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/RJ/MIS/41577/2013    ii. MoEFCC File No. : 21-6/2013-IA.III    iii.Short narrative of the project: Finalisation of ToR for development of Jodhpur-Pali-Marwar Industrial Area in Rajasthan    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : DELHI MUMBAI INDUSTRIAL CORRIDOR DEVELOPMENT CORPORATION

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Rajasthan	Jodhpur	Jodhpur

   vii.Date of TOR Granted 12 Nov 2013 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 26 Apr 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: 08 Mar 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: Annexure-Additional Report/Study/Document   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/RA014/41, August 28, 2014    iii. Name of Consultant: Greencindia Consulting Private Limited   iv. Address : 607-611, Level-5, Shopprix Mall, Vaishali, Ghaziabad   v. Mobile No.: 0981122445   vi. Landline No.: +911204111527   vii. Email Id: information@greencindia.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 : Talleen    ii. Designation : CEO & MD, DMICDC    iii. Name of Company(Applicant Name should not be given here) : DELHI MUMBAI INDUSTRIAL CORRIDOR DEVELOPMENT CORPORATION    iv. Address : Delhi Mumbai Industrial Corridor Development Corporation, Room No. 341-B, 3rd Floor, Hotel Ashok, 50B Diplomatic Enclave, Chanakyapuri, New Delhi 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