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Food Safety Registration Application Form

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by M/S SYNA CREATIONS for a food services business in Amritsar, Punjab. The applicant, Abhinav Nanda, intends to start the business on November 1, 2025, and plans to offer various food items including ready-to-eat savouries, bakery products, confectionery, and Indian sweets. The applicant has declared compliance with the FSS Act and acknowledges the penalties for providing false information.

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5 views2 pages

Food Safety Registration Application Form

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by M/S SYNA CREATIONS for a food services business in Amritsar, Punjab. The applicant, Abhinav Nanda, intends to start the business on November 1, 2025, and plans to offer various food items including ready-to-eat savouries, bakery products, confectionery, and Indian sweets. The applicant has declared compliance with the FSS Act and acknowledges the penalties for providing false information.

Uploaded by

bachangraphics
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: 30251101122022595 Application Type: New Registration


Name of Applicant / M/S SYNA Application Date: N/A
Company: CREATIONS Kind of Business: Food Services - Club/
Designation: Individual Canteen

Address of Premises Where Food Business Is Located

Address: 204, GREEN State: Punjab


AVENUE
Sub-Division/Station/ Amritsar-5 (P/S Verka,
District/Region/Zone: Amritsar Division(Railways): Kathu Nangal, Sadar,
Village: Civil Lines Civil Lines, Majitha)

Pin Code: 143001 Pan No: AIUPN2325F

Nearest Landmark: NEAR MARKET Name: ABHINAV NANDA


DOB: 26-12-1986
Gender: MALE

Correspondence Address Details

Address: 204, GREEN State: Punjab


AVENUE Sub-Division/Station/ Amritsar-5 (P/S Verka,
District/Region/Zone: Amritsar Division(Railways): Kathu Nangal, Sadar,
Village: Civil Lines Civil Lines, Majitha)
Pin Code: 143001

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 8558000204 Email-ID: [Link]@icloud
Contact Person: 8558000204 .com
Aadhaar No: 65XXXXXXXX23

Other Details

In case of New business – intended date of start: 01-11-2025


Source of Water Supply: N/A
Sanction Electricity Load or HP Used: Yes - 5
Number of years applied for: 2

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. No Name of the food category
1 15 - Ready-to-eat savouries
2 07 - Bakery products
3 05 - Confectionery
4 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


No Record Found

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

Page 2 of 2

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