REPUBLIC OF THE PHILIPPINES

CITY OF MANILA
OFFICE OF THE SANGGUNIANG KABATAAN

WEEKLY ACCOMPLISHMENT REPORT

OF CLEAN-UP DRIVE
DISTRICT _____ BARANGAY _____ ZONE _____
Date: ________________________

A. BARANGAY CLEAN-UP DRIVE

WATER/BODY LENGTH
NO. OF SACKS
DATE BARANGAY/ZONE/DISTRICT waterway covered COVERED
collected
(if applicable) (in meters)

DETAILS OF DISPOSAL OTHER REMARKS

B. PHOTO DOCUMENTATION (Attach at least 6 photos of Clean-up Drive)

C. ATTENDANCE LIST (Attach list of Participants)

Prepared by:

(SIGNATURE OVER PRINTED NAME) (mm/dd/yy)

Committee Chair on Environment / Date Accomplished:
Authorized Representative

Certified Correct:

(SIGNATURE OVER PRINTED NAME) (mm/dd/yy)

Sangguniang Kabataan Chairperson/ Date Accomplished:
Authorized Representative
 REPUBLIC OF THE PHILIPPINES
CITY OF MANILA
OFFICE OF THE SANGGUNIANG KABATAAN

ATTENDANCE FOR CLEAN-UP DRIVE

DISTRICT _____ BARANGAY _____ ZONE _____
Date: ________________________

NO. NAME POSITION SIGNATURE

10

11

12

13

14

15

(SIGNATURE OVER PRINTED NAME) (mm/dd/yy)

Sangguniang Kabataan Chairperson/ Date Accomplished:
Authorized Representative