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/IND2/60907/2016    ii. MoEFCC File No. : J- 11011/361/2016-IA.II(I)    iii.Short narrative of the project: Indobaijin Chemicals Pvt Ltd    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : INDOBAIJIN CHEMICALS PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Bharuch	Vagra

vii. Uploaded EC Compliance report by rigional office of MoEFCC: Annexure-Uploaded EC Compliance report viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 13 Feb 2017 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 17 May 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: 13 Feb 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: Dear Sir, We are submitting our EIA/EMP report for the appraisal of Environmental Clearance for our expansion project at Dahej. Thanking you

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	certified six monthly report	13 May 2017
2.	submitted certified six monthly report uploaded earlier is latest report of 18.4.17. same will be uploaded for your reference	17 May 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1417/ SA 2 002    iii. Name of Consultant: Ecochem Sales & Services   iv. Address : Ashoka Pavilion, New Civil Lines Surat   v. Mobile No.: 9909968953   vi. Landline No.: 02612231630   vii. Email Id: mkhadakkar-ibj@modi.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 : Hemant    ii. Designation : DGM-Operations and EHS    iii. Name of Company(Applicant Name should not be given here) : INDOBAIJIN CHEMICALS PVT LTD    iv. Address : Plot No. Z/7/1, SEZ area, Dahej SEZ Ltd., Tal: Vagra, Dist: Bharuch, Gujarat. 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