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/IND/23027/2014    ii. MoEFCC File No. : J-11011/187/2014-IA-II(I)    iii.Short narrative of the project: ToR proposal for drilling of 108 wells laying of 4” and 8” oil and gas flow lines at Kheda, Vadodara, Gujrat of M/s OIL and Natural Gas Corporation Ltd.    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : M/s OIL and Natural Gas Corporation Ltd.

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Anand	Khambhat
2.	Gujarat	Anand	Borsad
3.	Gujarat	Anand	Anklav
4.	Gujarat	Kheda	Kheda
5.	Gujarat	Vadodara	Padra

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 26 Sep 2014 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 08 Jan 2017 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: 11 May 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 : No    ii. Reason for not hiring the Consultant : ONGC is QCI-NABET accredited for preparation of EIA reports

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 : Ravi    ii. Designation : ChiefGeneralManager    iii. Name of Company(Applicant Name should not be given here) : Oil And natural Gas Corporation    iv. Address : Corporate HSE, 8th Floor Core IV, SCOPE Minar, Delhi 10092 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