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/AP/IND2/60135/2014    ii. MoEFCC File No. : J-11011/368/2014 - IA II (I)    iii.Short narrative of the project: Vensar Laboratories Pvt. Ltd.    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : VENSAR LABORATORIES PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Andhra Pradesh	West Godavari	Tallapudi

   vii.Date of TOR Granted 10 Mar 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 24 Jan 2017 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: 28 May 2009   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: To Dt: 23.01.2017 The Director and Member Secretary (Industrial Projects - ll) Impact Assessment Division, Ministry of Environment, Forest and Climate Change, GoI, Indira Paryavaran Bhawan, Jor Bagh Road, New Delhi-110003 Respected Sir, Sub: Proposed Bulk drug and intermediates manufacturing unit by Vensar Laboratories Pvt Ltd _ at Sy. No: 32, Tupakulagudem Village, Tallapudi Man

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	SPCB Certificate	24 Jan 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 18    iii. Name of Consultant: Rightsource Industrial Solutions Pvt. Ltd.   iv. Address : Plot No: 203, H. No: 5-36/203, Prashanthi Nagar, IDA, Kukatpally, Hyderabad – 500072.   v. Mobile No.: 9885560011   vi. Landline No.: 04023070602   vii. Email Id: vensarlab@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 : P Kasi Viswanadha    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : VENSAR LABORATORIES PVT LTD    iv. Address : Sy.No. 32, Tupakulagudem (V), Tallapudi (M), West Godavar (D), Andhra Pradesh. 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