School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 301815 School Year 2022 - 2023

School Name Bical High School Grade Level Grade 10 (Year IV) Section FRANKLIN
Subject Area & 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 /
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 legend on last
. page)
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 ABILLANO,RONALD, IBANEZ

2 ARDALES,JOHN KERBY, BAS

BALAGUER,HERRON,
3
BATALLER

4 BALANA,BERNARD, PADERNA

5 BALES,JOHN RAY, NAEL

6 BALICTAR,JEREMY, ROMANO

BARQUILLA,EDRIAN,
7
BOTICARIO

8 BAS,REY MARK, BERGONIO

BASILIO,REYMART,
9
BAÑADERA
BELLEN,JHOLAN JAKE,
10
BALAORO
BERNAL,MIKE LAWRENCE,
11
BANDOLA
BERSABE,MARK ANTHONY,
12
ASIO

13 BONGANAY,JOSHUA, REYES

ESPINAS,FRANK JOSEPH,
14
BATALLER

15 GELIN,YLLDRINE, BAUTISTA

16 TIUECO,REYCO, BALBIN

VALMORIA,ZEPHANIAH
17
MOZART, BANDAGOSA
<=== TOTAL FOR MALE |
17
TOTAL COPIES ===>
ANDA,MIA SABRINA,
1
BANDAGOSA

2 BALDERAMA,MADEL, OBEROS
 BANDOJO,ANGEL ROSE,
3
BELMONTE

4 BANDOLA,PINKY, -

5 BARONIA,MARISSA, REGASPI

6 BARRA,NURKISSA, BASISTER

BELARDO,BABY LYNN,
7
BALINES
BERNALDEZ,BABY JONALYN,
8
BELISTA

9 BERNALDEZ,JULIE, BELISTA

BORCELIS,JERA LYNN,
10
ASUERO

11 DEJITO,LEANN, BALUNSAY

12 LABASTIDA,DARLYN, BALES

RAMOS,FLORIE MAE,
13
ECHALUCE
RODRIGUEZ,JAZMINE,
14
COLEGIO
<=== TOTAL FOR FEMALE |
14
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
31
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.
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
MAY CAMILLE ROBRIGADO MERGELINO
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.

Generated thru LIS

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