School Form 3 (SF3) Books Issued and Returned For Senior High School (SF3-SHS)
School Name Galutan NHS School ID 303543 District Catarman IV Division Northern Samar Region Region VIII
Semester Second Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand Academic Track -General Academic Strand
Section JEAN PIAGET Course (for TVL only)
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 /
Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference / Module / Reference /
NAME Code Code Code Code Code Code Code Code Code Code
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
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
BALLETA,JANJALANIE
1
SALAZAR
BALLETA,MARIANITO JR
2
TELEGRAFO
3 BELLO,JEVAN BULAN
4 BELLO,JR CANDELARIO
5 BELLO,SANDY UNAY
6 BOCBOC,KENETH YRUMA
BOL-ANON,AVRIL LOUIS
7
LEANO
8 CALAGOS,MARK PAGADORA
COLISAO,JOHN PAUL
9
TARINGTING
CUSTORIO,JIM HENRY
10
CARANZO
11 DIONARCE,JOEMAR OLESCO
12 EVANGELISTA,SHAMIL UY
13 FUESTO,EDUARDO PAJES
14 LABOLABO,RUBEN AZIBAR
15 OTAC,ALMOND OLESCO
PAREDES,JOHN ALBERT
16
CAHUSAY
17 SALUDARIO,JAYSON -
18 SARASPI,FRED JHON JUBASAN
TOTAL MALE===>
1 ANQUILO,MARY ANN -
ARGENIO,REYCHELL JOYCE
2
GANNABAN
3 BALLETA,GRECIAH SALAZAR
4 BALLETA,JESSA DAPULAG
5 BALLETA,SHIELA DORICO
6 BATCHICHA,RIZA QUINTIN
7 BELLO,CHRISHELL BULTRON
8 BOCBOC,TRISHA LAMBERTE
BULAN,ROCHELLE
9
CALINDONG
10 CABANES,CELIA DE GUIA
CONGAYAO,ELIZABETH
11
DALMACION
12 DELORITO,JOVELYN GUERIñA
13 DULARZA,JEAN L
14 GALUPO,EME ROSE PEREZ
15 GOTIHER,PRINCESS SUMAYOP
16 HERRERA,CRISTY LYN -
INTERIOR,MA ALAIZA
17
SACATE
18 LAMBERTE,ANGELA BOCBOC
19 MARINO,RENA CALAGOS
MORALES,CRISTY JOY
20
AQUINO
21 SALDO,IVY ATENCIO
22 TONOG,AILENN GETIGAN
TORCULAS,MARY GRACE
23
SUSON
24 YRUMA,MARJELYN GOCO
TOTAL FEMALE===>
COMBINED ===>
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. 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. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
3. The Total Number of Copies issued at BoSY shall be reflected in the form. parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
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.