Ashadip PSC

Kind of Business *

Hawker
Permanent / Temporary Stall Holder
Manufacturer / Processor
Milk Producers (who are not member of dairy co operative society) / milk vendor
Other(s)
Home Based Canteens / Dabba Wallas
Re Packer
Dhaba
Food Vending Agencies
petty Retailer of Snacks / Tea Shops
Food Stalls / Arrangements in Religious Gatherings , Fairs etc
Fish / Meat / Poultry Shop / Seller

Address of Premises where Food Business is located *
(Please mention : At/Vill, PO,PS,Dist, Pin No, State & Near Landmark)

Area Type *

Correspondence Address, If any
(Please mention : At/Vill, PO,PS,Dist, Pin No, State & Near Landmark)

Number of year you want to apply for License ? *

Details of food items proposed to be manufactured or sold *

1- Dairy Products and Analogues , Excluding Products of Food Category 02.0
2- Fats and Oils , and Fat Emulsions
3 - Edible ices, including sherbet and sorbet
4 - Fruits and vegetables (including mushroom and fungi, root and tubers,fresh pulsesand legumes and aloe vera) , seaweeds, nuts and seeds
5 - Confectionery
6 - Cereals and cereal products, derived from cereal grains, from roots and tubers, pulses,legumes, pith and soft core of palm tree excluding bakery wares of food catagory 07.0
7 - Bakery Products
8 - Meat and meat products, including poultry
9 - Fish and fish Product,including molluscs, crustaceans and echinoderms
10 - Eggs and egg products
11 - Sweeteners, including honey
12 - Salts, spices,soups, sauces, salads and protein products
13 - Foodstuffs intended for particular nutritional uses
14 - Beverages, excluding dairy products
15 - Ready-to-eat savouries
16 - Prepared Foods
99 - Substances added to food

Name *
Address *
Email *
Phone No *

Name *
Company Name *
Designation *
Full Address with Pin No *
Mobile Number *
E-Mail Id *

Source of Water Supply *
Whether any Electric Power is used in manufacturing of Food Items ? *	Yes No
In case of Business-intended date of start dd/mm/yyyy
In case of seasonal business, date of the opening and closing period of the year From Month - To Month

Applicant Photo *
Applicant Identity Proof * (Please upload any one - Aadhaar Card/Department Issued ID/Driving License/Pan Card/Passport/Ration Card/Senior Citizen Card/Votar ID Card )
Declaration Form * Declaration for applicant for new Registration.pdf
NOC by Municipality / Panchayat
Health NOC
Any other Documents

Miscellaneous License/Registration

Form - FSSAI Registration

Total Expenses : Rs 11800/-

:: Contact Person Details ::

CATEGORIES

LOCATION DETAILS OF FOOD BUSINESS

TYPE OF FOOD BUSINESS

FBO DETAILS

Applicant Details

BUSINESS DETAILS

OTHER DETAILS

DOCUMENTS

Scan Original Documents , File Size - Maximum 3MB , File Format - JPG,JPEG,PDF.

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Our Team

Rabina Kumari Sharma

Chhanda Barik

DEBIKA SUBBA

PRIYA BISWAKARMA

ARPITA CHAKRABORTY BANERJEE

Jharna Mallick

Gopal Bera

Nisha Sarki

Mousumi Pal

ANINDITA ROY

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ASHADIP PSC

Applying State Business Address with Pin No *
State Name *
Food Business Activity in Other State Name *

Type of Business *	Manufacturer Importers Other Businesses Premises at Central Govt. Agencies Premises at Airport/Seaport Mid-Day Meal Exporting FBO Railway E-Commerce
If Give Details

Sponsored Name *	Yes No
If Yes, Give the Sponsored Username