school_form_3_ver2014.2.1.1School Form 3 (SF3) Books Issued and Returned(This replaces Form 1 & Inventory of Textbooks)School ID108480School Year2014 - 2015School NameSanta Rosa Elementary School Central IGrade LevelGrade 2SectionSTARGAZERNo.NAME(Last Name, First Name, Middle Name)Subject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleREMARKS/ACTION TAKEN (Please refer to the legend on last page)DateDateDateDateDateDateDateDateDateDateIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturned1ADANTE, MARKUS KAYLEB VALERIANO2ALINSOD, DAVE LEMUEL USI3ALMARINEZ, NICOLAS REDONDO4ALMIE, KENNETH AMARANTE5BABASANTA, OSWALD SELWYN ACUA6BARTOLAZO, RONALD ZOREN BABILONIA7BEATO, JUSTINE REYES8CARAIT, ADRIAN BENEDICT MAGAT9EBESATE, KYLE DANHIL BAYA10GOMEZ, LEI GION PAUL NACIONAL11GUEVARA, ANTON LUIS DIANASAS12LASERNA, GIAN ANDREI CAPUL13LAZO JR, OLIVER ASUNCION14NAVORA, SHAWN ZEDRIC MOOG15OLIMPIADA, JAHRED ORBAA16PUNZALAN, JOSHUA JOVICH ALMODOVAR17REAL, JHON ROGHIE MUNDA18SALIDO, JERVIN YAMBAO19SANTOS, JONARD MARFIL191ALITAGTAG, JILLIAN ROSE LAZO2ALZONA, VALERIE GAYLE DIZON3AMOR, ANGEL EUNICE TORRES4BAAO, NEZEL MAE DE GUZMAN5BUENO, SAICY JOY MONTERO6CATINDIG, RHOVILYN DIMAPILIS7CUA, SABRIAH YVONNE CLEWIN BELICANO8DE RAMOS, KASHNEIAH PATERNO9DICHOSO, KLOWIE SHAYNE MAGBATO10FABIOSA, MARIE BEATRICE SOLIS11FERRER, ROSE MAE MENDOZA12GABAYAN, SAMANTHA MALABONGA13GONZALES, CHRISTINE JOYCE CORRALES14MANGAHIS, ALTHAEA SISON15MIRANDA, CLARISSA MIRANDA16MORALES, ROMEENEIA EGAMINO17MUGAR, CLARICLYN IVON MASCARINAS18OLASO, CRISTINE JOY PRIMAVERA19ONOYA, YVESS LEINN ENCINA20PRIETO, EUNICE DELA CRUZ21RAGASA, FRANCESCA SHAMELLE BELICANO22SAMONTE, ALLISON MAE MEDALLA23STO TOMAS, ROSE ANN GUSTILO24TIBAY, REIN BELEN2443GUIDELINES:In case of lost/unreturned books, please provide information with the following code:Prepared By:1. Title of Books Issued to each learner must be recorded by the class adviser.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.4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.5. All textbooks being used must be included. Additional copies ofA. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=NegligenceB. 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 to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.MA LOTIS NACIONAL LAGUERTA(Signature of Adviser over Printed Name)Date of BoSY:___/___/_____ Date of EoSY: ___/___/_____