School Form 3 Books Issued and Returned for Senior H
School Name GALALAN INTEGRATED NATIONAL HIGH SCHOOL School ID 307918
Semester FIRST School Year 2018-2019
Section AQUARIUS Course/s (only for TVL) ANIMAL PROD
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
Earth and Life
Oral communication Komunikasyon at Pananaliksik sa Wika
Gen. Mathematics 21st Century Literature
No. NAME at Kulturang Pilipino
Science
(Last Name, First Name, Name Extension, Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1 DOMINGO, CHRISTOPHER BALANSAY 06/18/2018 10/29/2018 06/18/2018 10/29/2022 06/18/2018 10/29/2018 N/A N/A N/A N/A
2 DOMINGO, JEFFREY JR. REYES 5/6/2018 10/29/2019 5/6/2018 10/29/2023 06/18/2018 10/29/2019 N/A N/A N/A N/A
3 JIMENEZ,MARK JUSTINE 5/6/2018 10/29/2020 5/6/2018 10/29/2024 06/18/2018 10/29/2020 N/A N/A N/A N/A
4 LAZARTE,JHON MHARK YATER 5/6/2018 10/29/2021 5/6/2018 10/29/2025 06/18/2018 10/29/2021 N/A N/A N/A N/A
5 SANDE,JERWIN BARBACENA 5/6/2018 10/29/2022 5/6/2018 10/29/2026 06/18/2018 10/29/2022 N/A N/A N/A N/A
TOTAL MALE ===> 5
1 MAGPUSAO,HANNAE JANE MANONG 5/10/2018 10/29/2022 5/6/2018 10/29/2018 06/18/2018 10/29/2018 N/A N/A N/A N/A
2 MANONG,QUEENNIE MORALES 5/10/2018 10/29/2023 5/6/2018 10/29/2018 06/18/2018 10/29/2019 N/A N/A N/A N/A
3 NACION,LEONORA ABALDA 5/10/2018 10/29/2024 5/6/2018 10/29/2018 06/18/2018 10/29/2020 N/A N/A N/A N/A
4 NEBIAR,LYKA ANN RAÑADA 5/10/2018 10/29/2025 5/6/2018 10/29/2018 06/18/2018 10/29/2021 N/A N/A N/A N/A
5 SURIAGA,ERISH BASILAN 5/10/2018 10/29/2026 5/6/2018 10/29/2018 06/18/2018 10/29/2022 N/A N/A N/A N/A
6 TANIEGRA,NICOLE JOY CORDOVA 5/10/2018 10/29/2027 5/6/2018 10/29/2018 06/18/2018 10/29/2023 N/A N/A N/A N/A
TOTAL FEMALE ===> 6
COMBINED ===> 11
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 parent/guardian (for co
3. The Total Number of Copies issued shall be reflected in the form. letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Le
4. The Total Number of Copies of Books Returned shall be reflected in the form. No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
urned for Senior High School (SF3-SHS)
District PANGIL-PAKIL Division LAGUNA Region IV-A
Grade Level 11 Track and Strand TECHNICAL-VOCATIONAL-
LIVELIHOOD TRACK
ANIMAL PRODUCTION (NCII)
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION
Physical Education and Health Empowerment Technologies Filipino sa Piling Larang Animal Production (NCII)
TAKEN
Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) (Please refer to the codes
below)
Issued Returned Issued Returned Issued Returned Issued Returned
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
ation with the following code: Prepared By:
sferred/Dropout, NEG=Negligence
om Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared JENNILYN B. FELICIANO
ty Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO
Signature of Class Adviser over Printed Name
