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Declaration Regarding Food Safety Management System (FSMS)

1. The document is a declaration from [Name] regarding their Food Safety Management System as the [Proprietor/Partner/Director/Authorised Signatory] of [Company Name] located at [Address]. 2. It states that they are applying for a [new license/conversion of existing license/modification of existing license/renewal of existing license] under the Food Safety and Standards Act and that the nature of their business is [Manufacturer/Repacker] of [Name of product(s)] or [Storage/Retail/Hotel/Restaurant of] food products. 3. The declaration confirms that they have a food safety plan to ensure their food articles satisfy all regulations and that they will put

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736 views1 page

Declaration Regarding Food Safety Management System (FSMS)

1. The document is a declaration from [Name] regarding their Food Safety Management System as the [Proprietor/Partner/Director/Authorised Signatory] of [Company Name] located at [Address]. 2. It states that they are applying for a [new license/conversion of existing license/modification of existing license/renewal of existing license] under the Food Safety and Standards Act and that the nature of their business is [Manufacturer/Repacker] of [Name of product(s)] or [Storage/Retail/Hotel/Restaurant of] food products. 3. The declaration confirms that they have a food safety plan to ensure their food articles satisfy all regulations and that they will put

Uploaded by

neha goyal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Declaration regarding Food Safety Management System (FSMS)

(To be given on the Letterhead of the FBO/Firm/Company)

[I/We], [Name] as [Proprietor/Partner/Director/Authorised Signatory] of [Company Name],


located at [Address] of [Name of the State/UT] hereby declare that:

1. [I am/We are] an applicant for [new license/conversion of existing license/modification of


existing license/renewal of existing license] under the Food Safety and Standards Act
(FSS Act), 2006.

2. The nature of business of [my/our] firm is (fill in whatever is applicable):

(a) [Manufacturer/Repacker] of [Name of product(s)] (as mentioned in the product


description of the online Form 3);
(b) Importer of food products allowed under the FSS Act, 2006 and the Rides and
Regulations thereunder;
(c) [Storage/Retail/Hotel/Restaurant of] <Name of the broad categories as mentioned in the
product description of the online Form B>

3. [I/We] have a food safety plan to ensure that the articles of food, as mentioned above, satisfy
the requirements of the FSS Act, 2006 and the Rules and Regulations thereunder.

4. [I/We] further undertake that [I/We] shall put in place a Food Safety Management System
(FSMS) and get the same certified from an Accredited Agency as soon as the Accredited
agencies are notified by the Food Authority;

5. Our facility shall comply with the general hygiene and sanitary requirements as mentioned in
the Schedule 4 of the Food Safety and Standards (Licensing and Registration of Food business)
Regulations, 2011.

Signatures of the Authorised Signatory with


Stamp/Seal

Name: [Name]

Place: [Place] Address: [Address]

Date: [Date] Contact Nos: [Contact No]

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