School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)
School ID School Year
School Name Grade Level Section
QUARTER 1 QUARTER 1 QUARTER 1 QUARTER 1 QUARTER 2 QUARTER 2 QUARTER 2 QUARTER 2
SET A SET B SET C SET D SET A SET B SET C SET D
LEARNER'S NAME (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT)
NO.
(Last Name, First Name, Middle Name) Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR MALE | TOTAL COPIES
QUARTER 1 QUARTER 1 QUARTER 1 QUARTER 1 QUARTER 2 QUARTER 2 QUARTER 2 QUARTER 2
SET A SET B SET C SET D SET A SET B SET C SET D
LEARNER'S NAME (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT) (SUBJECT)
NO.
(Last Name, First Name, Middle Name) Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, 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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence __________________________________________________
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
____________________________________
ature over printed name)
___________ Date EoSY: ___________
School Form 3: Page 2 of ________