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/66880/2017    ii. MoEFCC File No. : 21-299/2017-IA-III    iii.Short narrative of the project: Group Housing Project located at Village Khalagaon, Pargana Pachwa Doon, Tehsil-Sadar, Dehradun, Uttarakhand    iv. Project Sector : INFRA-1    v. Company/Proponent : DELMOS AVIATION PRIVATE LIMITED

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: 21 Jul 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: 21 Jul 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: Please except our online proposal rest of the document will be submitted with the hard copy.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/RA083/076    iii. Name of Consultant: Grass Roots Research and Creation India (P) Ltd.   iv. Address : F374-375, Sector 63, Noida, UP.   v. Mobile No.: 8377904041   vi. Landline No.: 01204044630   vii. Email Id: delmosaviation@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 : Ajay    ii. Designation : AuthoriseSignatory    iii. Name of Company(Applicant Name should not be given here) : DELMOS AVIATION PRIVATE LIMITED    iv. Address : 209, 2nd Floor, Prakash Deep Building, 07, Tolstoy Marg, Cannaught Place, 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