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/MH/MIS/62384/2017    ii. MoEFCC File No. : 21-58/2017-IA-III    iii.Short narrative of the project: Residential project “Amrut Manthan, Mahalaxmi + Synergy 3”    iv. Project Sector : INFRA-2    v. Company/Proponent : M/S GURUKRUPA DEVELOPER

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Mumbai City	Mumbai

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 N/A ix.Date of Submission for EC: 08 Feb 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: 16 Dec 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

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	As per your letter dt. 21.3.2017. You wants withdraw the said application. You may with draw the said application.	05 May 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET Registered Vide List of accredited Consultan    iii. Name of Consultant: Perfact EnviroSolutions Pvt Ltd   iv. Address : 5th floor NN Mall, Mangalam Palace, Sector-3, Rohini, New Delhi   v. Mobile No.: 9818346370   vi. Landline No.: 01147528467   vii. Email Id: gd@kalpataru.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 : Shyam    ii. Designation : Authorized Signatory    iii. Name of Company(Applicant Name should not be given here) : M/S GURUKRUPA DEVELOPER    iv. Address : Gala no. 18, United Industrial House Premises C.H.S Ltd., 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