Declaration Template: Indicator 2.

6
Data required for Q3:

Data required for Q3:

Section – B:

Avg. amount of C&D waste collected in the ULB: _________ Metric Tons/day

November: __________ Metric Tons

December: __________ Metric Tons
Total amount of C&D waste collected per month January: ____________ Metric Tons
Quarter 3 Total: ______________ Metric Tons

November: __________ Metric Tons

Total amount of C&D waste either processed in the facility December: __________ Metric Tons
by making products or raw-material being re-used/sold January: ____________ Metric Tons
Quarter 3 Total: ______________ Metric Tons

Whether the weekly processing logbook, sale register &

vendor details (if outsourced) digitally maintained (e.g., Yes  No 
Excel file) by ULB are linked with SBM portal?

Revenue Earned from Selling of the processed products of

Rs. ______________
C&D waste:

Documents to be submitted by the ULB for evaluation of Section - B:

Weekly Logbooks for Phase 3 months (Nov, Dec, Jan)

indicating the amount of waste collected by the ULB at its Attached  Not Available 
waste collection centres

Weekly Logbooks for Phase 3 Months (Nov, Dec, Jan)

indicating the amount of C&D waste processed by the ULB Attached  Not Available 
Proof of sale like invoices or receipts etc. for the last three
months (Nov, Dec & Jan) to be provided. Attached  Not Available 
Summary of Revenues per month in Phase 3 (Nov, Dec,
and Jan) Attached  Not Available 

I hereby declare that the data/information provided above table, on Swachhatam portal and in the attached
documents is true to the best of my knowledge and reflects the status of the progress on ground in the ULB.

Signature & Stamp of the Nodal Officer/Head of the ULB

Name: ULB Code:

Prepared by
Designation: ULB Name:
Date:

Prepared by