1. * Indicate Mandatory fields
2. Constructed Toilet Photo - Photograph should be in image format(jpg, jpeg, png, gif, bmp, tiff) and size should be less than 100kb.
3. People who like to load Toilet Photograph and do not need any financial assistance from Govt.

(A) Geographical Particulars

1. State*

2. District*

3. City*

4. Ward No.*

(B) Toilet Owner's Particulars

1. Name*

2. Gender*

3. Father/ Husband's name*

4. Mobile No.*

Selfie with Constructed Toilet

1. Selfie with Constructed Toilet*

Photograph should be in image format(jpg, jpeg, png, gif, bmp, tiff) and size should be less than 100kb.

2. Toilet Photo's Latitude*

only in Decimal Format

3. Toilet Photo's Longitude*

only in Decimal Format

Google Map

Click here to Select Latitude/ Longitude

Swachhalaya

(A) Geographical Particulars

(B) Toilet Owner's Particulars

Selfie with Constructed Toilet