1.	Project Details

   Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? : No

1.	Project Details

   i. Proposal No. : IA/TN/IND2/63663/2017    ii. MoEFCC File No. : IA-J-11011/157/2017-IA-II(I)    iii.Short narrative of the project: Proposed Expansion of the Bulk Drug Unit at SIPCOT, Industrial Estate, Gummidipoondi by M/s Anjan Drug Private Limited, Tiruvallur District, Tamil Nadu    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : ANJAN DRUG PRIVATE LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Tamil Nadu	Tiruvallur	Gummidipoondi
2.	Tamil Nadu	Tiruvallur	Gummidipoondi

vii. Uploaded EC Compliance report by rigional office of MoEFCC: Annexure-Uploaded EC Compliance report viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 17 Aug 2017 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 23 Jan 2018 x.Project Type: Expansion

2.	Uploaded Documents of EIA/EMP,Risk Assessment,Public Hearing etc.

i.EIA/EMP: Annexure-EIA/EMP ii.Risk Assessment: Annexure-Risk Assessment iii.Public Hearing: Annexure-Public Hearing    iv. Date of Public Hearing: 01 Jan 1859   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: Annexure-Additional Report/Study/Document   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518/SA 037    iii. Name of Consultant: Cholamandalam MS Risk Services Limited   iv. Address : Dare House, No.2, NSC Boase Road, Chennai-600001   v. Mobile No.: 9677003778   vi. Landline No.: 04430445449   vii. Email Id: devi@anjandrug.net

5.	Undertaking

I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief and I am aware that if any part of the data and information found to be false or misleading at at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.

   i. Name of Applicant : P N Baskaran    ii. Designation : COO    iii. Name of Company(Applicant Name should not be given here) : ANJAN DRUG PRIVATE LIMITED    iv. Address : Plot No.85 to 88, 105, 106, 115 and 116, SIPCOT Export Promotion Industrial Park (EPIP), Pappankuppam, Gummidipoondi Taluk, Tiruvallur District v. Uploaded copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency: Annexure-Uploaded copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency