Food Safety Compliance System (FoSCoS)
[Link]
Form A
[See Regulation 2.1.1, Regulation 2.1.7]
Application for Registration under food safety and Standards Act,2006
Application No: 30251225122713574 Application Type: New Registration
Name of Applicant / Ali's Kitchen Application Date: 27-12-2025
Company: Kind of Business: Food Services - Food
Designation: Individual Vending Establishment
Address of Premises Where Food Business Is Located
Address: 22 , 1st floor , State: Maharashtra
noraani building ,
Sub-Division/Station/ Kalawa Mumbra Zone
near noorani
Division(Railways):
building , aalshan
theater, mumbra Pan No: KQDPK9680R
Name: ANAM FAZAL KHAN
District/Region/Zone: Thane Municipal
Corporation DOB: 22-04-2001
(Thane Zone-1) Gender: FEMALE
Village: N/A
Pin Code: 400612
Nearest Landmark: Noorani masjid
Correspondence Address Details
Address: 22 , 1st floor , State: Maharashtra
noraani building , Sub-Division/Station/ Kalawa Mumbra Zone
near noorani Division(Railways):
building , aalshan
Pin Code: 400612
theater, mumbra
District/Region/Zone: Thane Municipal
Corporation
(Thane Zone-1)
Village: N/A
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 9004530866 Email-ID: N/A
Contact Person: Anam Khan Aadhaar No: 32XXXXXXXX20
Other Details
In case of New business – intended date of start: 01-01-2026
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Source of Water Supply: Private
Sanction Electricity Load or HP Used: No
Number of years applied for: 1
Detail(s) of Food Item
[Note:Only standardised food products are allowed to be manufactured as per the list available on FoSCoS.]
Other than Manufacturer Unit
Sl. No Name of the food category
1 08 - Meat and meat products, including poultry and game
2 16 - Prepared Foods
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Identity Proof - Pan Card View
2 Photo - Pan Card View
Other Document(s) Details
[Link]. Documents Description Uploaded Document
No Record Found
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 27-12-2025 316366893981292 pay_Rwb2UhDpfA5XvS 100.00
I/We declare that:
I/We have read,understood and shall abide all provisions of FSS Act,2006 and Rules, Regulations made
therein and orders issued from time to time applicable to declared food business.
I/We assure that articles of food mentioned in form satisfy the requirements of FSS Act 2006, Rules and
Regulations made thereunder.
I/We shall comply with the general hygiene and sanitary requirements as mentioned in the Schedule 4 of
the FSS (Licensing and Registration of Food Businesses) Regulations, 2011.
Expected Annual turnover of the food business is under Rs.12 Lacs. I will apply for License as and when
annual turnover of food businesses exceeds Rs. 12 Lacs.
I have read/understood the punishment provision under Section 61 of FOOD SAFETY AND STANDARDS ACT,
2006."61. Penalty for false information. If a person, in connection with a requirement or direction under this
Act, provides any information or produces any document that the person knows is false or misleading, he
shall be liable to penalty which may extend to ten lakh rupees."
I do hereby solemnly affirm and declare that all information and particulars furnished here by me are true and
correct to the best of my knowledge.
Declaration || Condition of License || Inspection Checklist
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घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
Date & Time : 27-12-2025 15:34:05 IST
Applicant Name : Ali's Kitchen
Verified through Mobile : 90XXXXXX66
IP Address : [Link]
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