Declaration for applicant for new Registration Certificate
I declare that –
a) I ensure that articles of food mentioned in form satisfy the requirements of FSS Act 2006, Rules and
Regulations made thereunder.
b) I 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.
c) 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 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.
Date: 27/01/2020
Place: CHANDIGARH
Signature
Name of the applicant : SACHIN GOYAL