Authorization Form for Handling and Managing Hospital Waste

Tehsil Name

Attached NOC

Name of Company / firm / body / handling hospital waste management

Type of handling by

Contact Details of the Owner / CEO of the qualified body / Firm / Company

Name

CNIC

Phone No

Email

Duration of signed contract/service agreement between the hospital and the Waste management entity

FROM

TO

Name of incinerator

District of Incinerator

Incinerator Capacity

Incinerator Operational Hours

Incinerator having Environmental Approval

Yes

No

Attach Environmental Approval

Name of company

Company Registration Authority

Company Contact Number

Company District

Daily management capacity by the company

Status of Environmental Approval

Company Obtained