Form "D-1"

Annual Return
[See Regulation 2.1.13 ]
2020-2021

GENERAL INFORMATION

1. Name and address of Licensee: TRIMURTI OVERSEAS LIMITED

SCO 07, BHAGYA TARA COMPLEX
OPP S.B.I, GAUSHALA BAZAR
HOSHIARPUR , PUNJAB-146001,
Hoshiarpur,Punjab, 146001
2. Address of the authorized premises for the manufacturing / SCO 07, BHAGYA TARA COMPLEX
Re-Packing of food products : OPP S.B.I, GAUSHALA BAZAR
HOSHIARPUR , PUNJAB-146001,,
Hoshiarpur,Punjab, 146001
3. License No : 10020063001786
4. Kob Endorsed : Trade/Retail - Importer,Trade/Retail -
Wholesaler

COMPLIANCE INFORMATION
1. No. of Food Handlers Employed : 0
2. No. of Food Safety Supervisors : 0
3. No. of FoSTaC trained Personnel : 0

S.No. Name of personnel FoSTaC Certificate No.

1 Nil Nil
4. No. of Inspections/Audits Conducted :
a. By FSSAI recognised Auditing Agencies/Auditors : 0
b. By Food Safety Officer/ Designated Officer : 0
5. Any change in Layout Plan : Nil
6. Any Change in Recall Plan (Wherever applicable) : Nil
7. Any Change in FSMS Plan/certificate : Nil
8. No. of Recalls during the FY (2020-2021) and details thereof : Nil
9. Details of Consumer Grievance Handling
a. Correspondence Address: Nil

b. Email ID for Receving the Consumer Grievance: Nil

c. HelpLine Number:* 0
10. a. No. of Consumer Grievance Received during FY (2020-2021) : 0
b. No. of Consumer Grievance Resolved during FY (2020-2021) : 0

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 KOB SPECIFIC DATA

II. Manufactuers/Processors (including Repacker and Relabellers) other than Slaughtering houses and
Meat Processing units
1. Capacity/Production Details:

S.No. Food Product Sub Food Product Product Kind of Business

Category Category
1 Nil Nil Nil Nil

2. Installation Capacity: 0.00

3. Major Source of Raw Material (from FSSAI Licensed source )

S.No. Name of the FBO (as in License/Registration) License/Registration No

1 Nil Nil

4. Attach Potable Water Test Report -

a. For the period of Apr- Sep: Nil
b. For the period of Oct-Mar: Nil

5. Do you have internal laboratory : Nil

6. Any Change in Location and installed capacity of Milk Chilling
Centres/Bulk Milk Cooling Centres/Milk Processing/ Packaging
unit/Milk Collection Centres owned or managed, only in case of
Milk and Milk Products Manufacturers ( Applicable for Dairy Units): Nil

7. Use of Edible Oil per day for the purpose of frying (in litres) : 0.00

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