Republic of the Philippines

Department of Education
Region VII-Eastern Visayas
Schools Division of Leyte
TABANGO NATIONAL HIGH SCHOOL
Tabango, Leyte

Book Issuance Form

Grade Level & Section:________________________
9 - DAHLIA School Year:__2021-2022______
Date Issued:__SEPTEMBER 24, 2021_____ Date Returned:______________________

REMARKS/ACT
EDUKASYON
NAME Physical ION TAKEN
No ARALING SA MUSIC &
(Last Name, First Name, Middle ENGLISH FILIPINO MATHEMATICS SCIENCE Education & TLE (Please refer to
. PANLIPUNAN PAGPAPAKAT ARTS
Name) Heath the legend on last
AO
page)

(Type Serial No. (Type Serial No. (Type Serial No. here) (Type Serial No. here) (Type Serial No. (Type Serial No. (Type Serial No. (Type Serial No. (Type Serial No.
here) here) here) here) here) here) here)

1 ALARDE, EDWIN JR. D.

2 AROPO, MARK PAUL R.

3 AYADE, JAY FORD

4 BARRIO, LEO JR. C.

5 CATASON, ROMEL Q.

6 DALUT, JOHN MARK

7 DAMAYO, ALFRED LAURENCE S.

8 DELA CRUZ, BEJAY N.

9 DUROTAN, RUSSEL A.

10 FABOR, MARK JASPER M.

11 FERNANDO, JAYLORD R

12 FRANCISCO, GABRIEL V.

13 GARCIA, GREEN T.

14 LATO, JAMES O.
15 LATOY, MARK DHONALD E.

16 LAYCO, JOHN CRIS D.

17 LUCEÑO, CRISTAN

18 MAJAIT, KHOBY NORMAN J.

19 MANRIQUEZ, HERBERT JR. F.

20 MENDOZA, LORD ANDREI M.

21 NOYNAY, KAI XUAN

22 OLASIMAN, MELVIN

23 OLIN, FRITZ BRYAN S.

24 PANGHILINO, CHRISTIAN O.

25 PUTONG, MARK JAMES D.

26 REMORTA, DEX EUGENE B.

27 SIMBAJON, JUNREY L.

28 TAYONG, RONALD A.

29 VELOSO, ROYET JOHN P.

30 VELASCO, STEVE

31 VILLABETO, RODERICK M.

32

33

<=== TOTAL FOR MALE | TOTAL

33
COPIES ===>

1 ANG, KYRSTYN CENER S.

2 ARATEA, GREIZEN MAE M.

3 ARNOCO, CRISHA MAY C

4 ARROGANCIA, MERRY AUDRAY D.

5 BACAY, JEMAICA C.

6 BARING, ANN GIELA

7 CAÑETE, VANESSA C.

8 CONSON, CHRISTINA MAE L.

9 CRISTOBAL, AIZA A.
10 DAGOY, ALEAH MAXENNE G.

11 DALUT, ROSELYN S.

12 DELOS REYES, JOIELYN M.

13 ENCIENZO, RACHEL F.

14 ENSO, CHESKA M.

15 GENON, JENNY ANN F.

16 GERUNDIO, DIANE B.

17 JORDAN, HANNAH MARIE C.

18 LASTIMOSO, CAREN D.

19 LAURENTE, CRISLYN D.

20 LAURON, REZA MAE M.

21 LLENES, JESSABELLE S.

22 MORILLA, JANNEL S.

23 MORILLA, RIZA O.

24 PENADOS, CLOWIE F.

25 RECOLA, MARY JOY D.

26 RICO, CAMILLE G.

27 SUMALINOG, RACHIAN N.

28 TEXON, KEITH ASHLEY A.

29 VENCE, JEAN CAREY E.

25

26

<=== TOTAL FOR FEMALE | TOTAL

26
COPIES ===>
<=== TOTAL LEARNERS | TOTAL
59
COPIES ===>

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 to School Property Custodian (for code TDO),
RAQUEL E. BONTES
PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
Name of the Adviser Over Printed Name