School Form 3 (SF3) Books Issued and Returned For Senior High School (SF3-SHS)

School Name Bulan National High School School ID 302190 District Bulan South Division Sorsogon Region Region V

Semester First Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand Academic Track -Humanities and Social Sciences

Section HUMSS 11-A Course (for TVL only)

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 /
Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference /
NAME Code Code Code Code Code Code Code Code Code Code
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
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 CONCINA,JOREL TOLEDO

2 CRISOLOGO,YURI EDMAR -

FURISCAL,IRVEN BRYCE
3
CALUB

4 GERALDINO,JAYWEL GUTLAY

5 GOJO,CARL HERNANDEZ

GOYAL,MARK TROYLAN
6
BAÑAGA

7 GUELAS,MARK NARES

GUTAY,RON-RON
8
ESPERANZATE

9 LLORCA,MARK DE LA CRUZ

10 RAHIM,MASS RASHAD AVINIR

11 RECTRA,DRANREB GRONA

REGULACION,ROMIL
12
MANALLO

13 SO,JOHN MARK PORCALLA

SUS,GRANT JERICO
14
VALERIANO
TANGLIBEN,MARK JEM
15
GLOMAR

TOTAL MALE===>
 BARTOLATA,SHANE JEN
1
VERQUES
BERDIN,CASSANDRA MARIE
2
AGOVIDA

3 BONA,DIANE GENETIA

4 DAMIAR,MARJORIE SALES

DECHAVEZ,CHLOE MAVE
5
GUAN
DELUMEN,RHIANN JOY
6
GREGORIO

7 DILAO,DENISSE ESPELA

8 DULPINA,KARA HUGO

ESCUDERO,LEA ANGELA
9
MORATA
EVASCO,RAINEILLE FAITH
10
ALMORADIE

11 GERNALE,LEA GUAÑIZO

GERSALIA,RACHEL JULIA
12
LLANETA

13 GEUL,BHEA MARIE CO

GOJO,ELLEN GRACE
14
BALDILLO

15 GOLPEO,ARA JANE GRANADO

GRANADO,TRISHA ANNE
16
CIMANEZ

17 GUELA,ANGELICA HAYAHAY

18 HUET,JAZMINE GUNAO

INFANTADO,CHARLYN
19
GUTLAY

20 JAMUAT,ALTHEA GLORIANE

21 JAO,KHEN PRESADO

22 LOTERTE,REA LYN SESTINA

23 LUMA,ANGELICA REPALDA

MOHAMETANO,HANNAH
24
ROSE GUAÑIZO

25 PEREZ,JENNILYN ASTILLERO

26 SUCAYAN,SHEKAINA BORRAS

TOTAL FEMALE===>
 COMBINED ===>
GUIDELINES:
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.
Prepared By:
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 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, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.