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/UP/NCP/67183/2017    ii. MoEFCC File No. : 21-304/2017-IA-III    iii.Short narrative of the project: Proposed Affordable Housing Project under the Scheme of Samajwadi Avas Yojna “Ganpati World II" on Khasra no 3, 11, 12, Mauza Budhera in Tehsil & Distt.- Agra, U.P.    iv. Project Sector : INFRA-1    v. Company/Proponent : MS GANPATI INFRASTRUCTURE DEVELOPMENT COMPANY LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Uttar Pradesh	Agra	Agra

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 02 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 Aug 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: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 115    iii. Name of Consultant: Paramarsh servicing environment and development   iv. Address : 4/97 Viram Khand Gomti Nagar Lucknow UP   v. Mobile No.: 9336348520   vi. Landline No.: 05224114250   vii. Email Id: akash.007.kumar@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 : Nikhl    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : MS GANPATI INFRASTRUCTURE DEVELOPMENT COMPANY LIMITED    iv. Address : Ganesh Plaza 31/472 C/1 first floor, Sultanganj, Byepass Road, Agra 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