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PARINITA SHAW W/O SUROJIT SHAW

SAPUIPARA, NAPATTY, HOWRAH 711227


MOBILE NO. 9830703093

DECLARATION

Date: 20.12.2023

Respected Sir,
I declare that -
I, Parinita Shaw w/o Surojit Shaw at Sapuipara, Napatty, Howrah 711227 will be
using Bisleri brand packaged drinking water having FSSAI Lic No. 10013022001539
for cooking purpose and also will abide all provisions of FSS Act,2006 and Rules,
Regulations made therein and orders issued from time to time applicable to
declared food business.
I have also hereby provided Picture of BISLERI JAR getting more transparency.

I do hereby solemnly affirm and declare that all information and particulars
furnished here by me are true and correct to the best of my knowledge.

(Signature of the applicant)

Enclo: Copy of Aadhaar Card with self attested

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