Sf3 - 2023 - Grade 5 - Masipag

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School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 122971 School Year 2023 - 2024

School Name Bobolosan ES Grade Level Grade 5 Section MASIPAG


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

AYUSON,LEIGH HALEQ,
1
ADARAYAN
BARANDA,MARC LOUJON,
2
TAROY

3 BERTOS,LANCE, CHICANO

4 CERBITO,JANRIEL, DULA

5 DULA,ROAN DAVE, LIPATA

6 LAGRIMAS,JESS, ORTEGA

7 LAGRIMAS,ROMEL, IRINCO

LIPATA,RHEIN MARK,
8
IGBUHAY

9 PELIGRINO,HUSEAN, LIPATA

<=== TOTAL FOR MALE |


9
TOTAL COPIES ===>
ACEBUCHE,MARLA,
1
REPOTENTE
CAPOQUIAN,DANICA MAY,
2
ESPARAS

3 CUEVAS,AIZYL MAE, LAPIAD

GALERO,CHLOE MARTHEENA,
4
GALIT

5 HIDA,NIKO, MOYA

LAGRIMAS,LENNY JANE,
6
QUIRANTE
LIAD,FHEY ASHLEI,
7
ACEBUCHE

8 LIPATA,CHIRA, ADORA

<=== TOTAL FOR FEMALE |


8
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
17
TOTAL COPIES ===>
Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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.
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
ERWIN PULGA ACEBUCHE
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if s.2001, DO#25, s.2003, DO#14, 2.2012.
needed.

Generated thru LIS

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

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