School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 136595 School Year 2023 - 2024

School Name Rivera Village Elementary School Grade Level Grade 4 Section EINSTEIN
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 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

AMORGANDA,IANDHIEL,
1
LUZANO
CABAIS,MARK DANIEL,
2
YANSON
CAñOTAL,JERSON VINCE,
3
RAGRAGIO
CASTRO,JOHN RAVEN JR.,
4
BENITEZ
COLARDE,JOHN PAUL,
5
MILLAMA
CORTEZ,JOHN CHRISTOFF,
6
PAYAD

7 DELOS SANTOS,ELICRIS, -

ENRIQUEZ,ALEX KIM EDDIEN,

8
ELIZAGA

9 GATEL,ROCKY JOHN, MERON

GUATNO,LOUIS VINCENT,
10
CAYAGO

11 LAZARO,ZHED IVAN, OCAMPO

MARIÑAS,ZACKARY
12
DANIELLE, ALBANIEL

13 MATIAS,JHAIDEN, PUPA

14 MILLA III,MARTIN, LASAFIN

OLASO,PRINCE GABRIEL,
15
YANSON

16 PARAZO,JAY-PEE JOE, REPIA

17 RAMOS,BENJAMIN, -

18 REMENTILLA,REVILO, REYES

19 ROMERO,EZEUS, TABON

SORIANO,TYRONE JEAN,
20
TACTAQUIN
21 SOTTO,LIAM REN, SALOME

22 TIMBAS,REYMARK, RAMIS

URDAS,TIMOTHY DAIZE,
23
OBLEA
<=== TOTAL FOR MALE |
23
TOTAL COPIES ===>
ALENDAJAO,SOFIA RONETTE,
1
ROSARIO

2 BERNAS,SOPIA, R

CABALLERO,KATHERYNE,
3
OLIVA
CAMEJA,MARITHEA,
4
DIOCAMPO

5 CARINGAL,XYZA, BENTULAN

DELA CRUZ,JADE CLOE, DELA

6
PENA
DELA CRUZ,MARGAUX
7
MISCHE, DE JUAN
DELOS NIEVES,JUSHLEEN
8
CHLOE, SANDOVAL
DIMAANGAY,SOPIA JANE,
9
CHIU

10 FRANCO,EUINAH JADE, OBAS

FUENTES,STEPHANIE BERN,
11
REYES
GANGGAY,SOPHIA GEM,
12
MESINA

13 GOLIM,EUNICE, -

MONTECALVO,KRISTINA
14
ROSE, VEDRA
MORES,NICHEL KAE,
15
LASTIMOSA
NALIX,CATHERINE,
16
SADUESTE

17 ORGASAN,XYRILLE, -

PARALES,BETHANY FIONA,
18
CATRIZ

19 REYES,DONABEL, PETRAS

RIVERA,KATHLYN,
20
CADAGUMAN
SANTOS,HAILEY, DELOS
21
SANTOS
TUAZON,PRECIOUS LOREN,
22
DITCHON

23 UBALDE,CRISTINA, CASTILLO
 ZAMORA,PRINCESS HERSHEY,
24
TODILLA
<=== TOTAL FOR FEMALE |
24
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
47
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
MARK ANTHONY HORTILLANO ESPAÑOLA
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: ___/___/_____