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/RJ/OFC/42787/2019   (ii). Name of Project for which Forest Land is required : Laying of Underground Optical Fiber Cable Along the Road Within the Existing Row from Ajmer Bypass to Nasirabad Bypass by M/s Bharti Airtel Limited Total Route Length - 9.320km.”District Ajmer(Rajasthan)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Laying of Underground Optical Fiber Cable Along the Road Within the Existing Row from Ajmer Bypass to Nasirabad Bypass by M/s Bharti Airtel Limited Total Route Length - 9.320km.”District Ajmer(Rajasthan)   (iv). State : Rajasthan   (v). Category of the Proposal : Optical Fibre Cable   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 15.5   (viii). Area of forest land proposed for diversion(in ha.): 0.1908   (ix). Non-forest land required for this project(in ha.): 0.2286   (x). Total period for which the forest land is proposed to be diverted(in years): 1
A-2. Details of User Agency
  (i). Name : BHARTI AIRTEL LIMITED.   (ii). Address1 : K-21, MALVIYA MARG, C-SCHEME   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302001   (vii). Landmark : NIL   (viii). Email address : airtel.row@gmail.com   (ix). Landline Telephone No. : 124-4970931   (x). Fax No. : 124-   (xi). Mobile No. : 9587788888   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: KULJINDER   (ii). Middle Name: NIL   (iii). Last Name: GILL   (iv). Gender: Male   (v). Designation: CIRCLE DEPLOYMENT HEAD   (vi). Address 1: K-21, MALVIYA MARG, C-SCHEME   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: Jaipur   (xi). Pin: 302001   (xii). Landmark: NIL   (xiii). Email Address: airtel.row@gmail.com   (xiv). Landline Telephone No.: 124-4970931   (xv). Fax No.: NIL   (xvi). Mobile No.: 9587788888   (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.Ajmer Territorial0.19080.2286
Total0.19080.2286
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ajmer0.19080.2286
Total0.19080.2286
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1MAKHUPURA0.06390.0639
2DANTA0.12690.0351
3JATIYA00.1296
Total 0.1908 0.2286
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying for OFC Cable0.19080.2286
Total 0.1908 0.2286
C. Maps of forest land proposed to be diverted
Division 1. : Ajmer Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1908   (ii). Nature of the Project: Linear   (b). No. of Segments : One
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).
1.0.1908    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: As the OFC laying has to be done on this route onl
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 4   (iii). Temporary Employment(Number of person-days): 200
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? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
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
1COMPANY REGISTRATION CERTIFICATE
2AUTHORIZATION LETTER
3BARCHART
4CERTIFICATE FOR MINIMUM USE OF FOREST LAND
5Details of Permanent Employment to be Generated
6EDS REPLY LAYING OPTICAL FIBER FROM AJMER BYPASS BHARTI AIRTEL LIMITED-17-07-2020
7JAMBANDI COPY
8JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
9PROJECT REPORT
10STATEMENT SHOWING DETAILS OF FORESTAREA PROPOSED FOR DIVERSION
11UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING LAYING OFC CALBLE
12UNDERTAKING FOR MUCK DISPOSAL DURING LAYING
13UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
14UNDERTAKING FOR PAYMENT OF ANY OTHER COST & CONDITION
15UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
16UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
17UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST
18UNDERTAKING FOR USE OF FOREST LAND
19UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
20UNDERTAKING OF FRA CERTIFICATE
21VILLAGE WISE AREA CALCULATION SHEET
22GEO-REFRENCED KHASRA MAP SUPER IMPOSED OFC ROUTE ALIGNMETN
23GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND AND PROPOSED OFC ROUTE ALIGNMENT SCALE 1 : 50000
24GEO-REFERENCED DIGITAL MAP SHOWING FOR REQUIRED FOREST LAND COORDINATE AND OFC ROUTE ALIGNMENT
25CROSS SECTION OF OFC CABLE