School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 301065 School Year 2019 - 2020

School Name Potrero NHS Grade Level Grade 8 (Year II) Section 8STE
SCIENCE 8 MATH 8 MAPEH 8 ENGLISH 8 APAN 8 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

CALMA,RAM EDWARD, 4/6/2019 4/6/2019 4/6/2019 4/6/2019

1
VILLANUEVA 4/6/2019
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
2 CASTILLO,JAREN, SALENGA

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

3 DIWA,SEAN, FERNANDO

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

4 LEGASPI,NEHEMIAH, TURLA

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

5 ORIO,MARKY, TALAVERA

QUEVEDO,TOMAS MIGUEL, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/11/2019

6
OCAMPO
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
7 SALAS,JOSH ALMHAR, DAVID

SICAT,JOSE EMMANUEL, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

8
ALMEDA
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
9 VILLANUEVA,DANIEL, GUINTU

<=== TOTAL FOR MALE |

9
TOTAL COPIES ===>
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
1 BACANI,CHALSEIA, AGUILAR

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

2 CANLAS,ELAIZA JABE, SIGUA

CANLAS,JERLEY MAE, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

3
GALANG
CATACUTAN,JEARALYN, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
4
CABRERA
DAVID,MA RIEZEL MAE, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
5
ESGUERRA
GOPEZ,LEANNA EINGEL, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
6
SARMIENTO
GUTIERREZ,MARGOTTE 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
7
SIMONE, MEDALLON
LAMPA,ANDREA SHANTELLE, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
8
BALANGUIT
MALIT,ELISHA CHLOEE, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
9
PANLAQUI
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
10 MAMBREBE,ELYZA, QUIZON
 MIRANDA,CHAZTER DREW, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
11
GONZALES
PANGAN,JASMINE CLAIRE, 4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
12
LISING
4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019
13 PANGILINAN,RAIN, MUNOZ

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

14 SALENGA,LARA JOY, NICASIO

4/6/2019 4/6/2019 4/6/2019 4/6/2019 4/6/2019

15 TAYAO,TIFFANY, DE GUZMAN

TULO,ANDREA NICOLE, 4/6/2019 5/6/2019 5/6/2019 5/6/2019 4/6/2019

16
BALLADARES
4/6/2019 5/6/2019 5/6/2019 5/6/2019 4/6/2019
17 TULUD,CHESKA, GALURA

<=== TOTAL FOR FEMALE |

17
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
26
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 adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
2. The Date of Issuance and the Date of Return shall be reflected in the form. NEG=Negligence ROSITA CAGUIN CAYANAN
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School (Signature of Adviser over Printed Name)
in the form. Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for
5. All textbooks being used must be included. Additional copies of this form code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
may be used if needed.
Generated thru LIS

Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____