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/KA/IND/24423/2013    ii. MoEFCC File No. : J-11011/257/2013-IA-II(I)    iii.Short narrative of the project: SLR Metalliks    iv. Project Sector : Industrial Projects-1    v. Company/Proponent : Anushka

vi.Details of State of the project

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

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: NIL    ix.Date of TOR Granted 16 Jan 2014 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 04 Sep 2014 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: 15 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. : Provisionally accredited    iii. Name of Consultant: Ultra-Tech Environmental Consultancy & Laboratory   iv. Address : Ultra-Tech, 206, 224-225, Jai commercial complex, Eastern Express Highway, Opp. Cadbury, Khopat, Thane west-400601   v. Mobile No.: 9323544144   vi. Landline No.: 9.12225E+11   vii. Email Id: jbharat@ultratech.in

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 : Shri K.C.Siddappa    ii. Designation : Director & CEO    iii. Name of Company(Applicant Name should not be given here) : Shri K.C.Siddappa    iv. Address : A-2 / 452, Sector- 8, Rohini, New Delhi - 110085 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