APPENDIX I
(See Paragraph-6)
FORM 1
Note : If space provided against any parameter is inadequate, Kindly upload supporting document under 'Additional Attachments if any'  at the last part of the Form1. Please note that all such Annexures must be part of single pdf document.
(I) Basic Information
S.No.Item Details
Is your project Comes under Notified Industrial Area NA
Whether proposal involved violation of EIA notificationN/A
Weather Consent to Establishment ObtainedN/A
Upload copy of CTE N/A
1.
Name of the Project/s CONSTRUCTION OF 2/4 LANING WITH PAVED SHOULDER NH CONFIGURATION UNDER BHARATMALA SCHEME- GOPALPUR-SATPADA-KONARK-ASTARANG-NAUGAON-PARADWIP PORT-RATANPUR (PKG NO.-NHAI/BM/18) IN THE STATE OF ODISHA, Proposed Length-240.122 Kms
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/OR/MIS/86510/2018
Project Cost 219649 lacs
2.
S. No. in the schedule7(f) Highways
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Total length of the project is 240.122 Km ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 996.25 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
a) Protected areas notified under the wildlife (Protection) Act, 1972
c) Notified Eco-sensitive areas
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectEast Coast, Odisha State
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file      
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
Plot/Survey/Khasra No.3A notification attached as additional documents
Town / VillageGanjam, Puri, Balikuda, Mahakalapada
State of the projectOrissa
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)OrissaKendraparaMahakalapada
(2.)OrissaJagatsinghapurErsama
(3.)OrissaJagatsinghapurBalikuda
(4.)OrissaPuriNimapada
(5.)OrissaPuriGop
(6.)OrissaPuriKakatpur
(7.)OrissaPuriBrahmagiri
(8.)OrissaPuriKrushna Prasad
(9.)OrissaGanjamChhatrapur
10.
Nearest railway station along with distance in kms Puri Railway Station, 2.7 km
Nearest airport along with distance in kms Bhubaneshwar Airport, 44.0 km
11. Nearest Town/City/District Headquarters along with distance in kms Puri , 2.7 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Ganjam
13. Name of the Applicant Dr Biswajit
14. Registered Address G-5 & 6, Sector-10, Dwarka, New DElhi-110075
15.
Address for correspondance:
Name of the Company DR.B.Mukhopadhyay
Name of the Applicant Dr Biswajit
Designation (Owner/ Partner/ CEO) General Manager
Pin code 110075
E-mail biswajit@nhai.org
Telephone No. 11-25074200
Fax No. 11-25093543
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
16.
Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet Yes
Uploaded detailsAnnexure-Uploaded details
17. Whether part of Interlinked projects? Yes
18. Whether separate application of Interlinked project has been submitted? N/A
19.
If Yes, MoEF file numberN/A
Date of submissionN/A
20. If No, Reason N/A
21.
Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given
(i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980?Yes
StatusApplication for Forest Clearance yet to be submitted
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?Yes
22.
Whether there is any Government Order/Policy relevant/relating to the site?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
23.
Whether any Forest Land Involved?Yes
Area of Forest land Involved (hectares)33.6 ha.
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
(a) Name of the CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(II) Activity
1 Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) Yes Agricultural, grazing & barren land will be used for road construction. Total 996.25 Ha land will be converted to road use out of which approx. 813.21 Ha is agriculture land.
1.2 Clearance of existing land, vegetation and buildings? Yes The alignment will require cutting of approximately 24596 no. of trees.
1.3 Creation of new land uses? Yes New road will be constructed
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Preliminary alignment survey has been completed and pre-construction survey & geo technical testing would be taken up.
1.5 Construction works? Yes The project consists of the following key components: i. Length in Km – 240.122 kms ii. ROBs – 4 nos. iii. Major Bridges - 29 nos. iv. Minor Bridges -36 nos. v. Culverts – 428 nos. vi. Vehicular underpass – 5 nos. vii. LVUP - 6 nos. viii. Flyovers – 1 nos. ix. Intersections – 10 major junctions & 108 minor junctions
1.6 Demolition works? Yes 1410 no. of structure. (out of which 1020 are partially affected and 390 are completely affected)
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sites will be used for construction yards, labour camps, and construction camps
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The above ground structure includes bridges, flyovers, ROBs. Truck lay bays and Bus –Bays and wayside amenities and Toll Plazas.
