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: 30250714120724035 Application Type: New Registration
Name of Applicant / Biryani stand Application Date: N/A
Company: Kind of Business: Food Services - Food
Designation: Individual Vending Establishment
Address of Premises Where Food Business Is Located
Address: Inda Sharda palli State: West Bengal
almari factory near
Sub-Division/Station/ KHARAGPUR
Durga mandir
Division(Railways): MUNICIPALITY
District/Region/Zone: Paschim Mednipur Pan No: DIRPP1290K
Village: WARD NO-1 Name: MEGHA PILLAI
Pin Code: 721305 DOB: 12-09-1992
Nearest Landmark: Petrol pump Gender: FEMALE
Correspondence Address Details
Address: Inda Sharda palli State: West Bengal
almari factory near Sub-Division/Station/ KHARAGPUR
Durga mandir Division(Railways): MUNICIPALITY
District/Region/Zone: Paschim Mednipur Pin Code: 721305
Village: WARD NO-1
Contact Details
Telephone No: 9799510880 Fax: N/A
Mobile No: 8670189518 Email-ID: meghapillai123kgp@g
Contact Person: Megha pillai [Link]
Aadhaar No: 78XXXXXXXX49
Other Details
In case of New business – intended date of start: 08-08-2025
Source of Water Supply: Private
Sanction Electricity Load or HP Used: Yes - 2hp
Number of years applied for: 5
Detail(s) of Food Item
Page 1 of 2
[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 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
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 Photographs of the unit (Entrance/Front facing end of the unit) 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.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
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