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/IND/25809/2012    ii. MoEFCC File No. : J-11011/310/2012-IA II(I)    iii.Short narrative of the project: Expansion of Brownfield Ammonia, Urea Plant, New Aniline, TDI-MDI Blends, Water Soluble    iv. Project Sector : Industrial Projects    v. Company/Proponent : Gujarat Narmada Valley Fertilizers & Chemicals Limited

vi.Details of State of the project

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

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 22 Mar 2013 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 21 Nov 2014 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: 30 Sep 2014   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: None   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : S. No. 88 as per Rev 24 on Nov 07, 2014, on "List    iii. Name of Consultant: Kadam Environmental Consultants   iv. Address : 871/B/3, GIDC Makarpura, Vadodra, Gujarat - 390010   v. Mobile No.: 9714861611   vi. Landline No.: 2653001000   vii. Email Id: kadam@kadamenviro.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 : Mr. J.H.Thakkar    ii. Designation : Chief Manager    iii. Name of Company(Applicant Name should not be given here) : Gujarat Narmada Valley Fertilizers & Chemicals Limited    iv. Address : M/s G.N.F.C. Ltd. P.O. Narmadanagar, Bharuch. 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: NIL