Green Workplace Nomination

Name of the Company:

Name of the Contact Person:

Landline # of Contact Person

Mobile # of Contact Person

Email of Contact Person

Address

Percentage of Land used for Green Belt at present in your Company?

Percentage of Land Allocation in future for Green Belt?

Has your company received any Environment Award?
YesNo

If “YES” Mention here:

Do you have a CSR Budget for Environment Initiative? Also specify if you are Promoting indigenous (Native) plant as Neem, Vad etc as opposed to exotic species.

Transportation (Tick & wherever necessary kindly explain)
How have you constructed your parking shed (by using big trees, cement or fiber sheet) & why?Do you Support cycle/walking programs & celebrate 'No Vehicle Day'? (for employees or special initiatives)Do you use teleconferencing/video conferencing to reduce travel for meetings, training, etc. How often?Do you facilitate Pool cars? How many pooled cars/bus per day?Do you have Common transport facility for employees? % of employees using buses?Do you conduct Awareness program for the employees & their family members about conservation of fuel? e.g. Petrol/diesel/cooking ga /use of solar energy etc.

Green Material (Tick & wherever necessary kindly explain)
Do you use recycled paper/renovate office when required? Percentage of recycled paper?Do you use Environment friendly supplies/methods? (including green seal certified products, natural fertilizers, unbleached napkins with soy ink, etc.) give details with supporting documents.

Products (Tick & wherever necessary kindly explain)
Do you Provide training and consulting regarding green products? (products that produce limited carbon footprints) e.g. recycled paper, energy efficient equipment & materials etc.Do you sell or use organic ingredients in your products? (Use of energy efficiency products)Do you encourage locally made/grown organic/eco-friendly items? Give details e.g. eco-friendly packaging.

Communication and Local Environmental Support (Tick & wherever necessary kindly explain)
Do you organize/promote & participate in clean-up events? (land, water, beaches)Do you promote/support green Education? (about energy conservation, recycling , growing food, etc.)Do you have employee/student Green Team or an environmental organization to help support the local Environment?

Water Conservation (Tick & wherever necessary kindly explain)
Have you installed Water Filter to check the use of bottled water?Do you recycle the waste water and use it for gardening?Do you Regularly check on water leakage from taps or any other sources?Do you have any ground water recharging system?

What incentive does your company offer its employees to keep and promote a “Green Working Environment?” (If any)

What equipment has been purchased or maintenance procedure initiated has your company instituted to enhance your Support of the environment?

Outreach to families of employees in encouraging up environment friendly measures and improving quality of life.

How has climate change / environmental alternation affected your work e.g. flooding, groundwater depletion, reduction of green cover

Does your workplace confirm to green building standards give details.

Please attach the Declaration Form Here.

Colour Photographs, Brochures, Videos, Websites, and/or News Articles Illustrating Organization’s Enrolment in Project Activities need to be submitted on our Email: vnmtvenv@gmail.com. Alternatively, you can also submit the data through Whatsapp on: 9427622606 This should not exceed 15 pages.

Last date of Submission: 10^th September 2020