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/IND/24172/2014    ii. MoEFCC File No. : J-11011/31/2013-IA-II(I)    iii.Short narrative of the project: M/s. Basis Laboratories    iv. Project Sector : Industrial Projects    v. Company/Proponent : M/S. Basis Laboratories

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
NIL

   vii.Date of TOR Granted 29 May 2013 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 05 Sep 2014 x.Project Type: New

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: 23 Jul 2014   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: None   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 126    iii. Name of Consultant: M/s. Right source Industrial Solutions Pvt. Ltd.   iv. Address : M/s. Right source Industrial Solutions Pvt. Ltd. Plot No.203,H.No.536/203,Prashantinagar, IDA, Kukatpally, Hyderabad-500072.   v. Mobile No.: 9885560011   vi. Landline No.: 4023070602   vii. Email Id: basislaboratories@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 : M. Bharath Kumar    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : M/S. Basis Laboratories    iv. Address : Plot No.203,H.No.5-36/203,Prashanthinagar,Kukatpally IDA,Hyderabad-500072 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