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: 30260730126307484 Application Type: New Registration
Name of Applicant / UTTAM ANANDA Application Date: 30-07-2026
Company: LANDAGE C/O M/S Kind of Business: Trade/Retail - Food
BHAIRAVNATH Vending Agencies
CHIKEN CENTER
Designation: Individual
Turnover: 59,000
Address of Premises Where Food Business Is Located
Address: GAT NO 11 A/P State: Maharashtra
MAHE
Sub-Division/Station/ Karveer
District/Region/Zone: Kolhapur Division:
Village: N/A Pan No: BDEPL8216P
Pin Code: 416001 Name: UTTAM ANANDA
Nearest Landmark: N/A LANDAGE
DOB: 20-10-1985
Gender: MALE
Correspondence Address Details
Address: GAT NO 11 A/P State: Maharashtra
MAHE Sub-Division/Station/ Karveer
District/Region/Zone: Kolhapur Division:
Village: N/A Pin Code: 416001
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 9158970763 Email-ID: N/A
Contact Person: UTTAM ANANDA Aadhaar No: 64XXXXXXXX37
LANDAGE
Other Details
In case of New business – intended date of start: 20-08-2026
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 5
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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
1 100 - 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 NOC by Municipality/Panchayat view
2 PAN CARD view
3 LEASE AGRIMENT view
4 Photographs of the unit (Entrance/Front facing end of the unit) view
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 30-07-2026 1101116298305190 pay_TJhu7nPjOCCGB1 500.00
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.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
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घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
Date & Time : 30-07-2026 17:32:59 IST
Applicant Name : UTTAM ANANDA LANDAGE C/O M/S BHAIRAVNATH CHIKEN
CENTER
Verified through 64XXXXXXXX37
Aadhar :
IP Address : [Link]
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