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

School Name Temistocles A. Merioles, Sr. School ID 302110 District Uson-North Division Masbate Region Region V

Semester First Semester School Year 2022 - 2023 Grade Level Grade 11 Track and Strand Academic Track -General Academic Strand

Section Hercules 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

NAME
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 BAGON,JOHN CARLO OBIAL

BANAAG,MARK WILSON
2
PERIGRINO

3 BLANCA,ARJIE MENDOZA

BRAVO,RONIER JOHN CRIS

4
MISSION

5 CABUG,RYAN BANTAD

CANTRE,CHRISTOPHER
6
BOLANTE
CARBUNGCO,CLINT EJ
7
ALVARADO

8 CARDIÑO,ARLOS JHON -

CATARINING,ANGELO
9
CERVANTES
CRUZIN,CARL JUSTINE
10
MORENO

11 DAYDAY,DANDY VARGAS

12 FUENTES,DARYL MAYOR

13 GALABO,FRANCIS DENSING

GONZALES,LOUIE JAY
14
PARCON

15 GUAÑEZO,RAMIL IBAÑEZ

16 LIBANAN,DENRIK MIRASOL
17 MORENO,LAWRENCE VILLA

NACIONAL,JONATHAN
18
REBLORA
NIEGAS,BERNARDO
19
ARESGADO

20 PLANGE,JOHN LOID LUMBAB

21 PORIO,JEROME MISSION

22 PORIO,JOIRENE MISSION

QUERUBIN,LORENZ MIGUEL
23
GARGANTA

24 REPALDA,BOY EDAÑO

25 RIVERA,MARK JUDE VILLA

SABELLANO,JUGIE
26
COLAMBOT

27 SAMSON,MARLO COLES

TOTAL MALE===>

1 AYA,FLORETA MAE RIVERA

2 BULGAN,MARIZA DIGNOS

DE GUZMAN,KISHI MAE
3
ORIGINAL
DE LEON,CHRISTINE JOY
4
ORBISO

5 DOGOMEO,ANDREA DANAO

6 DOSIL,MARIFE ALMOSARA

7 GONZALES,DANA BAYAGUSA

MACADAT,MICHELLE
8
VELASVCO

9 MONARES,JOVELYN ROSALES

10 MORENO,LOVELY CUANICO

TOTAL FEMALE===>

COMBINED ===>

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
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.