Safe Water Committee Certification - the PUMP

Appendix 7
Fields highlighted in yellow are required by the PUMP
Safe Water Committee Certification
Prepared by WM staff member: [email protected]
Project Name: VR Haya De La Torre - Cancate
Project Number:
00.029.51
Department/District/Province: Huanchaco / Trujillo
Date of Election:
Jan 04 2016
SWC Members Details
Name
Position
Contact Number
Signature
Chairman: Roberto Chirinos.
Secretary:
Erika Hernández Menis.
Treasurer:
Cesar Alvan Carranza
979805500
WASH Coordinator:
Leydi Rodriguez
948752973
Systems Operator 1:
José López Boado
044272567
Erika Cabrera Alfaro
971193829
(Non-voting member)
Systems Operator 2:
(Non-voting member)
________________:
________________:
________________:
________________:
Jan 04 2016
VR Haya de La Torre are well awere of their
This is to certify that on this day of ___________________
the people of_________________
need of a sustainable source of safe water inside their own community to help improve and maintain their wellbeing; hence
have themselves elected a representative Safe Water Committee composed of the above individuals their wellbeing; hence
have themselves elected a representative Safe Water Committee composed of the above individuals to look after all
operations of the project from today and hereafter.
Signature :
Signature :
Safe Water Committee Chairman
________________Community
Community Development Officer
Water Missions International
Name of Witness
For the Community
Name of Witness
For Water Missions International
Total man-days spent by WM community development staff:
Total man-days spent by WM technical staff:
1
2
Note:*AttachaphotooftheSafeWaterCommittee
Fields highlighted in yellow are required by the PUMP
Summary notes: (will be visible in the pump)
El Cass se encuentra optimista, tienen un poco de temor por las actividades nuevas a las que no estan acostumbrados pero recibiran
apoyo en todo momento de la ONG Amor en Acción y eso les da estabilidad en su trabajo. Se les indico que estaremos pendientes
para absolver cualquier duda que tengan. Desarrollaremos los informes inicialmente en grupo así no se les hará tedioso.
Task status:
Complete
Additional work
Skipped
Not applicable
* EmailcopytotheSWCSecretary
[email protected]
Rev. 10 (28 May 15)