Trainee Registration Form

( Please fill and share in word format only , PDF not acceptable)
Junes FOSTAC Food Safety Supervisor Course- Advance Manufacting
Date of Training + COVID 19
First Name
(IN CAPITAL LETTERS)
Last Name
(IN CAPITAL LETTERS)
Father’s Name /
Mother’s Name
FBO Name
FBO Address
Pin Code

State

District

Tehsil/ Taluka/ City

Email Id

Mobile No

Designation

PAN NO. if any

FSSAI Lic / Registration
No

Note:- Incase of multiple candidate from the same company please provide the
different Email id’s and mobile number for all the candidate

Centre For Public Health and Food Safety