Form 2 - FOR BARANGAY

ANNEX “A”

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: _______________

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: _____________ CITY/MUNICIPALITY: CABANATUAN CITY

A. Barangay Clean-up Drive

Water Body/ Waterway Volume of Waste

Length Covered
Date Barangay covered Collected
(if applicable) (in meters)
(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 Date
Authorized Representative

Certified Correct:

________________________________ ______________
Punong Barangay or Date
Authorized Representative

Noted by:

________________________________ ______________
MBCURPP/IIMT Member Date

Note: Pls. submit this filled-out form to CCENRO

 Form 2 - FOR BARANGAY

Note: Pls. submit this filled-out form to CCENRO