ere O° OXH EKO —~— DECLARATION — This to confirm that .. .Urban Local Body has felicitated and honored each and every sanitation worker under its jurisdiction; a total of Safaimitras/ Sanitation Workers were felicitated and honored between 2™ October- 3" October 2021. Authorized Signatory Urban Local Body of. Name and Designation \ y)eS eer conics Undertaking to Complete Source Segregation Itis certified thatas on 27th September 2021__number of wardsinthe__Urban Local Body have finalized an Action Plan towards 100% source segregation achievementas per the details below. The implementation of the action plan should be completed latest by: 31stDec 2021 / 15th August 2022 / 02nd October 2022 / beyond (specify) (Please select). Action Plan for achievement of 100% source segregation in 100% Wards ULB in.. Ward No. _ | Date by which 100% Wards start practicing 100% source segregation? (MM/yyyy) Ward No. 1 Ward No. 2 Chief Executive / al CommissionerRNG, =~ ‘9 [ae adixa Minisy of Housing and Urban Ars Amrit Mahotsav (Gomme end ere ! Swachh Bharat Mission (Urban) — — Scroll of Honour ——— We salute the commitment and dedication of Shri. / Smt...... Oyo Aa SSN eS Sforphisyher selflessyservice in, keeping clean. Mayor / Chairman Chief Executive / \ Municipal Commissioner I Oe A grateful nation thanks its frontline sanitation workers a