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/UP/MIN/63762/2017    ii. MoEFCC File No. : SIA/UP/MIN/62551/2017    iii.Short narrative of the project: 25 Acres (10.12 Ha) Diaspore - Pyrophyllite Mining Project at Plot No- 1002 Village- Parvai, Tehsil & District- Jhansi, U.P    iv. Project Sector : Mining Projects    v. Company/Proponent : SMT MANJU KUSHWAHA

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Bellary	Sandur
2.	Uttar Pradesh	Jhansi	Jhansi

   vii.Date of TOR Granted 16 Mar 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 17 Aug 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: 16 Mar 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	25 Acres (10.12 Ha) Diaspore - Pyrophyllite Mining Project at Plot No- 1002 Village- Parvai, Tehsil & District- Jhansi, U.P.	17 Aug 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 84    iii. Name of Consultant: Ind Tech House Consult   iv. Address : G 8/6 Rohini Sector 11, Delhi 110085   v. Mobile No.: 9958499554   vi. Landline No.: 01127572241   vii. Email Id: manjukushwaha103@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 : Manju    ii. Designation : Owner    iii. Name of Company(Applicant Name should not be given here) : SMT MANJU KUSHWAHA    iv. Address : 429. Bada Gaon Gate, Teacher Colony, Jhansi, U.P 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: Annexure-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