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Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Baba Hotel and Family Restaurant located in Purjal, Maharashtra. The application includes details such as the applicant's information, business type, intended start date, and compliance declarations. The applicant assures adherence to the FSS Act and related regulations, with an expected annual turnover under Rs. 12 Lacs.

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9 views

Application

The document is an application for registration under the Food Safety and Standards Act, 2006, submitted by Baba Hotel and Family Restaurant located in Purjal, Maharashtra. The application includes details such as the applicant's information, business type, intended start date, and compliance declarations. The applicant assures adherence to the FSS Act and related regulations, with an expected annual turnover under Rs. 12 Lacs.

Uploaded by

svaidya292
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: 30250328119650200 Application Type: New Registration


Name of Applicant / BABA HOTEL AND Application Date: N/A
Company: FAMILY RESTURANT Kind of Business: Food Services -
Designation: Individual Restaurants

Address of Premises Where Food Business Is Located

Address: purjal State: Maharashtra

District/Region/Zone: Hingoli Sub-Division/Station/ Aundha N


Village: Purjal Division(Railways):

Pin Code: 431705 Pan No: AWXPM4062F

Nearest Landmark: jawala bazar Name: KESHAV MARIBA


GADALE
DOB: 18-08-1990
Gender: MALE

Correspondence Address Details

Address: purjal State: Maharashtra


District/Region/Zone: Hingoli Sub-Division/Station/ Aundha N
Village: Purjal Division(Railways):
Pin Code: 431705

Contact Details

Telephone No: N/A Fax: N/A


Mobile No: 9657475492 Email-ID: N/A
Contact Person: 9657475492 Aadhaar No: 68XXXXXXXX53

Other Details

In case of New business – intended date of start: 28-03-2025


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.]

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Other than Manufacturer Unit
Sl. No Name of the food category
1 99 - Substances added to food

Document(s) Details

S.No. Documents Description Uploaded Document

Other Document(s) Details

S.No. Documents Description Uploaded Document


No Record Found

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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