### ### ### ### ### ###
14 Sallador, Caisy I. ### ### ### ### ### ###

15 Sapolmo, Raven S.

16 Segarra, Jenny D. ### ### ### ### ### ### ###

17 Sitjay, Andrea Joy E. ### ### ### ### ### ### ###

18 Solivel, Anna Marie S. ### ### ### ### ### ###

19 Sorrosa, Alnie B. ### ### ### ### ### ### ###

20 Sorrosa, Krizna Aira P. ### ### ### ### ### ###

21 Suerte, Hennah Marie S. ### ###

22 Suñer, Niña Joy C. ### ### ### ### ### ###

23 Suyod, Lyca May T. ###

24 Tamayo, Meryvic A. ### ### ### ### ###

25 Tersol, Trixia May D.

26 Tumbocon, Maybelyn T.

27 Urbe, Cindylexious D. ### ### ### ### ### ### ###

28 Villanueva, Nikka M. ### ### ### ### ### ### ###

<=== TOTAL FOR FEMALE | 12 20 19 17 17 20
TOTAL COPIES ===> 17
<=== TOTAL LEARNERS | 38 38 38 38 38 38 38
TOTAL COPIES ===>

In case of lost/unreturned books, please provide information with the following code:

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 JEAN CARLA M. ALAG
FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code
TDO), 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: 06/03/2019 Date of EoSY: ___/___/_____