1.9 Underground works including mining or tunnelling? No Not Applicable
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? No Not Applicable
1.14 Facilities for storage of goods or materials? Yes Materials for construction such as bitumen cement, paints, steel etc. will be stored in the construction shed/storage tanks.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes The liquid effluent generates from labour /construction camps will be treated in septic /sedimentation tank before diverting it to soak pit. The solid waste will be disposed as per Solid Waste Management rules, 2016.
1.16 Facilities for long term housing of operational workers? No Not Applicable
1.17 New road, rail or sea traffic during construction or operation? No Not Applicable
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not Applicable
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No This is a greenfield alignment
1.20 New or diverted transmission lines or pipelines? Yes Will be diverted as per utility shifting plan.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Adequate structure for Cross drainage works shall be constructed in order to maintain the natural hydrology of the area.
1.22 Stream crossings? Yes Total 13 rivers Rushikulya River, Chilika Lake, Kushabhadra River, Kadua River, Prachi Nadi, Baradia nadi, Borwan Nadi, Saunlia Nadi, Harhua Nadi, Gobari River, Nua Nai River, Devi River and Mahanadi river
1.23 Abstraction or transfers of water from ground or surface waters? Yes Total requirement of water for the construction is estimated 3000 KLD which will be met through surface water and ground water proposed to be used only for camp site for transient period after obtaining the permissions from appropriate authority.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes The Construction materials will be transported during construction from different sources, construction labour will be transported from labour camp.
1.26 Long-term dismantling or decommissioning or restoration works? No Not applicable.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No No ongoing activity will be affected during decommissioning
1.28 Influx of people to an area in either temporarily or permanently? Yes During the construction of the road project around 500 persons would be employed temporarily for a period of 2.5 years. However due to construction of toll plazas approx. 60 persons will be employed on permanent basis. Preference will be given to local people for employment.
1.29 Introduction of alien species? No Only indigenous species shall be planted
1.30 Loss of native species or genetic diversity? No Not applicable
1.31 Any other actions? No Not applicable
2 Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
2.1 Land especially undeveloped or agricultural land (ha) Yes Agricultural, grazing & barren land will be used for road construction. Total 996.25 Ha land will be converted to road use out of which approx. 813.21 Ha is agriculture land
2.2 Water (expected source & competing users) unit: KLD Yes Total requirement of water for the construction is estimated 3000 KLD which will be met through surface water and ground water proposed to be used only for camp site for transient period after obtaining the permissions from appropriate authority.
2.3 Minerals (MT) Yes Minor minerals use in construction:- Fine Aggregate -1102912 cum Coarse Aggregate- 2015813 cum Fine Aggregate- 1102912 cum Borrow Earth- 5631524 cum
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Cement- 4675973 bags Coarse Aggregate - 2015813 cum Fine Aggregate -1102912 cum Steel- 71627 tonne Bitumen emulsion- 2401.22 tonne Bitumen- 33198 tonne Borrow Earth- 5631524 cum Fly Ash- 625724 cum However, Steel and Cement would be sourced from Authorized Vendor. Soil, Sand and Aggregate will be procured from operational licensed borrow areas and quarries located around nearby areas. If any new borrow area or quarry site require to be opened, requisite permission will be obtained fro
2.5 Forests and timber (source – MT) No Use of LPG/Suitable clean cooking fuel would be provided to the construction workers.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Temporary electricity connection will be taken
2.7 Any other natural resources (use appropriate standard units) No Not applicable from State Electricity Board for construction camp and Diesel generator will provide electricity required for construction equipment and power backup. Labour camps will be provided with LPG as fuel sourced from authorized Supplier.
3 Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies Yes Diesel and Bitumen. Contractor will store fuel oil for DG sets and for construction plant and machinery. Bitumen will be stored for road construction. The respective contractors will obtain necessary License / NOC. The hazardous waste (management, handling & transboundary movement) rules, 2008 and its amendments till date will be followed.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Adequate precautions shall be taken to prevent stagnation of sewage and grey water from labour camp. Routine inspection and spray of disinfectants shall be made to prevent outbreak of water borne disease.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The proposed project will result in appreciable welfare of the people with respect to health care, educational, employment and agricultural developments as a result of fast connectivity to these facilities. Overall there will be improvement in quality of life of people.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No There will positive impact due to faster connectivity to hospitals & schools. No adverse impact is envisaged to vulnerable groups of people due to the project.
