Food Safety Compliance System (FoSCoS)
[Link]
Form A
[See Regulation 2.1.1, Regulation 2.1.7]
Application for Registration under food safety and Standards Act,2006
Application No: 30241122118232307 Application Type: Renewal
Name of Applicant / GRAB THE TASTE Application Date: 22-11-2024
Company: ( Proprietor Mrs. Kind of Business: Food Services -
Ankush chaudhary ) Restaurants
Designation: Individual Certificate No: 23323002001698
Expiry Date: 23-11-2025
Address of Premises Where Food Business Is Located
Address: B-136/13 Ground State: Delhi
Floor ( Rear
Sub-Division/Station/ HAUZ KHAS
Portion),
Division(Railways):
Begumpur,
malviya nagar Pan No: CTQPC0903D
Name: ANKUSH CHAUDHARY
District/Region/Zone: South
DOB: 12-10-2002
Village: BEGUMPUR
Gender: MALE
Pin Code: 110017
Nearest Landmark: bagumpur village
Correspondence Address Details
Address: B-136/13 Ground State: Delhi
Floor ( Rear Sub-Division/Station/ HAUZ KHAS
Portion), Division(Railways):
Begumpur,
Pin Code: 110017
malviya nagar
District/Region/Zone: South
Village: BEGUMPUR
Contact Details
Telephone No: N/A Fax: N/A
Mobile No: 8447283612 Email-ID: ankush69chaudhary@g
Contact Person: ANKUSH [Link]
CHAUDHARY Aadhaar No: 62XXXXXXXX12
Other Details
In case of New business – intended date of start: 01-11-2023
Source of Water Supply: Private
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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.]
Other than Manufacturer Unit
Sl. No Name of the food category
1 18- Indian Sweets and Indian Snacks & Savouries products
2 16 - Prepared Foods
3 07 - Bakery products
4 08 - Meat and meat products, including poultry and game
5 14 - Beverages, excluding dairy products
6 12 - Salts, spices, soups, sauces, salads and protein products
7 10 - Eggs and egg products
Document(s) Details
[Link]. Documents Description Uploaded Document
1 Identity Proof - Aadhar Card View
2 Photo - Pan Card View
Other Document(s) Details
[Link]. Documents Description Uploaded
Document
1 Proof of Premises view
2 updated address water test report view
3 pan card view
4 Front Entrance and reception area ( but my restaurant will be a take away view
restaurant )
5 Sign Board photo view
6 Kitchen photo view
7 Sitting area ( but my restaurant will be a take away restaurant ) view
[Link]. Mode Of Payment Payment Date Transcation Number Razorpay ID Amount
1 Razorpay 22-11-2024 1475034678519665 pay_POGHVZht8KADlm 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
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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
Date & Time : 22-11-2024 [Link] IST
Applicant Name : GRAB THE TASTE ( Proprietor Mrs. Ankush chaudhary )
Verified through Mobile : 84XXXXXX12
IP Address : [Link]
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