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: 30230721113958684 Application Type: New Registration
Name of Applicant / Shawarma Station Application Date: 21-07-2023
Company: Kind of Business: Food Services - Food
Designation: Individual Vending Establishment
Address of Premises Where Food Business Is Located
Address: 110 CHAKDONDI State: Uttar Pradesh
NAINI
Sub-Division/Station/ Nagar Nigam Food
District/Region/Zone: Prayagraj Division(Railways): Safety Zone-14
Village: Chakdondi Pin Code: 211008
Nearest Landmark: Pan No: N/A
Correspondence Address Details
Address: 110 CHAKDONDI State: Uttar Pradesh
NAINI Sub-Division/Station/ Nagar Nigam Food
District/Region/Zone: Prayagraj Division(Railways): Safety Zone-14
Village: Chakdondi Pin Code: 211008
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 8840008501 Email-ID: atuls9317@gmail.com
Contact Person: SELF
Other Details
In case of New business – intended date of start: 28-07-2023
Source of Water Supply: Public
Sanction Electricity Load or HP Used: No
Number of years applied for: 1
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 then Manufacturer Unit
Sl. Name of the food category
No
1 02 - Fats and oils, and fat emulsions
2 12 - Salts, spices, soups, sauces, salads and protein products
3 06 - Cereals and cereal products, derived from cereal grains, from roots and tubers, pulses, legumes
and pith or soft core of palm tree, excluding bakery wares of food category 7.0
4 07 - Bakery products
5 18- Indian Sweets and Indian Snacks & Savouries products
6 05 - Confectionery
Document(s) Details
S.No. Documents Description Uploaded Document
1 Photo - Pan Card 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 21-07-2023 2654249077648529 pay_MGRLgr4xI4KVMU 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. Punishment 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 punishable with imprisonment for a term which may extend to three months and also with fine
which may extend to two 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
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घोषणा || अनुज्ञिप्त की शतेर्ं || िनरीक्षण जांच सूची
Date & Time : 28-07-2023 09:14:57 IST
Applicant Name : Shawarma Station
Verified through Mobile : 88XXXXXX01
IP Address :
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