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/KL/MIS/63037/2017    ii. MoEFCC File No. : NIL    iii.Short narrative of the project: M/s KAPICO KERALA RESORTS PRIVATE LIMITED intending to develop a resort project at Nediyathuruthu island in Panavally Village & Panchayat, Cherthala Taluk, Alapuzha District, Kerala in an area of 6.9083 ha. (69,083 sq.m.).    iv. Project Sector : INFRA-2    v. Company/Proponent : KAPICO KERALA RESORTS PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Kerala	Alappuzha	Cherthala

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 07 Mar 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: 01 Mar 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: M/s KAPICO KERALA RESORTS PRIVATE LIMITED intending to develop a resort project at Nediyathuruthu Island in Panavally Village & Panchayat, Cherthala Taluk, Alapuzha District, Kerala in an area of 6.9083 ha. (69,083 sq.m.).

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : No    ii. Reason for not hiring the Consultant : Self submission

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 : ROY M MATHEW    ii. Designation : DIRECTOR    iii. Name of Company(Applicant Name should not be given here) : KAPICO KERALA RESORTS PVT LTD    iv. Address : M/s Kapico Kerala Resorts Pvt. Ltd. Muthoottu Mini Tech Towers, 3rd Floor, Kaloor, Kochi, Kerala-682017. 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