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/DL/NCP/62761/2017    ii. MoEFCC File No. : 21-105/2017-IA.III    iii.Short narrative of the project: Proposed Trauma Centre for AIIMS at Safdarjung Enclave, New Delhi    iv. Project Sector : New Construction Projects and Industrial Estates    v. Company/Proponent : ALL INDIA INSTITUTE OF MEDICAL SCIENCES

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Delhi	New Delhi	Connaught Place
2.	Delhi	South	Hauz Khas

   vii.Date of TOR Granted 02 Jun 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 24 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: 06 Jun 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: This is a New Project.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 87    iii. Name of Consultant: IND TECH HOUSE CONSULT   iv. Address : G 8/6, Ground Floor Rohini Sector 11 New Delhi   v. Mobile No.: 8860080363   vi. Landline No.: 01127571410   vii. Email Id: dubeyakw1@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 : Sunil    ii. Designation : Projectincharge    iii. Name of Company(Applicant Name should not be given here) : ALL INDIA INSTITUTE OF MEDICAL SCIENCES    iv. Address : NBCC BHAWAN, LODHI ROAD, 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