FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/PB/TRANS/22867/2016   (ii). Name of Project for which Forest Land is required : Reliance Jio Infocomm Ltd. at Ludhiana   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.7222 ha. of Forest land for lying of optical Fiber Cable Reliance Jio Infocomm limited along (Strip 1: Bhamaddi to Isru T Point= 6 KM) and (Strip 2: Isru to Jarg = 9.8 KM) on Khanna to Malerkotla Road MDR - 33. Tehsil Khanna, Distt, ludhiana.   (iv). State : Punjab   (v). Category of the Proposal : Transmission Line   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 20   (viii). Area of forest land proposed for diversion(in ha.): 0.7222   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : RELIANCE JIO INFOCOMM LTD.   (ii). Address1 : Reliance Jio Infocomm Ltd. C-135, Industrial Area, Phase-8, Mohali   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : SAS Nagar   (vi). Pin : 160055   (vii). Landmark : NIL   (viii). Email address : rajeev0123987@gmail.com   (ix). Landline Telephone No. : 798-0090924   (x). Fax No. : 798-   (xi). Mobile No. : 7980090924   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Rajeev   (ii). Middle Name: NIL   (iii). Last Name: Dhiman   (iv). Gender: Male   (v). Designation: Project Manager   (vi). Address 1: Reliance Jio Infocomm Ltd.C-135, Industrial Area, Phase - 8, Mohali   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: SAS Nagar   (x). Tehsil: S.A.S.Nagar (Mohali)   (xi). Pin: 160055   (xii). Landmark: NIL   (xiii). Email Address: rajeev0123987@gmail.com   (xiv). Landline Telephone No.: 798-0090924   (xv). Fax No.: NIL   (xvi). Mobile No.: 7980090924   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of land required for the Project
B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
NIL
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ludhiana0.72220
Total0.72220
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ludhiana0.72220
Total0.72220
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhamaddi to Isru T Point0.27420
2Isru to Jarg0.4480
Total 0.7222 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
11. Bhamaddi to Isru T Point0.270
22.Bhamaddi to Isru T Point0.00360
33. Bhamaddi to Isru T Point0.00060
44. Isru to jarg0.4410
55. Isru to Jarg0.0060
66.0.0010
Total 0.7222 0
C. Maps of forest land proposed to be diverted
Division 1. : Ludhiana
  (i). Area of forest land proposed to be diverted(in ha.) : 0.7222   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.0.2742    View File
2.0.448    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: NA
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 15   (iii). Temporary Employment(Number of person-days): 0
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : No
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Not Applicable   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Annexure A
2Application
3Certificate
4Detail note of the project
5Detail note
6Detail of non forest land
7Form A
8Geo reference Map of Segment 1
9Geo reference Map of Segment 2
10justification
11Minimum use of Forest Land
12Registration Certificate
13Toposheet
14Undertaking for the payment of Compensatory Afforestation
15Undertaking for FRA 2006
16Undertaking for NOC from PWD
17Undertaking for CA
18Attached Undertaking/ Bank Guarantee is uploaded.
19Attached NOC For PWD/NHAI is uploaded.
20Attached approval of competent authority is uploaded.