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Govemment of Gujarat
FORM C

Food And Drugs Control Administration, Gujarat State


q?q.tA / License
tQqr{"t r.r.}[s)i / lsee Regulation 2.L.4(6')]
u{a U?qtt r{i, trfreit r{CqRat{ eoog
Food Safev and standards Act, 2006

q?crtstt 5{s / License Number : tr[]trtr[]8tr88trtrtrtrtr


t. .t qri.err '1'nq ua i.utlet sl{ 4 nr<rrj EULOGIA INN LLP // ALPESHKUMAR PARSOTTAMDAS PATEL
(PARTNER)
Name & Registered Office Address of Licensee
EULOGIA INN LLP, B/H SILVER GARDENIA,S.G
HIGHWAY,GOTA. Ahmedabad Municipal Corporation
(Gujarat) - 380061
z, r,roga ncan4 tt<ti EULOGIA INN IIP, B/H SILVER GARDENIA,S.G
HIGHWAY,GOTA, Ahmedabad Municipal corporation,
Address of Authorized Premises
Ahmedabad Municipal Corporation(Gujarat) -380061
3. dt{4f ugte / Kind of Business . H otel, Resta u ra n ts

4. 3{l ca{{t dl Rota 7Oairy Business Details No

5, u? c{t.11 ol U5t? /Category of License : State


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This license is and is subject to the provisions of FSS Act, 2006 all of which must be complied with by the
licensee.
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dt{lu{
/ Place

/ Date : i
corporation 3B:ils
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v of Designated Officer
end Drug Control Administration,G.S.

ru.qru vur{dl ua dcq..0t?g / Valldatlon Ard Rehewal

Peri0d of License
Sigvratu re 0f
Li€ense Issue I validity lnstalled Fesiqnated
Fee Paid
Ren€wal Date !ti.,"-{ i{s<t?lc{
Items of Fosd Froducts authGriaed t{, handling Off icer
ala"Lrt qr arilu Manufacture/ Re-pack/ Re-labei
Capacr"ty ifi'"ils uLRvtdi
"{l
uqarLdtll i.ir,Xtat .t'l
4 i5t

2r/09/zoLg 20/09/2024 Rs.25000 Please refer to annexure for details.


Plbase refer to
annexure for _ry
details -f '.d I tr tr h:,
'*The Application for renewal of license shall be submitted 30 days prior to the expiry date mentioned above
, after whleh Rs.

. loo per dsy will be chargpd up to the date of erpiry.


Disc|aimer.ThisLicenseison|ytoGommenceorcarryonfoodbUsinessesandnotforanyothelPurPose.
cJt?td n?5t.?
Government of Gujarat
FORM C

Food And Drugs Control Administration, Gujarat State


r{? cil.otL / License
(iarr"t e.tv1s)l / [See Regutation 2.1.4(6)]

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Food Safety and Standards Act. 2006

License Number : 10719026001103

l0nd of Businesr : Food Bqslness Operator

Hotel
$1.$lo
7
2 07 _ Bakery products
3
4 n2 _ Fats and oils, and fat emulsion
5 15 - Ready_to_eat savouries
o
7
14 - B"u"r"g"s,
_
"oluding
prepared
d"iry ffi
16 Foods
8
Restaurant
Sl.No
1 15 - Ready-to-eat savouries

3 :: 14- Beverages, excluding dairy products

Kv/
3[}ils r,t & sign. of

ulttg rrri rrilutr Rur++c[a cg. ?t./ Food and Drug control
Administration, G. S

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