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/IND2/27399/2015    ii. MoEFCC File No. : J-11011/87/2015-IA-II(I)    iii.Short narrative of the project: SNJ Labs Pvt. Ltd.    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : SNJ LABS PVT. LTD.

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Rajkot	Kotda Sangani

   vii.Date of TOR Granted 03 Jul 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 15 Jul 2016 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: 24 Jun 2016   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : QCI-NABET/EIA/327/IA14    iii. Name of Consultant: San Envirotech Pvt. Ltd.   iv. Address : 424, Medicine Market, Paldi Cross Road, Paldi, Ahemedabad   v. Mobile No.: 9825007201   vi. Landline No.: 07926583077   vii. Email Id: snjlabs71@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 : Dr. Jignesh    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : SNJ LABS PVT. LTD.    iv. Address : Plot No. 9 and 10, Survey No. 137/1, Village. Padawala, Tal. Kotda Sangani, Dist. Rajkot Gujarat 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