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/MIS/66989/2017    ii. MoEFCC File No. : 11-33/2017-IA.III    iii.Short narrative of the project: Construction of Hotel Building    iv. Project Sector : INFRA-2    v. Company/Proponent : M/S. MOTIMAHAL HOTELS PVT. LTD.

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Dakshina Kannada	Mangalore

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 23 Aug 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 2001   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: Form 1 along with relevant Annex uploaded in the tab of Additional documents desired by Ministry.

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Reply to EDS by MS	11 Aug 2017
2.	Reply to 2nd EDS by MS	23 Aug 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : No    ii. Reason for not hiring the Consultant : As the built up area of the project is less than 20,000 sq.m.

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 : Alake    ii. Designation : Managing Director    iii. Name of Company(Applicant Name should not be given here) : M/S. MOTIMAHAL HOTELS PVT. LTD.    iv. Address : M/s. Moti Mahal Hotels Pvt. Ltd. Falnir Road, Mangalore 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