Declaration
Declaration I, Mrs. Nabeela Hashim. D/o. SV Mohammed Hashim. R/o. Kannur,.do hereby
solemnly affirms and declares that all information and particulars furnished here by me are true and
correct to the best of my knowledge. I further declare that the food business conducted or proposed to
be conducted by/through me conforms/shall conform to the Food Safety and Standards Act, Regulation/
Bye-laws enacted thereunder, and specifically to the Guidelines on Hygiene and Sanitary Practices
provided under Schedule 4 of the Registration and Licensing Regulation published by the Food Safety
and Standards Authority of India or any person authorized on its behalf from time to time. Dated: 9-
September-2019
(Signature)