ANNEX ” A”

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: ________________

BARANGAY: CITY/MUNICIPALITY:

A. Barangay Clean-up Drive

Water Body/
Length Number Volume of Waste
Waterway
Date Covered Number of Attendees of Sacks Collected
covered
(in meters) Collected (in kilograms)
(if applicable)
Brgy Officials
Volunteers (kgwd,tanod,bhw Bio Non - Bio
etc.)

Details on Disposal Other Remarks

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

C. List of Attendees and Total Number of Volunteers

Prepared by:

___________________________ __________________
Committee Char on Environment DATE

Certified Correct:

__________________________ __________________
Barangay Captain DATE

Noted by:

_________________________ __________________
MBCRUPP/ IIMT Member DATE