Scribd
Upload
18 views

Application

Eliyas M has applied for new registration under the Food Safety and Standards Act, 2006 for a food services business as a hawker in Chennai, Tamil Nadu. The application includes personal details, business address, contact information, and compliance declarations regarding food safety regulations. The fee for the registration is waived off for the hawker category, and the expected annual turnover is under Rs.12 Lacs.

Uploaded by

keerthivasank
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
18 views

Application

Eliyas M has applied for new registration under the Food Safety and Standards Act, 2006 for a food services business as a hawker in Chennai, Tamil Nadu. The application includes personal details, business address, contact information, and compliance declarations regarding food safety regulations. The fee for the registration is waived off for the hawker category, and the expected annual turnover is under Rs.12 Lacs.

Uploaded by

keerthivasank
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: 30250319119532331 Application Type: New Registration


Name of Applicant / Eliyas M Application Date: 19-03-2025
Company: Kind of Business: Food Services - Hawker
Designation: Individual (Itinerant / Mobile
food vendor)

Address of Premises Where Food Business Is Located

Address: 24, Aarani Gangan State: Tamil Nadu


Street, Korukkupet
Sub-Division/Station/ Chennai Corp. Ward -
District/Region/Zone: Chennai Division: 108
Village: Chennai Pan No: AFIPE6585R
Corporation Ward Name: ELIYAS M
- 108
DOB: 30-11-2002
Pin Code: 600021
Gender: MALE
Nearest Landmark: N/A

Correspondence Address Details

Address: 24, Aarani Gangan State: Tamil Nadu


Street, Korukkupet Sub-Division/Station/ Chennai Corp. Ward -
District/Region/Zone: Chennai Division: 106
Village: Chennai Pin Code: 600021
Corporation Ward
- 106

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 6374338151 Email-ID: eliyaseliyas84221@gma
Contact Person: ELIYAS M il.com
Aadhaar No: 45XXXXXXXX84

Other Details

In case of New business – intended date of start: N/A


Source of Water Supply: N/A
Sanction Electricity Load or HP Used: No
Number of years applied for: 1

Page 1 of 3
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 16 - Prepared Foods

Document(s) Details

S.No. Documents Description Uploaded Document


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

Other Document(s) Details

S.No. Documents Description Uploaded Document


1 UDYAM view
2 Photographs of the unit (Entrance/Front facing end of the unit) view

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


1 Fee waived off - Hawker category 19-03-2025 N/A 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

घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची

Date & Time : 19-03-2025 18:18:36 IST

Page 2 of 3
Applicant Name : Eliyas M
Verified through Aadhar : 45XXXXXXXX84
IP Address : 122.164.13.216

Page 3 of 3

You might also like