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Deepak - Two Bro's Application

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10 views

Deepak - Two Bro's Application

Uploaded by

Kuldeep Sharma
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
You are on page 1/ 3

Food Safety Compliance System (FoSCoS)

https://foscos.fssai.gov.in
Form A
[See Regulation 2.1.1, Regulation 2.1.7]

Application for Registration under food safety and Standards Act,2006

Application No: 30241209118398022 Application Type: New Registration


Name of Applicant / DEEPAK AWANA / Application Date: N/A
Company: TWO BRO'S Kind of Business: Food Services -
Designation: Proprieter Restaurants

Address of Premises Where Food Business Is Located

Address: GROUND FLOOR, State: Uttar Pradesh


TOWER-C, RT-69,
Sub-Division/Station/ NOIDA CITY ZONE-5
KITCHEN AREA &
Division(Railways):
RT 68 SITTING
AREA Pan No: BMSPA5552Q
Name: DEEPAK AWANA
District/Region/Zone: Gautam Buddha
Nagar DOB: 23-11-1994
Village: SECTOR-132 Gender: MALE
NOIDA
Pin Code: 201304
Nearest Landmark: N/A

Correspondence Address Details

Address: GROUND FLOOR, State: Uttar Pradesh


TOWER-C, RT-69, Sub-Division/Station/ NOIDA CITY ZONE-5
KITCHEN AREA & Division(Railways):
RT 68 SITTING
Pin Code: 201304
AREA
District/Region/Zone: Gautam Buddha
Nagar
Village: SECTOR-132
NOIDA

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 7703921137 Email-ID: amanaggrawal.1991@y
Contact Person: DEEPAK AWANA ahoo.in

Other Details

In case of New business – intended date of start: 09-12-2024

Page 1 of 3
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 1

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 14 - Beverages, excluding dairy products
2 15 - Ready-to-eat savouries
3 16 - Prepared Foods

Document(s) Details

S.No. Documents Description Uploaded Document


1 Photo View
2 Identity Proof - Aadhar Card View

Other Document(s) Details

S.No. Documents Description Uploaded Document


1 Electricity Bill view
2 Partnership Deed view
3 Pan Card 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.

Page 2 of 3
Declaration || Condition of License || Inspection Checklist

घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची

Page 3 of 3

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