CHECKLIST FOR ULB OFFICE

Date :
Open Spaces Data Available with ULB: Yes / No ULB Name:

Any communication received from C & DMA Yes / No Visit Feasibility: Yes / No, If No, suitable time

Nodal Officer name: Designation Contact:

No. of Wards: No. of Open Spaces: Reported Visited

Town Profile
Population: Area(Sq.kms):
Male: Sex - Ratio:
Female: Literacy:
Density: Households:

No. of Open Spaces

300 - 500 Sq. Yds 2000 Sq. Yds - 1 Acre
500 - 2000 Sq.Yds More than 1 Acre

AFC - IDCG / ULB Suggestion (Tick the appropriate): No. of Open Space being developed under following funds:
No. of Parks: 14th Finance Commission
No. of Complete Parks: No. of Parks
No. of Children Parks: No. of Roads, Avenues (Length)
No. of Smruthivanam: No. of Rotaries:
Municipal Fund / State Govt. Fund
No. of Roads, Avenues (Length) No. of Parks
No. of Rotaries: No. of Roads, Avenues (Length)
No. of Rotaries:
Whether Open Spaces Geo-tagged: Yes No
If, No then Geotag the location using Mobile Phone

Data Collection from ULB:(Tick the appropriate) Collected Follow Up

Town Profile Remarks / Inputs from ULB Office, If Any:
Base Map 1
Open Spaces Layout 2
Master Plan 3
Contour Maps ULB : Supportive Unsupportive ULB Official