Appendix A. General Information of the City

1. 

 Name of town:   

 2. 

 Total Area (Sq. Km): 

 3. 

 Population: 

 4. 

 Number of Holdings: 

 5. 

 Name of organizations (NGO/INGO) currently active in sanitation: 

 6. 

 Presence of any master plan with GIS data (Yes/No):    

 7. 

 Date of creation of master plan: 

 8. 

 Format of unique house ID (holding ID):  

 9. 

 Department responsible for assigning unique house ID: 

 10.   Number of houses constructed per year: 

 11.   Desludging status (min, max, average per month): 

 12.   Proportion of tax collection per year: 

 13.   Number of years since emptying service is operational: 

 14.   Please collect the following information, if available. 

 

 

 

 

 SN 

 

 

 Particulars 

 

 

 Yes 

 

 

 No 

 

 

 

 

 1 

 

 

 Master plan report 

 

 

   

 

 

   

 

 

 

 

 2 

 

 

 Available GIS dataset 

 

 

   

 

 

   

 

 

 

 

 3 

 

 

 Organogram of the town 

 

 

   

 

 

   

 

 

 

 

 4 

 

 

 Profile of LG 

 

 

   

 

 

   

 

 

 

 

 5 

 

 

 FSM by-laws or sanitation plan 

 

 

   

 

 

   

 

 

 

 

 6 

 

 

 Sample bill receipt that includes the Unique ID e.g. tax bill, water bill 

 

 

   

 

 

   

 

 

 

 

 7 

 

 

 Tariff structure for desludging service 

 

 

   

 

 

   

 

 

 

 

 8 

 

 

 Forms used during providing emptying service 

 

 

   

 

 

   

 

 

 

 

 9 

 

 

 Sample logbooks being maintained in sanitation value chain