Baseline Reporting form

Baseline Reporting Form

This communication confirms had committed to Wastewater Zero

on . As part of this commitment, we submit the following baseline information for our
operations and supply chain:

of wastewater produced is treated to achieve or exceed

relevant regulatory or industry requirements and minimizes the release
of priority hazardous substances.

of total water use is reused or recycled water in our facilities.

Commitment to Science based emission reduction targets:

committed on
plan to commit in

Baseline for supply chain:

of wastewater footprint in supply chain.

of our suppliers compliant with relevant regulatory or

industry effluent quality requirements.

of our suppliers have reuse or recycling capabilities.

of our suppliers have made a science-based emissions reduction

target.

I have read and accept the requirements of the commitment as mentioned in the Guidance document.
I hereby confirm that the above reported information is true to my knowledge.
I hereby confirm that the above information is verified Yes No

Name of Signatory Date of signature

Designation City, Country of signature