School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID 107886 School Year 2018 - 2019
School Name MOLINO ELEMENTARY SCHOOL Grade Level Grade 6 Section GOMEZ
ESP Mathematics TLE Subject Subject Subject Subject Subject Subject Subject
N NAME Area & Area & Area & Area & Area & Area & Area & REMARKS/ACTION TAKEN
(Please refer to the legend
o. (Last Name, First Name, Middle Name) Title Title Title Title Title Title Title on last page)
3-Jun 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
BANCE, JOHN JETTRICK / /
2 / / /
BAUTISTA, MATTHEW L.
3 / / /
BIGAYAN, NOEL CHRISTIAN B.
4 / / /
BLANCO, JULIUS P.
5 / / /
BORJA, JOHN MICHAEL
6 / / /
CERIOLA, ADRIAN PHILIP L.
7 / / /
COMMISSION, DAVE
8 / / /
CORTEZ, RENIE BOY G.
9 / / /
ESPAÑOL, ANDREW G.
10
GERVACIO, JOSHUA / /
11 / / /
LOBRIGO, DAN EDZEL M.
12 / / /
MINA, JOHN RUSSEL M.
13 / / /
MIONES, MARLON S.
14
OROCEO, CHARLS KYLE D. / /
15
ROQUE, PRINCE LHOUMER C. / /
16
SARTONES, JOHNRAY V. / /
17
SEVILLO, JOHN DAVE B. / /
18
SIOSON, JOSHUA EZEKIEL M. / /
19
SULAY, MANDY JEWEL M. / /
20
SWING, JUDE B. / /
21
TRINIDAD, SYREL BENJAMIN O. / /
22
VILLANUEVA, CHRISTIAN MILES / /
1 / / /
ASUNCION, DENISE JHILAIN E.
2 / / /
BACUS, MARIE FRANCE M.
3 / / /
BEAZAR, HANIA O.
4 / / /
CABALAN, QUINNE ZHANELLE S.
5
CLAROS, DANIELA DOLORES A.
6 / / /
DADES, SHIELA MARIE F.
7 / / /
DE ESA, LORRAINE E.
8
LEGASPI, ESTEPHANIE
9 / / /
MANSUBRE, TRITIAN JEWEL B.
10 / / /
MAQUERAS, JANESSA MARIE A.
11 / / /
MARILAG, ANNA MICHAELA V.
12 / / /
MARINADO, STEPHANIE JOY C.
13 / /
MESA, JHOANA MARIE A.
14 / /
NATO, JANNAH ASHLEY A.
15 / /
OBLIGASYON, ASHLEY NICOLE E.
16 / /
OSAYAN, ALEXIA JANELLA R.
17 / /
RODRIGUEZ, RAMONA SOFIA P.
18 / /
ROQUE, CHLOE HANNE B.
19 / /
SAPITANAN, JHANELLA MAE G.
20 / /
SERRANO, JANAE ADA D.
21 / /
SERENIO, JEANREE JOY T.
22 / /
SERGIO, JHONA MAE C.
23 / /
SUGUILON, NORAINE D.
24 / /
TIDO, LINIE M.
25 / /
TINGAL, MA. ANGELICA E.
26
TOLENTINO, MAYBELYN B. / /
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 adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
2. The Date of Issuance and the Date of Return shall be reflected in the form. NEG=Negligence JIMMY L. NARCISE
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
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted (Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by
needed. the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
2.2012.
Generated thru LIS
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____
