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/MH/IND2/62425/2017    ii. MoEFCC File No. : IA-J-11011/40/2017-IA-II(I)    iii.Short narrative of the project: sanjivani paranteral limited    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : SANJIVANI PARENTERAL LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Raigad	Mahad
2.	Maharashtra	Raigad	Mahad

   vii.Date of TOR Granted 29 Apr 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 08 Nov 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: 22 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: Reply for the EDS sought by MS.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518/SA 021    iii. Name of Consultant: SADEKAR ENVIRO ENGINEERS PVT. LTD.   iv. Address : 310, Dempo tower, EDC, Patto, Panaji, Goa. 403001   v. Mobile No.: 9820144125   vi. Landline No.: 08322437048   vii. Email Id: posharma@sanjivani.co.in

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 : Ashwin    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : SANJIVANI PARENTERAL LIMITED    iv. Address : K-2/1/2 Additional MIDC, Mahad 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