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: 30240606116730272 Application Type: Renewal
Name of Applicant / Silver sugar cakes Application Date: 06-06-2024
Company: Kind of Business: Food Services - Petty
Designation: Individual Retailer of snacks/tea
Expiry Date: 07-06-2026 shops
Certificate No: 21521051000220
Address of Premises Where Food Business Is Located
Address: 606, Sundaram 2B, State: Maharashtra
Raheja complex,
Sub-Division/Station/ Greater Mumbai Ward-
Malad east
Division(Railways): P/N
District/Region/Zone: Greater Mumbai Pin Code: 400097
Village: Raheja complex Pan No: N/A
Nearest Landmark: near The Times of
India
Correspondence Address Details
Address: 606, Sundaram 2B, State: Maharashtra
Raheja complex, Sub-Division/Station/ Greater Mumbai Ward-
Malad east Division(Railways): P/N
District/Region/Zone: Greater Mumbai Pin Code: 400097
Village: Raheja complex
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 9820074580 Email-ID: chaitali22gkp@gmail.
Contact Person: Chaitali sinha com
Other Details
In case of New business – intended date of start: N/A
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 2
Detail(s) of Food Item
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[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 07 - Bakery products
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Identity Proof - Pan Card View
2 Photo - Aadhar 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 06-06-2024 427381020322920 pay_OJVUVlUrls3DX3 200.00
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
घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
Date & Time : N/A
Applicant Name : Silver sugar cakes
Verified through Mobile :
IP Address :
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