FulI Title of the Project:-Diversion of 0.0280 Ha. of forest land for approach road to retail outlet of Hindustan Petroleum Corporation Ltd. at Yillage , on to NH-3448 Intersection Road Tehsil Adampur & Distt. , Punjab. File No. : Date ol Proposal:

To,

The Deputy' commissiorrer. Jalandhar Through DFO Jalandhar At

Sub:- Grant of Certificate Regarding Non-existence of schedule tribs and other traditional forest dwellers(recognition of forest rights ) act 2006 for setting up for approval of Full Full Diversion of 0.0280 Ha. of forest land for approach road to retail outlet of Hindustan Petroleum Corporation Ltd. at Village Daroli Kalan, on Adampur to NH-3448 Intersection Road Tehsil Adampur & Distt. Jalandhar, Punjatr.

Dear sir,

we are applying lor noc regarding diversion of 0.0280 Ha. of forest land for approach road to retail outlet of Hindustan Petroleum Corporation Ltd. at Village Daroli Kalan, on Adampur to NH-3448 Intersection Road Tehsil Adampur & Distt. Jalandhar, Punjatr, as per tlre government of . ministry of'Environment and fbrest ( FC division ) notif-rcation F.no.11- 9/1998-fb(pt)dated 03/08/2009 and subsequent notit-ication f.no.ll-9/98-fc ( pt) dated 5 july 2013 in the format provided by the ministry of envirorunent and lbrest (FC division) as fbrm-l

Crant of cerlificate regarding schedule Tribes. You are requested to kindly L grant Certificate as early as possible.

Thanking Your's Faithfully

r6rft fig. i .i -. 1tE. l;16ir4l-q-l 4-4OO I St Dind, .. ' ' 'r 'rlaldhar-1u14001 Full Title of the Project:-Diversion of 0.0280 Ha. of forest land for approach road to retail outlet of Hindustan Petroleum Corporation Ltd. at Village Daroli Kalan, on Adampur to NH-3448 Intersection Road Tehsil Adampur & Distt Jalandhar, Punjab. File No. : Date of Proposal:

FORM-I

(fbr plantations on non-fbrest land and notified as "protected forest" on or after 13th December I930 and located in villages lraving no recorded Scheduled Tribe Populatiorr as per: 2001 and 201 I census)

fRule 6(3) (e) of Forest (Conservation) Rules 2003 as arnended up to date]

Government ol'Puniab {) Olo District Collector .lalandhar

No Dated

TO WHOMSOEVER IT. MAY CONCERN

In compliance of the Rule 6(3)(e) of the Forest (Conservation) Rules,2003 [as amended vide the Forest (Conservation) Amendment Rules 2014. Forest (Conservatiorr) second Amendment Rules 2A14: and Forest (Conservation) Amendment Rules 2016) it is certified that 0.0280 hectares ot- forest land proposed to be diverled in favour of Hindustan Petroleum Corporation Ltd. for approach road to retail outlet situated at village Daroli Kalan in the district falls rvithin the jurisdiction of Jalandhar village(s) Daroli Kalan in Jalandhar tehsil having no recorded population of Scheduled Tribes as per Census of India 2001 and 201l. It is further certified that;

a) The Protected Forest (s) namely village Daroli Kalan involved in the above villages are t" plantations raised on non-fbrest land on or after 13tl'December 1930 and were notit-recl as PF'vide notification no (s) ll22-Ft-5811 196 Dated 3'd Ma1,. 1958. b) Therefore, these PFs neither have residing Scheduled Tribes nor have Other Tr:aditional Forest Dw'ellers (residing in the PFs fbr more than 75 years) having rights recognized under Forest Rights Act, 2006.

Encl. As Above

Sigrrature

Deputy Commissioner Jalandhar Full Title of the Project:-Diversion of 0.0280 Ha. of forest Iand for approach road to retail outlet of Hindustan Petroleum Corporation Ltd. at Village Daroli Kalan, on Adampur to NH-3448 Intersection Road Tehsil Adampur & Distt. Jalandhar, Punjab. FileNo.: Date of Proposal

UNDERTAKING FOR MIT FRA CERTIFTCATE

It is cerlify that I, Arun Kumar, Manager Retail Bngineering, Hindustan Petroleum

Corporation Ltd have applied for diversion of'0.0280 I-{a. of lbrest land fbr approactr road to retail oLrtlet of Hirrdustan Petroleum Corporation Ltd. at Villa,ge Daroli Kalan. on Adanrpurto NH-3448 Intersection Road Tehsil Adampur & Distt. Jalandhar. Punjab. We hereby'ceftify and undeftake that befbre receiving the no objectiorr cerlificate fiom vour department. I will produce the FRA Ceftificate fiom the DC Jalandhar. un*{[3r\c-*^. Place:Jalandhar .''-'ffiffiH.ffi Date:

J,.lni Pin'j'trYt i '

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