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: 30231017114755645 Application Type: New Registration
Name of Applicant / TINKU SINGH Application Date: N/A
Company: Kind of Business: Trade/Retail - Retailer
Designation: Individual
Address of Premises Where Food Business Is Located
Address: B-201, OLD NO- State: Delhi
C-61 & C-62, PLOT
Sub-Division/Station/ PREET VIHAR
NO-145/5, S/F
Division(Railways):
District/Region/Zone: East Pin Code: 110092
Village: MANDAWALI Pan No: N/A
FAZAL PUR
Nearest Landmark: N/A
Correspondence Address Details
Address: B-201, OLD NO- State: Delhi
C-61 & C-62, PLOT Sub-Division/Station/ PREET VIHAR
NO-145/5, S/F Division(Railways):
District/Region/Zone: East Pin Code: 110092
Village: MANDAWALI
FAZAL PUR
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 8802477144 Email-ID: TINKU.VIJAYA017@GM
Contact Person: TINKU SINGH [Link]
Other Details
In case of New business – intended date of start: N/A
Source of Water Supply: N/A
Sanction Electricity Load or HP Used: No
Number of years applied for: 5
Detail(s) of Food Item
[Note:Only standardised food products are allowed to be manufactured as per the list available on FoSCoS.]
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Other then Manufacturer Unit
Sl. No Name of the food category
1 05 - Confectionery
2 07 - Bakery products
3 18- Indian Sweets and Indian Snacks & Savouries products
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Photo - Pan Card View
2 Identity Proof - Pan Card View
Other Document(s) Details
[Link]. Documents Description Uploaded Document
1 Proof of Premises view
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. Punishment 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 punishable with imprisonment for a term which may extend to three months and also with fine
which may extend to two 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
घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
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