Work Order
  An asterisk (*)denotes a Mandatory field.
A. Reference Number
This is with reference to the EIC quotation number *, dated *
We hereby, confirm the Order for Data. Our particulars are as follows:
B. Organisation and Data Details
I Name of Indenting Organization*
II
Contact Details  
Address*
City State
Country Pin Code
  Country Code       Area code               Phone number
Phone No* - -  
Fax No - -  
E-Mail*
III Name of the Indentor*
IV Purpose of Data Procurement*
V Area of Interest for which data is required
Latitude
Longitude
Distance / Radius around project site periphery for which data is required Km
State
District
Taluk 
City/Village
Area (sq. km) 
C. Confirmation of Data Layers Required
The Layer acceptable as per the quotation for description and quoted cost as per the quotation number stated in Section A above
Sno Data Layer Layer acceptable Quoted Cost
1 Forest Map and Boundary
2 Protected Areas/ National Parks / Wildlife Sanctuaries
3 Tree Count & Timber Volume in the Area
4 Village Location and Demography and Socio-Economic Data
5 Drainage Pattern
6 Land Use / Land Cover
7 Natural Disaster Prone Areas
8 Administrative Boundary & Infrastructure Data
9 Landmarks
10 Digital Terrain Model (DTM)
11 Archaeology
12 Ecology
13 Marine Ecology
14 Geology
15 Soil Characteristics
16 Water Quality
17 Ground Water Hydrology
18 Air Quality
19 Meteorology
20 Potential Erosion Areas for Planning of Catchment Area Treatment
21 Time Series Data for Monitoring
22 Other (Specify) :    
a
b
c
  Total Amount Due  
       
D. Payment Details  
Please find attached Draft/Cheque in favour of "IL&FS Ecosmat Limited A/c EIC Project", payble at Mumbai, India.
  Cheque     Demand Draft
Cheque / Demand Draft Number *
Dated*
Bank*
DECLARATION

We/ I declare that

1. The data requested from Environmental Information Centre (EIC) is for the sole purpose declared in section IV of the Work Order form and will not be used for any other purpose without prior written permission from EIC


2. We / I understand the product supplied by EIC is the sole property of EIC and falls under copyright and IPR conditions. The data provided by EIC will not be reproduced / modified, stored in a retrieval system, loaned or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior permission of EIC. We / I will not syndicate or resell or transfer the data provided by EIC to any other user including any affiliated companies


3. I have read and understood the Terms and Conditions for data supply by EIC and I accept and agree to abide by the same.
 
Signature of the Indentor: *  
Name of the Indentor:*
Organisation:*
Date:*

Place:*