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: 30260105122834484 Application Type: Renewal
Name of Applicant / TEJA RAM Application Date: 05-01-2026
Company: Kind of Business: Trade/Retail - Retailer
Designation: Proprieter Certificate No: 22221088003574
Expiry Date: 06-01-2031
Address of Premises Where Food Business Is Located
Address: DEGANA-AJMER State: Rajasthan
ROAD, MEHARANA
Sub-Division/Station/ Degna
District/Region/Zone: Nagaur Division(Railways):
Village: Maharana Pan No: N/A
Pin Code: 341503
Nearest Landmark: DEGANA-AJMER
ROAD
Correspondence Address Details
Address: DEGANA-AJMER State: Rajasthan
ROAD, MEHARANA Sub-Division/Station/ Degna
District/Region/Zone: Nagaur Division(Railways):
Village: Maharana Pin Code: 341503
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 9399845984 Email-ID: CKUMAR1085@GMAIL
Contact Person: TEJA RAM .COM
Other Details
In case of New business – intended date of start: N/A
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 5
Detail(s) of Food Item
[Note:Only standardised food products are allowed to be manufactured as per the list available on FoSCoS.]
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Other than Manufacturer Unit
Sl. No Name of the food category
1 12 - Salts, spices, soups, sauces, salads and protein products
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Photo View
2 Identity Proof - Aadhar Card View
Other Document(s) Details
[Link]. Documents Description Uploaded Document
1 PAN CARD view
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 05-01-2026 1078098371690188 pay_S05QMw9cyMwtFd 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.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 : TEJA RAM
Verified through Mobile :
IP Address :
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