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/GA/MIS/70135/2017    ii. MoEFCC File No. : 11-42/2017-IA.III    iii.Short narrative of the project: NAMEH HOTELS & RESORTS    iv. Project Sector : INFRA-2    v. Company/Proponent : NAMEH HOTEL RESORT

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Goa	North Goa	Bardez

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 09 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: 01 Oct 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 PROJECT IS FOR ONLY CRZ CLEARANCE, IT DOES NOT FALLS UNDER EIA NOTIFICATION. CRZ MAPPING HAD BEEN CARRIED BY ANNA UNIVERSITY AND AVAILABLE WITH PROPONENT WILL BE SUBMITTED TO EAC DURING PRESENTATION.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : No    ii. Reason for not hiring the Consultant : THIS PROJECT DOES NOT ATTRACT EIA/EC. IT IS ONLY FOR CRZ CLEARANCE.

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 : VIKRAM    ii. Designation : Seniorvicepresident    iii. Name of Company(Applicant Name should not be given here) : NAMEH HOTEL RESORT    iv. Address : NAMEH HOTELS & RESORTS PVT LTD. 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