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Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Namr Bharat Foods for a food vending establishment in Gujarat. It includes details such as the applicant's address, contact information, intended business start date, food categories, and compliance declarations. The applicant has provided necessary identity proofs and acknowledges understanding of the regulations and penalties associated with false information.
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0% found this document useful (0 votes)
5 views2 pages

Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Namr Bharat Foods for a food vending establishment in Gujarat. It includes details such as the applicant's address, contact information, intended business start date, food categories, and compliance declarations. The applicant has provided necessary identity proofs and acknowledges understanding of the regulations and penalties associated with false information.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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: 30260430124313215 Application Type: New Registration


Name of Applicant / Namr Bharat Foods Application Date: N/A
Company: Kind of Business: Food Services - Food
Designation: Individual Vending Establishment
Turnover: 2,00,000

Address of Premises Where Food Business Is Located

Address: 46 ganesh nagar 2 State: Gujarat


nilgiri,limbayat ,mo
Sub-Division/Station/ Chorasi
ra bhagal surat
Division(Railways):
394210 Gujarat
Pan No: N/A
District/Region/Zone: Surat
Village: Mora
Pin Code: 394210
Nearest Landmark: Near namoh
stationary, sapna
pan center

Correspondence Address Details

Address: 46 ganesh nagar 2 State: Gujarat


nilgiri,limbayat ,mo Sub-Division/Station/ Chorasi
ra bhagal surat Division(Railways):
394210 Gujarat
Pin Code: 394210
District/Region/Zone: Surat
Village: Mora

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 9265791112 Email-ID: N/A
Contact Person: 6351978119

Other Details

In case of New business – intended date of start: 30-04-2026


Source of Water Supply: Public
Sanction Electricity Load or HP Used: No

Page 1 of 2
Number of years applied for: 2

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 16 - Prepared Foods
2 18- Indian Sweets and Indian Snacks & Savouries products

Document(s) Details

[Link]. Documents Description Uploaded Document


1 Identity Proof - Aadhar Card View
2 Photo View

Other Document(s) Details

[Link]. Documents Description Uploaded Document


1 Pan card 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.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.

Declaration || Condition of License || Inspection Checklist

घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची

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