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/TG/IND2/27303/2014    ii. MoEFCC File No. : J-11011/87/2014 - IA II (I)    iii.Short narrative of the project: M/s. Symed Labs Limited, Unit-IV    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : SYMED LABS LIMITED UNIT IV

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Telangana	Nalgonda	Chityala

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 01 Jan 1900 ix.Date of Submission for EC: 09 Mar 2016 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: 19 Jan 2016   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: The copy of first CTE vide order no: NLG-11/PCB/ZO/RCP/CFE/2005 - 663 Dt: 14.11.2005 is enclosed. The unit obtained it's first CTO vide Order no: APPCB/PTN/ NLG/4/CFO/HO/201-3309 Dt: 25.10.2012 also enclosed for your ready reference and record.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 128    iii. Name of Consultant: Rightsource Industrial Solutions Pvt. Ltd.   iv. Address : Plot No.203, H.No.5-36/203, Prashanthi Nagar, Kukatpally-IDA, Hyderabad-50072   v. Mobile No.: 9885560011   vi. Landline No.: 04023070602   vii. Email Id: symedlabslimitedunit4@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 : Nanda Chary    ii. Designation : Managing Director    iii. Name of Company(Applicant Name should not be given here) : SYMED LABS LIMITED UNIT IV    iv. Address : H. No: 8-2-293/174/3, Beside BN Reddy Colony, Road No.14, Banjarahills, Hyderabad. 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: NIL