Scribd
Upload
5 views

Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Vikash Kumar Raj for a food services business in Patna, Bihar. The application includes details such as the business address, contact information, intended start date, food items to be offered, and payment information. The applicant affirms compliance with the relevant food safety regulations and declares the provided information to be true.

Uploaded by

vikash kumar
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
5 views

Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Vikash Kumar Raj for a food services business in Patna, Bihar. The application includes details such as the business address, contact information, intended start date, food items to be offered, and payment information. The applicant affirms compliance with the relevant food safety regulations and declares the provided information to be true.

Uploaded by

vikash kumar
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: 30240806117260885 Application Type: New Registration


Name of Applicant / vikash kumar raj Application Date: 06-08-2024
Company: Kind of Business: Food Services -
Designation: Individual Restaurants

Address of Premises Where Food Business Is Located

Address: RIDING ROAD State: Bihar

District/Region/Zone: Patna Sub-Division/Station/ Patna Sadar


Village: Udaipura Division(Railways):

Nearest Landmark: Patna airport Pin Code: 800014


Pan No: DYKPR4212Q

Correspondence Address Details

Address: RIDING ROAD State: Bihar


District/Region/Zone: Patna Sub-Division/Station/ Patna Sadar
Village: Udaipura Division(Railways):
Pin Code: 800014

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 7301718169 Email-ID: vikashraj810242@gmai
Contact Person: 7301718169 l.com

Other Details

In case of New business – intended date of start: 10-08-2024


Source of Water Supply: Private
Sanction Electricity Load or HP Used: No
Number of years applied for: 2

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

Page 1 of 3
Other than Manufacturer Unit
Sl. No Name of the food category
1 15 - Ready-to-eat savouries
2 14 - Beverages, excluding dairy products

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


No Record Found

S.No. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount


1 Razorpay 06-08-2024 1173210906746124 pay_OhTAp6o1gOQJlm 200.00

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 : 06-08-2024 09:13:02 IST


Applicant Name : vikash kumar raj
Verified through Mobile : 73XXXXXX69
IP Address : 49.47.130.78

Page 2 of 3
Page 3 of 3

You might also like