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/KA/IND2/64967/2015    ii. MoEFCC File No. : NO.SEIAA36IND2015    iii.Short narrative of the project: Samarth Life Science Pvt Ltd    iv. Project Sector : Industrial Projects - 2    v. Company/Proponent : SAMARTH BIOLOGICALS

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Tumkur	Tumkur

   vii.Date of TOR Granted 25 Feb 2016 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 26 May 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: 10 Aug 2016   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: PUBLIC HEARING NOT APPLICABLE.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 5645    iii. Name of Consultant: Mohammed Habibulla   iv. Address : No.49/1, Annes plaza, Basavanagudi, Bangalore 04   v. Mobile No.: 9845179935   vi. Landline No.: 08041570072   vii. Email Id: habibulla.m@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 : Prasad    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : SAMARTH BIOLOGICALS    iv. Address : Plot no. 191-A, KIADB Industries,1st Stage, Vasanthanarasapura, Tumkur, Karnataka 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