EIA Registration Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

FORM EIA 1

FEDERAL MINISTRY OF ENVIRONMENT

ENVIRONMENTAL IMPACT ASSESSMENT REGISTRATION FORM

(TO BE COMPLETED IN DUPLICATE)

APPLICATION FEE: N50, 000.00

FEDERAL MINISTRY OF ENVIRONMENT,


MABUSHI,
ABUJA,
NIGERIA.
ENVIRONMENTAL IMPACT ASSESSMENT (EIA)
REGISTRATION/NOTIFICATION FORM

Title of the proposed project: .....................................................................................................................

...................................................................................................................................................................

Name of project proponent: .......................................................................................................................

Contact GSM number ………………….…………………… e-mail………………………………………………. ……………………

Address of the project proponent: ..............................................................................................................

...................................................................................................................................................................

Location of the proposed project (State, Local Government Area, etc): ................
........................................

...................................................................................................................................................................

Brief description of the project: ..................................................................................................................

....................................................................................................................................................................

...................................................................................................................................................................

Sources of raw materials (local, imported etc): .........................................................................................

...................................................................................................................................................................

Type of Sector/ Sub-Sector applicable to project: .......................................................................................

...................................................................................................................................................................

Expected Life span of the project: ...............................................................................................................

EIA preparers (Consultants): .......................................................................................................................

Address and GSM no. of the Consultant(s): ................................................................................................

...................................................................................................................................................................
Non-refundable Registration Fee of Fifty Thousand Naira (N50, 000.00) only, through TSA online FG
Payment platform payable to the Federal Ministry of Environment.

Signature, designation and official stamp

FOR FMENV EIA DIVISION USE ONLY

Assigned project Registration Number: ...........................................................

HEAD DIRECTOR
EIA DIVISION ENVIRONMENTAL ASSESSMENT

You might also like