3.5 Any other causes No Not applicable
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes No Not applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Construction Phase Domestic waste shall be generated from temporary construction camps @ 500 grams per head per day. The solid waste will be disposed as per Solid Waste Management rules, 2016. Operation Phase Domestic waste to be produced from commercial establishment will be disposed off at municipal waste disposal site. Solid waste will be generated during operation phase from way side amenities and will be handled as per established rules.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used / Waste oil and lubricants will be utilized in oiling shuttering and remaining balance will be sold to authorized recyclers. The hazardous waste (management, handling & transboundary movement) rules, 2008 and its amendments till date will be followed.
4.4 Other industrial process wastes No No other industrial process wastes will be generated during construction and operational stages.
4.5 Surplus product No No surplus product will be produced.
4.6 Sewage sludge or other sludge from effluent treatment Yes The solid waste will be disposed as per Solid Waste Management rules, 2016.
4.7 Construction or demolition wastes Yes The resulting scarified bitumen waste / oil spill from various machineries may contaminate soil. Required precautions including routine checks and maintenance of machinery and equipment will be taken to avoid or minimize contamination of soils. C & D rules, 2016 will be followed.
4.8 Redundant machinery or equipment No Not applicable.
4.9 Contaminated soils or other materials No Not applicable.
4.10 Agricultural wastes No Not applicable.
4.11 Other solid wastes No Not applicable.
5 Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources Yes Emissions from Diesel Generator (DG) sets, hot mix plants and construction machineries. Emission norms of CPCB & SPCB for DG set and HM plant will be followed as per MoEF&CC notification no. 595 dated December, 2013 for DG sets.
5.2 Emissions from production processes No No production process is contemplated in the project.
5.3 Emissions from materials handling including storage or transport Yes The use of transport vehicle for carriage of material shall lead to emission. However, there will be no emission during material handling except for the dust pollutants during handling of cement bags, which will be controlled. Ambient air quality monitoring will be done and NAAQS, 2009 will be followed.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emissions such as gases & fumes are emitted from construction equipment and transportation vehicles, batching & mixing plants of Bitumen is generated. Hot mix plant shall be located at least 500 m down windward direction and away from nearest human habitations. Also the machineries and equipment shall be fitted with suitable dust catching devices, precipitators and filters.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will be generated from earth mixing sites, asphalt mixing site and crushers, transportation of raw materials. Water will be sprayed regularly to prevent dust generation from these areas.
5.6 Emissions from incineration of waste No Not Applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No burning of waste is proposed.
5.8 Emissions from any other sources Yes Emissions of Particulate Matter, CO, SO2 and NOx from vehicles used for transportation of construction materials. However all the vehicles would be complied as per prevailing emission norms and fuel used would be as per MOPNG norms.
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers Yes Noise will be generated from operation of construction equipment. Use of protective equipment, scheduling of activities, maintenance and isolation of equipment will be practiced.
6.2 From industrial or similar processes No No industrial process is involved in the project.
6.3 From construction or demolition Yes Noise and vibration will be generated due to construction activity. Ambient air quality standards with respect to noise, 2000, MoEF&CC.
6.4 From blasting or piling No There shall be no piling or blasting activity.
6.5 From construction or operational traffic Yes During construction, noise will be generated from trucks for transportation of material.
6.6 From lighting or cooling systems No Not applicable.
6.7 From any other sources No Not applicable.
7 Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials Yes Short term accidental spills may happen during construction. To avoid contamination of soil and ground/surface water from fuel and lubricants, the vehicles and equipment shall be properly maintained and repaired. The hazardous waste (management, handling & transboundary movement) rules, 2008 and its amendments till date will be followed.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes There shall not be direct discharge of sewage in to water or on land. Septic tank, soak pit is prepared for canteen/kitchen waste in construction camp and toilet waste liquids are discharge to septic/soak pit. Other liquid waste treated at sites by using storage and sedimentation tank. The effluent of the sedimentation tank is discharge within permissible limits of respective parameters. The sewage system shall be properly designed and built so that no water pollution takes place to any water-bo
7.3 By deposition of pollutants emitted to air into the land or into water Yes There may be minimal deposition of pollutants. However following measures shall be adopted to minimize the contamination to land, water and air. • Water spraying will be done during loading and unloading of raw materials and the earth work, all construction machinery shall be operated using controlled devices. All construction vehicles shall be operated with in permissible emission norms. • The liquid effluent generates from labour /construction camps will be treated in septic /sedimenta
7.4 From any other sources No -
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No -
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances Yes There is a possibility of risks from handling of petrochemical and other chemical substances. Fire safety equipment and first aid kit will be provided at such locations. To avoid accident due to handling of explosives, proper precautionary and safety measures as suggested in relevant Act and codes shall be adopted. Handling of explosives/chemicals would be governed as per the PESO guidelines. Fire Prevention and Life Safety Measures Act, Rules and Regulation.
