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: 30260609124809713 Application Type: Renewal
Name of Applicant / Honestus Glaze Application Date: 09-06-2026
Company: Private Limited Kind of Business: Trade/Retail -
Designation: Other(s) Director Wholesaler, Trade/
Expiry Date: 08-06-2027 Retail - Distributor
Certificate No: 21125016000598
Address of Premises Where Food Business Is Located
Address: HN186,c/0 Hare State: Jharkhand
Krishna Tiwary,
Sub-Division/Station/ Ranchi Urban 2
Gouri Shankar
Division(Railways):
Nagar,North office
Para, Doranda Pan No: ALOPT6709Q
Name: NIKHIL KUMAR
District/Region/Zone: Ranchi
TIWARY
Village: Ranchi Urban 2
DOB: 28-06-1984
Pin Code: 834002
Gender: MALE
Nearest Landmark: N/A
Correspondence Address Details
Address: HN186,c/0 Hare State: Jharkhand
Krishna Tiwary, Sub-Division/Station/ Ranchi Urban 2
Gouri Shankar Division(Railways):
Nagar,North office
Pin Code: 834002
Para, Doranda
District/Region/Zone: Ranchi
Village: Ranchi Urban 2
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 7001127799 Email-ID: nikhilkumartiwary@gm
Contact Person: Nikhil Kumar [Link]
Tiwary Aadhaar No: 42XXXXXXXX78
Other Details
In case of New business – intended date of start: N/A
Source of Water Supply: N/A
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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 05 - Confectionery
2 07 - Bakery products
3 12 - Salts, spices, soups, sauces, salads and protein products
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
1 MOA view
2 Board Resolution view
3 Director list view
4 Form IX fssai view
5 Proof of Premises view
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 09-06-2026 1120063549231634 pay_SzYNKTwtg3TLhp 400.00
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."
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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 : 09-06-2026 19:13:23 IST
Applicant Name : Honestus Glaze Private Limited
Verified through Mobile : 70XXXXXX99
IP Address : [Link]
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