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FORM NO.

IX
(Form of Nomination – Refer rule 2.5.1)
NOMINATION BY TATA STARBUCKS PRIVATE LIMITED

Being the authorized signatory authorized by the Board of Directors vide the Board Resolution dated 20 th
April, 2022, I, Mitul Ghatak, do hereby give notice that the following persons(s) is/are nominated as the
person(s) in charge of the unit mentioned against the name of the person (s) and shall be responsible and
liable for food safety or any contravention of the Act and rules/regulations or directions issued there
under in respect of the concerned unit.

The person(s) shall take all such steps as may be necessary to prevent the commission by the Company of
any offence under and comply with the provisions of Food Safety and Standards Act, 2006 and the Rules
and Regulations made there under.

Branch wise/office wise nomination

S. No. Unit name Name and Signatures of the Person in-charge:


Starbucks Coffee- A Tata Alliance –at Name: Mohd. Abdul Gafoor
Inorbit Mall Unit No. S-11, 2nd Floor, (District Manager)
Sy No. 64, Madhapur Village, S/o. Mr. Mohd. Abdul Wahab
Serilingampally Mandal, Ranga Reddy District, R/o. No. 1-9-295/8/6, Vidyanagar, Masjid Lane,
Hyderabad-500081. Hyderabad-500044

Signature :

for Tata Starbucks Private Limited

(Authorized Signatory)

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