CITY PROFILE FOR DECLARATION OF CITIES FREE OF OPEN- DEFECATION 1. City Profile: Name of ULB Total no. of Wards Total Population (Current Year) Slum and Slum-like population (current Year)

2. City profile (based on any survey conducted in last 3 years/ RAY/Slum Free City Plan of Action)

Name of the No. of households No. of community Sr. No. of slum/ slum like Ward No. with individual toilets/ public No. households settlement toilets toilets

3. City profile (based on any survey conducted in last 3 years/ RAY/Slum Free City Plan of Action)

No. of households No. of community Sr. Name of the No. of Ward No. with individual toilets/ public No. Residential Area households toilets toilets

Page 1 of 5 4. No. of pavement dwellers/ homeless people: ______(year of survey)______Major locations where they reside

Sr. Location Ward No. Approximate No. of Dwellers

5. DETAILS OF FUNCTIONAL (IN-USE) COMMUNITY / PUBLIC TOILETS:

Tick appropriate No. of Operated and one Functional Maintenance by Location Ward No. Ward No. Toilet seats ULB PPP Communi Sr. of Toilet Pay& Community (both men ty Block use Toilet and women toilet seats)

6. Provide a list of Vegetable Markets in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

7. Provide a list of Major Commercial Areas in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

Page 2 of 5 8. Provide a list of Bus Stations/Bus Stands in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

9. Provide a list of Railway Stations in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

10. Provide a list of Places of Religious Importance in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

11. Provide a list of Recreational Places (Parks/Playgrounds/Exhibition Grounds) in the city:

No. which have Sr. Name Location Ward No. public toilets within 1 km

Page 3 of 5 12. Provide a list of water bodies including river, lakes, ponds, etc. in the city:

Sr. Name of the water Ward No. No. which have public Location No. body toilets within 1 km

13. Has the city conducted any OD site surveys in the past 5 years? If yes, then provide details:

Survey conducted in Survey Location Name Ward No. No. of OD Spots the Year

14. Has the city conducted any IEC/ BCC campaign on ODF? If yes, then pls. provide details:

Mode of IEC/BCC Number

Installed banners/ hoardings

Campaign in local newspapers

Campaign on radio channels

House to house campaign

Street plays

any other (provide details)

15. Details of IHHL construction in the city:

Year No. of IHHL toilets constructed 2016 2015

Page 4 of 5 16. List of schools within the jurisdiction of ULB:

Name of the Ward No. Number of Students School

17. Does the city have a mechanism in place to impose fine/ penalty on open defecators?Yes/ No

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