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Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Tinku Singh for a retail food business located in Delhi. The application includes details about the business, food categories intended for sale, and compliance with food safety regulations. The applicant has declared the information to be true and has acknowledged the penalties for providing false information.

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omonlineservices2022
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7 views

Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Tinku Singh for a retail food business located in Delhi. The application includes details about the business, food categories intended for sale, and compliance with food safety regulations. The applicant has declared the information to be true and has acknowledged the penalties for providing false information.

Uploaded by

omonlineservices2022
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
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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: 30241230118624486 Application Type: Modification


Name of Applicant / TINKU SINGH Application Date: N/A
Company: Kind of Business: Trade/Retail - Retailer
Designation: Individual Certificate No: 23323003003128
Expiry Date: 17-10-2028

Address of Premises Where Food Business Is Located

Address: 18-A, G/F, Left side State: Delhi

District/Region/Zone: East Sub-Division/Station/ GANDHI NAGAR


Village: SHAKAR PUR Division(Railways):
BRAMAD Pan No: BCKPT2131G
Pin Code: 110092 Name: TINKU SINGH
Nearest Landmark: N/A DOB: 10-10-1992
Gender: MALE

Correspondence Address Details

Address: 18-A, G/F, Left side State: Delhi


District/Region/Zone: East Sub-Division/Station/ GANDHI NAGAR
Village: SHAKAR PUR Division(Railways):
BRAMAD Pin Code: 110092

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 8802477144 Email-ID: TINKU.VIJAYA017@GM
Contact Person: TINKU SINGH AIL.COM
Aadhaar No: 47XXXXXXXX26

Other Details

In case of New business – intended date of start: 31-12-2024


Source of Water Supply: N/A
Sanction Electricity Load or HP Used: Yes - 2
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. No Name of the food category
1 05 - Confectionery
2 07 - Bakery products
3 18- Indian Sweets and Indian Snacks & Savouries products
4 14 - Beverages, excluding dairy products

Document(s) Details

S.No. Documents Description Uploaded Document


1 Photo - Pan Card View
2 Identity Proof - Pan Card View

Other Document(s) Details

S.No. Documents Description Uploaded Document


1 Proof of Premises 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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