ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: _______________

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: ________________ CITY/MUNICIPALITY: GEN. MAMERTO NATIVIDAD

A. Barangay Clean-up Drive

Volume of
Water Body/ Length
Waste
Date Barangay Waterway Covered Covered
(if applicable) (in meters)
Collected
(in kilograms)

Details on Disposal Other Remarks

B. Photo Documentation (attach photos of the clean-up drive here)

C. List of Attendees and Total Number of Volunteers

Prepared by:

___________________________________ _____________
Committee Chair on Environment or Authorized Date
Representative

Certified Correct:

___________________________________ _____________
Punong Barangay or authorized representative Date
 Republic of the Philippines
Province of Nueva Ecija
MUNICIPALITY OF GENERAL MAMERTO NATIVIDAD

A T T E N D A N C E

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