ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: _______________________

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: ______________________________ CITY/MUNICIPALITY: ______________________

A. Barangay Clean-up Drive

Volume of
Water Body/ Length
Waste
Date Barangay Waterway covered 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 authorized Date
representative

Certified Correct:

______________________________________________________ _____________________________
Punong Barangay or authorized representative Date
 MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM
ATTENDANCE
DATE: ______________________

Barangay: ________________________________ City/Municipality: _____________________

NO. NAME SIGNATURE

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30
 MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM
PHOTO DOCUMENTATION
DATE: ______________________

Barangay: ______________________________ City/Municipality: ___________________________

BEFORE DURING

PHOTO/IMAGE 1 PHOTO/IMAGE 2
(BEFORE) (DURING)

AFTER

PHOTO/IMAGE 3
(AFTER)