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: 30260614124891062 Application Type: Renewal
Name of Applicant / Sai manideep Application Date: 14-06-2026
Company: chenna Kind of Business: Food Services - Food
Designation: Individual Vending Establishment
Expiry Date: 17-06-2027 Certificate No: 20125132001149
Address of Premises Where Food Business Is Located
Address: 77-40-7 State: Andhra Pradesh
District/Region/Zone: NTR Sub-Division/Station/ Vijayawada (Urban)
Village: N/A Division(Railways):
Pin Code: 520015 Pan No: ASLPC9440K
Nearest Landmark: Near trk park Name: SAIMANIDEEP
CHENNA
DOB: 13-05-1993
Gender: MALE
Correspondence Address Details
Address: 77-40-7 State: Andhra Pradesh
District/Region/Zone: NTR Sub-Division/Station/ Vijayawada (Urban)
Village: N/A Division(Railways):
Pin Code: 520015
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 9014382888 Email-ID: N/A
Contact Person: 9014382888 Aadhaar No: 69XXXXXXXX83
Other Details
In case of New business – intended date of start: 12-06-2025
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. No Name of the food category
1 100 - Standardised Food Product excluding those covered under category 1-14
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 Trade license view
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 14-06-2026 1523282831096036 pay_T1OrKOz44ljcuP 100.00
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 : Sai manideep chenna
Verified through Mobile :
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IP Address :
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