SF3 - 2021 - Grade 7 (Year I) - ACACIA (STEM)
SF3 - 2021 - Grade 7 (Year I) - ACACIA (STEM)
School Name Pili National High School - Pili Grade Level Grade 7 (Year I) Section ACACIA (STEM)
Subject Area & 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 /
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 legend on last
. page)
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
AMPARADO,JOHN MARDY,
1
MIRABONA
2 BALATON,KURTT, MANJARES
NABOR,RHYNE EMIL,
10
AMPARADO
11 NIMO,CYV, CARTAGENAS
QUIROGA,JOHN IAN,
12
CLAVERO
SALCEDO,JOHN MICHAEL,
13
LOPEZ
SAPUNGAN,JOHN VER,
14
BARASAN
SERRATORE,JOHN PHILIP,
15
NARVAEZ
2 ALDON,ASHLEY, DECEPEDA
AMPONGAN,ARIANNE,
3
VALIENTE
4 ARRABIS,BEA, AMPARADO
5 ASOR,SAMANTHA, RULL
BALINGASA,JULIE ANNE,
6
BAYTA
BAUTISTA,ERIKA JOY,
9
MALACA
BAYLON,MARIANE KRISTEL,
10
ESTEBA
BELZA,DANIELLE DENISE,
11
IMPORTANTE
BUSTAMANTE,RIAN GRACE,
12
ALARCIO
BUSTARGA,AYESSA MAE,
13
BOLALIN
CLAVERO,ARIANA ARDEN,
14
DAROY
CORNELIO,ASHLEY MAE,
15
ADRIANO
DELA JUSTA,JASMINE,
16
NUELES
17 GABAN,RODHESSA, ODAVAR
18 GUEVARA,KHIM, NOVELO
HABON,NAZARINE KAYE,
19
RAMOS
JALBUENA,MARIA THERESA,
20
MORA
21 LLENO,SANDRA, BAÑADERA
SERRANO,CINDY ROSE,
23
TAGUM
SERVIÑO,MC ADE MOEREN,
24
DESALISA
25 SISO,LEIRA, SABORDO
26 SUMPAY,MADEL, DOROIN
TORRERO,PRINCESS ROSE,
27
MORILLO
VILLAREAL,ANGELA,
28
PADAYAO
<=== TOTAL FOR FEMALE |
28
TOTAL COPIES ===>
<=== TOTAL LEARNERS |
44
TOTAL COPIES ===>
Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
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.
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 signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
BERNARDITA MUNDA LAGUMBAY
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.