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School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 107858 School Year 2018 - 2019

School Name Dagatan Elementary School Grade Level Grade 5


21st Century Mathematics Joy In Learniiing English Science Beyond Borders Ugaling Filipino sa Mkabagong Araling Panlipunan Alab Filipino Kaalaman at KasanayanTungo sa Halina't Umawit at Gumuhit
Panahon Kaunlaran
NAME
No
(Last Name, First Name, Middle
.
Name) Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

ABORDO,CHRISTOPER, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
1
ROSALES
ANONUEVO,ELJUN CYLE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
2
CLET
AZOTILLO,JACKSON, JR 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
3
DAVID
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
4 BAY,KENT TIMOTHY, GAAD

BAYOT,DANIEL, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
5
PRODIGALIDAD
BOLANO,RONALD, JR 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
6
CASABUENA
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
7 CASI,IVAN JAMES, BAYOT

4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
8 CELIS,GERALD, SAUT

HERNANDEZ,EHRREN DRAKE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
9
DE LEON
HERNANDEZ,JOHN MARK, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
10
MORADA
LABISTE,JOHN PATRICK, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
11
TITONG
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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4/6/2018 5/4/2019
12 LITA,JHONLOYD, TAMAYO

LOYOLA,EXEQUIEL SHAWNE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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13
SAN PEDRO
MADRIDANO,JOHN ROY, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
14
NIEPE
RAMILO,RHENZO, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
15
SANTILLESES
SAUT,JOHN MICHAELLE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
16
GONZAGA
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
17 TARIG,MERVIN MIEL, BAYOT

<=== TOTAL FOR MALE |


17
TOTAL COPIES ===>
ALCALA,ANDREA SOFIA, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
1
DOROMAL
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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2 APITAN,HAZELYN, MALILLIN
Section SAMPAGUITA
Masigla at Malusog na Katawan at Suhay
Isipan
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Date Date
Issued Returned Issued Returned

4/6/2018 ###
5/4/2019 4/6/2018 5/4/2019

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5/4/2019 4/6/2018 5/4/2019

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3 BALINGIT,PRINCESS, ROGELIO

BAYOT,LEINELLE ASHLEY, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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4
BELAMIDE
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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5 BERMAS,LYZA JANE, PACON

BONETE,DANICA ROSE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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6
BARCIA
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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4/6/2018 5/4/2019
7 CANILLO,MARIBEL, BROZO

CANO,TRIX ANGELA, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
8
GULIMAN
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019
9 CORTIZANO,MARJORIE, REYES

CUPINO,ZYRILLE KATE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
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10
CABANTOG
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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11 DACOBA,NICOLE, BRINGINO

DE LEON,ALENNAH ASHLEY, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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12
AMBION
DE LUNA,YUCIE LEE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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13
CABALLAS
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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14 EDILO,SHEREE MAE, SALAZAR

ERAYA,HEART STEPHANIE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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15
ANGCANAN
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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16 FUEGO,KARMEL, EGUIA

LLAMAS,SAMANTHA FAITH, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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17
MOJAR
LUNAS,RHICIA ANDREA, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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18
ILUZADA
4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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19 MAYA,GLYZA JANE, LAÑOJAN

4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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20 POMAREJOS,JEN, CLET

4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


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21 REYES,JAYME, BRINGINO

4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
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22 SALAYSAY,SHIELA, -

SALAZAR,MARIA CATHERINE, 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###


4/6/2018 5/4/2019 ###
4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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23
PANTUA
SOGABO,MARTYNA 4/6/2018 5/4/2019 4/6/2018 5/4/2019 ###
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4/6/2018 5/4/2019
24
LORAYNE, DINGLASAN
<=== TOTAL FOR FEMALE |
24
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
41
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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.
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), PTL=Paid by the Learner (for code NEG). References:
ROSALIN
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012. (Signature
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
4/6/2018 ###
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ROSALINA J. RESURRECCION
(Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if needed.

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


Generated thru LIS

_/_____ Date of EoSY: ___/___/_____

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