8.2 From any other causes No Not applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Project area is categorized in the seismic zone –III, which is classified as having a moderate probability of earthquake shocks. The probability of flood is nil in the study region. The structure design shall be as per codes to negate the threat of flood, earthquake and other damages. The design of the road and structures would be made following all the relevant codes and guidelines to take care for these natural disasters.
9 Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting utilities, ancillary development or development stimulated   by the project which could have impact on the environment e.g.:
  • Supporting infrastructure (roads, power supply,waste or waste water treatment, etc.)
  • housing development
  • extractive industries
  • supply industries
  • Other
Yes The road project under Bharatmala Pariyojana envisages development of the area through which the road passes hence ancillary development of housing, industries is possible.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Beyond our RoW, no role of NHAI/MoRTH, the remaining surrounding development generally starts during operational phase under the statue of local law.
9.3 Set a precedent for later developments Yes The proposed highway is a part of Bharatmala Pariyojana planned between Gopalpur-Satpada-Konark-Astarang-Naugaon-Paradwip port-Ratanpur CH: 0.000 to 240.122 kms (pkg no.-NHAI/BM/18) in the state of Odisha by NHAI. The project shall result in shorter distance to travel, development of area and economic development of the state and the country. The project shall result in shorter distance to travel, development of area, development of industrial corridor and economic development of the state and
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not applicable
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Yes Proposed alignment is passing through Balukhanda Konark Wildlife Sanctuary in Puri district. Also the proposed alignment is at a distance of 6.0 km from Draft ESZ boundary of Chilika (Nalaban) wildlife sanctuary and 7.0 km form boundary of Chilika wildlife sanctuary.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes The proposed alignment is crossing through CRZ I, II, III and CRZ IV areas at different chainages. Proposed alignment is passing through Balukhanda Konark Wildlife Sanctuary in Puri district. Also the proposed alignment is at a distance of 6.0 km from Draft ESZ boundary of Chilika (Nalaban) wildlife sanctuary and 7.0 km form boundary of Chilika wildlife sanctuary.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Proposed alignment is passing through Balukhanda Konark Wildlife Sanctuary in Puri district. Also the proposed alignment is at a distance of 6.0 km from Draft ESZ boundary of Chilika (Nalaban) wildlife sanctuary and 7.0 km form boundary of Chilika wildlife sanctuary.
4 Inland, coastal, marine or underground waters Yes The proposed alignment is crossing through CRZ I, II, III and CRZ IV areas at different chainages. The proposed alignment is passing through thirteen river: Rushikulya River, Chilika Lake, Kushabhadra River, Kadua River, Prachi Nadi, Baradia nadi, Borwan Nadi, Saunlia Nadi, Harhua Nadi, Gobari River, Nua Nai River, Devi River and Mahanadi river.
5 State, National boundaries Yes -
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No -
7 Defence installations No -
8 Densely populated or built-up area Yes Puri – 2.7 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Temples- 56 nos. Schools/Colleges- 13 nos.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not applicable
12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects No The area falls under seismic zone III which is categorized as moderate seismic zone.
(IV) Proposed Terms of Reference for EIA studies
1 Uploaded Proposed TOR File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
Additional Attachments, if any
Attached File
ADS Letter
      Essential Detail Sought : NIL
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterEAC suggested for exploring alternate alignment that is far away and to the west & beyond Chilika WLS of current alignment to avoid disturbance to the wildlife especially water birds in Chilika lake,Bhiterkarnika National Park and Olive Ridley Turtle Nesting sites in Balukhand Konark WLS for further consideration of TOR. Hemce our project was rejected. Accordingly the proposed TOR proposal is being withdrawn and fresh TOR application will be submitted shortly for consideration and grant of TOR for the revised alignment 08 Jan 2020
2.NAKindly see the final minutes of EAC Infra-1 meeting held on24-25 January, 2019 11 Feb 2019
(V) 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 any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.
V.(i)
Name of ApplicantDr Biswajit
DesignationGeneral Manager
Name of Company (Applicant Name should not be given here)DR.B.Mukhopadhyay
AddressG-5 & 6, Sector-10, Dwarka, New DElhi-110075
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