School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID 158541 School Year 2019 - 2020

School Name Alejandro E. Flores, Sr. Elementary School Grade Level Grade 1 Section HONESTY
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
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

1 AMARO,RAYBEN, OLAIVAR

AZAÑA,PRINCE JERWIN, DELA

2
CRUZ

3 BASTON,NIÑO, GARROTE

CABANELA,ROMEL, DELA
4
CRUZ
DACER,KHEN REYSAN,
5
PLACIDO
DELA CRUZ,CHRISTIAN,
6
BOLANTE
DELA CRUZ,JHON MICHAEL,
7
BORAC

8 DUMAYAG,REMEL, REPUYA

FIDELLAGA,CARL CHRISTIAN,
9
PLACIDO

10 FLORES,ROMEO, DELA CRUZ

11 GARROTE,DANIEL, ANGELES

MALATE,DOMINGO, III
12
MANUEL

13 MARTIRES,LORENZ, PLACIDO

MARTIRES,THAICY RENZ,
14
ALARCON

15 SAPOL,VINCE JHAYZEIL, -

16 SUENIO,RITCH KYLE, LOYOLA

<=== TOTAL FOR MALE |

16
TOTAL COPIES ===>

1 ANGELES,ATHENA, -

2 ANTONIO,JAMAICA, ABAY

3 CAÑAS,NELLO JANE, PLACIDO

4 NUÑEZ,JOLINA, NIEGAS

ROSETE,JANEL ANN,
5
SOLEYBAR
SAN JOSE,ALTHEA MAE,
6
ANGELES
SURIMA,PRINCESS SANDY,
7
BARNUEVO

8 TORRES,ANGEL, VIOLATA

VALDEZANSO,JM REGINE,
9
BERNABE
<=== TOTAL FOR FEMALE |
9
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
25
TOTAL COPIES ===>
In case of lost/unreturned books, please provide information with the Prepared By:
GUIDELINES:
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 PINKY JANE PIADOZO PAPA
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 form. by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by
4. The Total Number of Copies of Books Returned at the EoSYshall be the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
reflected in the form.
5. All textbooks being used must be included. Additional copies of this form Generated thru LIS
may be used if needed.
Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____