Fsms Declaration
Fsms Declaration
Fsms Declaration
(To be given on the Letterhead of the FBO/Firm/Company)
[I/We] ,
[Name] as [Proprietor/Partner/Director/Authorised Signatory] of [Company Name]
,
located at [Address] of
[Name of the State/UT] hereby declare that:
1. [I am/We are] an applicant for
[new license/conversion of existing license/modification of
existing license/renewal of existing license] under the Food Safety and Standards Act
(FSS Act), 2006.
2. The nature of business of [my/our] firm is (fill in whatever is applicable):
(a) [Manufacturer/Repacker] of
[Name of product(s)] (as mentioned in the product
description of the online Form 3);
(b) Importer of food products allowed under the FSS Act, 2006 and the Rides and
Regulations thereunder;
(c) [Storage/Retail/Hotel/Restaurant of] <Name of the broad categories as mentioned in the
product description of the online Form B>
3. [I/We] have a food safety plan to ensure that the articles of food, as mentioned above, satisfy
the requirements of the FSS Act, 2006 and the Rules and Regulations thereunder.
4. [I/We] further undertake that [I/We] shall put in place a Food Safety Management System
(FSMS) and get the same certified from an Accredited Agency as soon as the Accredited
agencies are notified by the Food Authority;
5. Our facility shall comply with the general hygiene and sanitary requirements as mentioned in
the Schedule 4 of the Food Safety and Standards (Licensing and Registration of Food
business) Regulations, 2011.
Signatures of the Authorised Signatory with
Stamp/Seal
Name:
[Name]
Place:
[Place] Address:
[Address]
Date:
[Date] Contact Nos:
[Contact No]