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: 30250830121294354 Application Type: Modification
Name of Applicant / SHIV SHAKTI Application Date: 30-08-2025
Company: BHOJANALAY C/O Kind of Business: Trade/Retail - Food
MULARAM Vending Agencies
PRAJAPATH
Certificate No: 23625024000636
Designation: Proprieter
Expiry Date: 20-08-2026
Address of Premises Where Food Business Is Located
Address: 6-1-572, Ramagiri, State: Telangana
Near Ramalayam,
Sub-Division/Station/ Nalgonda (Urban)
Nalgonda
Division(Railways):
District/Region/Zone: Nalgonda Pan No: BRAPR3301R
Village: N/A Name: MULARAM PRAJAPATH
Pin Code: 508001 DOB: 07-12-1993
Nearest Landmark: Near Ramalayam Gender: MALE
Temple
Correspondence Address Details
Address: 4-3-34, Old State: Telangana
Chourastha Sub-Division/Station/ Nalgonda (Urban)
District/Region/Zone: Nalgonda Division(Railways):
Village: N/A Pin Code: 508001
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 8790275709 Email-ID: reddy.casrini01@gmail
Contact Person: MULARAM .com
PRAJAPATH Aadhaar No: 30XXXXXXXX14
Other Details
In case of New business – intended date of start: 21-08-2025
Source of Water Supply: Private
Sanction Electricity Load or HP Used: No
Number of years applied for: 1
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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 15 - Ready-to-eat savouries
2 16 - Prepared Foods
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 Proof of Premises view
2 Self Declaration of Proprietorship view
3 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 30-08-2025 299488724984992 pay_RBQjJZC06oEfDA 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
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घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
Date & Time : 11-09-2025 14:46:25 IST
Applicant Name : SHIV SHAKTI BHOJANALAY C/O MULARAM PRAJAPATH
Verified through Mobile : 87XXXXXX09
IP Address : [Link]
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