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/GJ/MIS/75342/2018    ii. MoEFCC File No. : NIL    iii.Short narrative of the project: Expansion of notified Multi-product SEZ by adding 1840 ha notified SEZ with existing approved area of 6641.2784 ha. to make it 8481.2784 ha at Mundra by APSEZ    iv. Project Sector : INFRA-2    v. Company/Proponent : ADANI PORTS AND SPECIAL ECONOMIC ZONE LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	kutch	Mundra

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: 12 Jun 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 Oct 2010   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

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	covering letter_for withdrawal	12 Jun 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : No    ii. Reason for not hiring the Consultant : The nature of application and submission of documents does not require need of consultant. The application is prepared inhouse.

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 : Unmesh    ii. Designation : JtPresident    iii. Name of Company(Applicant Name should not be given here) : ADANI PORTS AND SPECIAL ECONOMIC ZONE LIMITED    iv. Address : Adani House, Nr. Mithakhali Circle, Navrangpura, Ahmedabad 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