REGISTRATION FORM

NATIONAL Clean Up Day 2016

"Bayan ko, LinisKo"
Partnering Towards Peoples Environment Movement
September 17, 2016
Team Leader:

Gilbert
(First Name)

Callangan
(Last Name)

LGU/Organization/Agency/Company
Type of Clean Up:

Address:

Mountain and Watershed

Urban and Rural Areas
Coastal Areas and River System

Barangay II, Enrile Cagayan

Area Code:

3501

E-mail:
Phone Number:

09068288018

Location of Clean Up:

Street:

Rizal St, and Pauig St.

City/Municipality:

Enrile

Barangay:
Province:

Barangay II
Cagayan

Names of Team members:

Capt. Gilbert Callangan
Kag. Dante Luyun
Kag.EfrenDayag
Kag. Bungag

09068288018
09054784711
09067547339
09264862614/0905711890

REGISTRATION FORM
NATIONAL Clean Up Day 2016
"Bayan ko, LinisKo"
Partnering Towards Peoples Environment Movement
September 17, 2016
(For Individual Participating Groups including LGU (City/Municipal/Brgy)
Team Leader:

Gilbert
Callangan
(First Name)
(Last Name)
Location of Clean Up:
Barangay II, Enrile, Cagayan

Picture before Clean Up

Geographical Coordinates:

Picture after Clean Up

Total Quantity in kilogram (kg)

Biodegradable (kg)
Recyclable (kg)
Residual (kg)
Special Waste(kg)
Total
If roadsides: Stretch in meters, both sides
(ex. 1-side=10 meters; other side is 15meters) =
25 meters

Esteros with big volume of waste

Location of Estero:

Picture before Clean Up

Graphical Coordinates:
Total Volume in (cum)
Weight per cubic meter (kg/cum)
Total
Estimated Length & Width of Estero
(sq.m)

Picture after Clean Up