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: 30260413124107575 Application Type: New Registration
Name of Applicant / MOHAMMAD FAIZAN Application Date: N/A
Company: Kind of Business: Food Services -
Designation: Individual Restaurants
Turnover: 12,00,000
Address of Premises Where Food Business Is Located
Address: MALESEMAU NEAR State: Uttar Pradesh
JAMA MASJID
Sub-Division/Station/ Lucknow Tahsil
District/Region/Zone: Lucknow Division(Railways):
Village: Malesemau Pan No: AFCPF0077K
Pin Code: 226010 Name: MOHAMMAD FAIZAN
Nearest Landmark: JAMA MASJID DOB: 20-03-1988
Gender: MALE
Correspondence Address Details
Address: NEAR KHATIBIN State: Uttar Pradesh
WALI MASJID Sub-Division/Station/ Nagar Nigam Food
UJARIYOAN Division(Railways): Safety Zone-17
District/Region/Zone: Lucknow Pin Code: 226010
Village: GOMTI NAGAR
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 8707213983 Email-ID: N/A
Contact Person: MOHAMMAD Aadhaar No: 76XXXXXXXX23
FAIZAN
Other Details
In case of New business – intended date of start: 13-04-2026
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 1
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. Name of the food category
No
1 16 - Prepared Foods
2 08 - Meat and meat products, including poultry and game
3 09 - Fish and fish products, including molluscs, crustaceans, and echinoderms
4 01 - Dairy products and analogues, excluding products of food category 2.0
5 04 - Fruits and vegetables (including mushrooms and fungi, roots and tubers, fresh pulses and
legumes, and aloe vera), seaweeds, and nuts and seeds
6 06 - Cereals and cereal products, derived from cereal grains, from roots and tubers, pulses, legumes
and pith or soft core of palm tree, excluding bakery wares of food category 7.0
7 14 - Beverages, excluding dairy products
8 15 - Ready-to-eat savouries
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Identity Proof - Pan Card View
2 Photo View
Other Document(s) Details
[Link]. Documents Description Uploaded Document
No Record Found
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.1.5 Cr. I will apply for License as and when
annual turnover of food businesses exceeds Rs. 1.5 Cr.
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.
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Declaration || Condition of License || Inspection Checklist
घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
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