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/IND2/51463/2014    ii. MoEFCC File No. : J-11011/311/2014-IA II (I)    iii.Short narrative of the project: Installation of Manufacturing Facility Technical Grade Pesticides and Pesticide Specific Intermediates by Jubilant Life Sciences Limited (Unit 3) at SEZ Operated by M/s. Jubilant Infrastructure Limit    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : M/s. Jubilant Life Sciences 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	Vagra
2.	Gujarat	Bharuch	Vagra

   vii.Date of TOR Granted 06 Jan 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 06 Oct 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: 18 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: EIA report submission after public hearing

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1619/RA 0042    iii. Name of Consultant: Kadam Environmental Consultants, Vadodara, Gujarat   iv. Address : 871/B/3, GIDC Makarpura, Vadodara, India – 390 010   v. Mobile No.: 9714861611   vi. Landline No.: 02656131000   vii. Email Id: narendra_jain@jubl.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 : Narendra Kumar    ii. Designation : Vice President    iii. Name of Company(Applicant Name should not be given here) : M/s. Jubilant Life Sciences Limited    iv. Address : M/s. Jubilant Life Sciences Limited (Unit: Bharuch SEZ -Unit 3) Plot No. 5, SEZ of Jubilant Infra 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