SF3 - 2022 - Grade 4 - 1
SF3 - 2022 - Grade 4 - 1
SF3 - 2022 - Grade 4 - 1
NAME
N REMARKS/ACTION TAKEN
(Last Name, First Name, (Please refer to the legend
o. on last page)
Middle 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
CARNO,NATHANIEL JACOB,
1
CASTOR
3 CASIPLE,JOEREN, GARDOSE
LABORDO,DENEIR JAMES,
5
GECO
NAVIGAR,LAVAIGN JOHN,
6
LILIA
ROSCALES,LORENZ ANGELO,
7
CASTOR
<=== TOTAL FOR MALE |
7
TOTAL COPIES ===>
1 ARTUZ,ENGELICA, BITON
2 BALBALORE,EMILY, TAHOM
CALVO,SAURYN HEART,
3
GERAWA
4 CASTOR,SHAINA, BUFETE
CHIVA,BRIANNA JOY,
5
NAPALLACAN
EULALIO,KRISNHA JADE,
6
CERBO
GECO,MICHAELA SOPHIA,
7
DESPAIR
GIGANTO,ALLYSA MAE,
8
BUNGCALAN
9 GIGANTO,KRISTIA, FADUGA
LABISCASE,JEALOU
10
FRANCINTH, NARCE
MAHILUM,SAMANTHA
11
ALLEJAH, TOLENTINO
PATRIARCA,ELVE GRACE,
12
BACERA
SUALOG,HANNAH CHERISH,
13
MANDATE
<=== TOTAL FOR FEMALE |
13
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
20
TOTAL COPIES ===>
In case of lost/unreturned books, please provide information with Prepared By:
GUIDELINES:
the following code:
1. Title of Books Issued to each learner must be recorded by the class A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
adviser. NEG=Negligence MANILYN PEDROSO AREVALO
2. The Date of Issuance and the Date of Return shall be reflected in the B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly
form. signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted (Signature of Adviser over Printed Name)
3. The Total Number of Copies issued at BoSY shall be reflected in the by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by
form. the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
4. The Total Number of Copies of Books Returned at the EoSYshall be 2.2012.
reflected in the form. Generated thru LIS
5. All textbooks being used must be included. Additional copies of this form
may be used if needed.
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____