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/AR/IND2/69844/2014    ii. MoEFCC File No. : J-11011/149/2014-IA II (I)    iii.Short narrative of the project: Exploratory drilling and testing of hydrocarbons in Jairampur Extension PEL (Petroleum Exploration License) Block (23.25 sq. km) in Changlang district of Arunachal Pradesh.    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : OIL INDIA LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Arunachal Pradesh	Changlang	Jairampur Circle

   vii.Date of TOR Granted 01 Oct 2014 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 25 Sep 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: 23 May 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: None

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Accreditation Committee Meeting for Surveillance A    iii. Name of Consultant: SGS India Private Limited   iv. Address : SGS India Private Limited 226 Udyog Vihar Phase I Gurgaon – 122 016, Haryana, India Tel: +91 124 6776300 Fax: +91 124 6776403/04 http://www.sgsgroup.in/   v. Mobile No.: 9538333944   vi. Landline No.: 9538333944   vii. Email Id: ajaya_acharya@oilindia.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 : Ajit    ii. Designation : CGM(HSE)    iii. Name of Company(Applicant Name should not be given here) : OIL INDIA LIMITED    iv. Address : OIL INDIA LIMITED DULIAJAN District : Dibrugarh 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