4/3/2020 Ext.

FSSAI Licensing & Registration System

View / Print Validity Annexure View / Print Product Annexure FOOD SAFETY GUIDELINES

खा एवं औषिध शासन, म दे श

Food and Drugs Administra on, Madhya Pradesh
(खा संर ा शासन)
(Food Safety Administra on)
खा संर ा और मानक अिधिनयम, 2006 के अधीन पंजीकरण
Registra on under Food Safety and Standards Act, 2006

पंजीकरण सं ा / Registra on No. 21420210000411

1. खा ापार ऑपरे टर का नाम और थायी पता PANKAJ MASTKAR
Name and permanent address of Food Business WARD NO 38 CHANDANGAO DR BHAGAT LINE, Chhindwara, Chhindwara (Madhya
Operator (FBO) Pradesh), - 480001

2. थान का पता जहां खा ापार / प रसर है WARD NO 38 CHANDANGAO DR BHAGAT LINE, Chhindwara, Chhindwara (Madhya
Address of loca on where food business is to be Pradesh), - 480001
conducted / premises

3. कारोबार का कार / Kind of Business Retailer

4. फोटो पहचान प (िववरण) / Photo Iden ty Card Aadhaar Card
5. यह पंजीकरण खा संर ा और मानक अिधिनयम, 2006 के अधीन अनुद की गई और वह अिधिनयम के उपबंधो के अ ादीन है िजनका अनु धारी ारा अव पालन िकया जाना चािहए /
This Registra on Cer ficate is issued under and is subject to the provisions of FSS Act, 2006 all of which must be complied with by the pe y food business.

थान / Place : Chhindwara

िदनां क / Date : 31/03/2020
वैधता अविध /
Period of Validity : 30/03/2021

िविधमा ता और नवीनीकरण / Valida on And Renewal

Registration Period of Registration Fee Paid Items of food Manufactured Signature of Registering
Certificate/Renewal Date Validity/Renewal (In Rs.) handled Authority
Please refer to annexure
31/03/2020 1 Year(s) 100
for details.
Disclaimer : 1 - This Registra on Cer ficate is only to commence or carry on the food businesses and not for any other purpose.

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