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/DL/NCP/74404/2018    ii. MoEFCC File No. : 21-69/2018-IA-III    iii.Short narrative of the project: Expansion of “Dr. Hedgewar Arogya Sansthan” Medical Facility in Karkardooma, Delhi    iv. Project Sector : INFRA-2    v. Company/Proponent : PUBLIC WORKS DEPARTMENT (HEALTH) NCT OF DELHI

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Delhi	East	Vivek Vihar

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 N/A ix.Date of Submission for EC: 17 Jul 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: 05 Mar 2018   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: This is government hospital to be developed by PWD (Health) NCT of Delhi

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Form IA	17 Jul 2018
2.	form I	17 Jul 2018

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	kindly see the minutes of 33rd EAC infra 2 meeting	24 Aug 2018
2.	ADS Letter	We are submitting ADS Reply	11 Jan 2021

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518-IA 0017    iii. Name of Consultant: Amaltas Enviro Industrial consultant   iv. Address : a 73 sector 65 noida   v. Mobile No.: 9810085736   vi. Landline No.: 01204352889   vii. Email Id: hedgewarpwd@gmail.com

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 : pradeep    ii. Designation : ee    iii. Name of Company(Applicant Name should not be given here) : PUBLIC WORKS DEPARTMENT (HEALTH) NCT OF DELHI    iv. Address : rajiv gandhi superspeciality hospital tahirpur delhi 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