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/UK/NCP/65512/2017    ii. MoEFCC File No. : 21-270/2017-IA-III    iii.Short narrative of the project: Proposed Hotel project “Sikka Hotel” at Dehradun    iv. Project Sector : INFRA-1    v. Company/Proponent : SIKKA SUPERB SPAZE PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Uttarakhand	Dehradun	Dehradun

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 17 Jun 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 Jan 1990   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: This is a category 'B2' project and is required to be appraised at State level but SEIAA Uttrakhand has not formed after its dissolution in March, 2016 so we are applying to MoEF&CC for grant of environment clearance as per EIA Notification, 2006

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 63    iii. Name of Consultant: EQMS India Pvt. Ltd.   iv. Address : 304-305, 3rd Floor, Rishabh Tower, Plot No. 16, Community Centre, Karkardooma, Delhi- 110092 (India)   v. Mobile No.: 9810297612   vi. Landline No.: +91-11-30003200   vii. Email Id: skjain@eqmsindia.org

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 : Suman    ii. Designation : GM    iii. Name of Company(Applicant Name should not be given here) : SIKKA SUPERB SPAZE PVT LTD    iv. Address : Sikka House C-60, Preet Vihar, Vikas Marg, 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