<p> 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)</p><p>2. City profile (based on any survey conducted in last 3 years/ RAY/Slum Free City Plan of Action)</p><p>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 </p><p>3. City profile (based on any survey conducted in last 3 years/ RAY/Slum Free City Plan of Action)</p><p>No. of households No. of community Sr. Name of the No. of Ward No. with individual toilets/ public No. Residential Area households toilets toilets </p><p>Page 1 of 5 4. No. of pavement dwellers/ homeless people: ______(year of survey)______Major locations where they reside</p><p>Sr. Location Ward No. Approximate No. of Dwellers</p><p>5. DETAILS OF FUNCTIONAL (IN-USE) COMMUNITY / PUBLIC TOILETS:</p><p>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)</p><p>6. Provide a list of Vegetable Markets in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>7. Provide a list of Major Commercial Areas in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>Page 2 of 5 8. Provide a list of Bus Stations/Bus Stands in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>9. Provide a list of Railway Stations in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>10. Provide a list of Places of Religious Importance in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>11. Provide a list of Recreational Places (Parks/Playgrounds/Exhibition Grounds) in the city:</p><p>No. which have Sr. Name Location Ward No. public toilets within 1 km</p><p>Page 3 of 5 12. Provide a list of water bodies including river, lakes, ponds, etc. in the city:</p><p>Sr. Name of the water Ward No. No. which have public Location No. body toilets within 1 km</p><p>13. Has the city conducted any OD site surveys in the past 5 years? If yes, then provide details:</p><p>Survey conducted in Survey Location Name Ward No. No. of OD Spots the Year</p><p>14. Has the city conducted any IEC/ BCC campaign on ODF? If yes, then pls. provide details:</p><p>Mode of IEC/BCC Number</p><p>Installed banners/ hoardings</p><p>Campaign in local newspapers</p><p>Campaign on radio channels</p><p>House to house campaign</p><p>Street plays</p><p> any other (provide details)</p><p>15. Details of IHHL construction in the city:</p><p>Year No. of IHHL toilets constructed 2016 2015</p><p>Page 4 of 5 16. List of schools within the jurisdiction of ULB:</p><p>Name of the Ward No. Number of Students School</p><p>17. Does the city have a mechanism in place to impose fine/ penalty on open defecators?Yes/ No</p><p>Page 5 of 5</p>