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    Food Supplements - Product Statement Format

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    spiroo spiroo
    This document contains a statement of ingredients and additives for a food product. It lists the product name and type, target group, format, serving size, and ingredients. The ingredients table provides the name, schedule under regulations, quantity used, and purity criteria for each ingredient. An additives table lists the name, schedule under regulations, and level of each additive. The declarer states that no hormones, steroids, or psychotropic ingredients were used, the ingredients comply with regulations for the product type and nutrient standards, and no disease treatment claims will be made for the product.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Food Supplements - Product Statement Format

    Uploaded by

    spiroo spiroo
    218 views2 pages
    This document contains a statement of ingredients and additives for a food product. It lists the product name and type, target group, format, serving size, and ingredients. The ingredients table provides the name, schedule under regulations, quantity used, and purity criteria for each ingredient. An additives table lists the name, schedule under regulations, and level of each additive. The declarer states that no hormones, steroids, or psychotropic ingredients were used, the ingredients comply with regulations for the product type and nutrient standards, and no disease treatment claims will be made for the product.

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    This document contains a statement of ingredients and additives for a food product. It lists the product name and type, target group, format, serving size, and ingredients. The ingredients table provides the name, schedule under regulations, quantity used, and purity criteria for each ingredient. An additives table lists the name, schedule under regulations, and level of each additive. The declarer states that no hormones, steroids, or psychotropic ingredients were used, the ingredients comply with regulations for the product type and nutrient standards, and no disease treatment claims will be made for the product.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    218 views2 pages

    Food Supplements - Product Statement Format

    Uploaded by

    spiroo spiroo
    This document contains a statement of ingredients and additives for a food product. It lists the product name and type, target group, format, serving size, and ingredients. The ingredients table provides the name, schedule under regulations, quantity used, and purity criteria for each ingredient. An additives table lists the name, schedule under regulations, and level of each additive. The declarer states that no hormones, steroids, or psychotropic ingredients were used, the ingredients comply with regulations for the product type and nutrient standards, and no disease treatment claims will be made for the product.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    STATEMENT OF INGREDIENTS AND ADDITIVES

    (To be printed on letter Head of Company /Firm)

    1. Name of the Food Product:


    2. Type of Food Product: Health Supplement / Nutraceutical /FSDU/FSMP other than Infants/Food
    with added probiotic ingredients/Food with added prebiotic ingredients/Specialty Food
    containing plant or botanical ingredients with safe history of usage. (Tick any one)
    3. Food Category No:
    4. Target Group (Age and Gender):
    5. Target Physiological condition:
    6. Product Format: Tablet/Capsule/Syrup/Any Other_____________
    7. Recommended serving size and no.of recommended serves per day:
    8. Any type of Claims to be made on the label:

    Ingredients:

    S.N Ingredients Schedule under Quantity of Purity Criteria


    O (Name of the Nutraceutical ingredient Used in adopted
    Ingredients ) Regulations in which the product/serving
    the ingredient is size
    permitted for (In addition, in case
    use/Product of micronutrients,
    Approval Copy percentage of RDA
    to be declared)

    Additives:

    S.NO Name of the Food Schedule under INS No Level of additives in


    Additives or Group Nutraceutical the product
    Regulations in which
    the ingredient is
    permitted for use
    (Schedule
    VA/VF)/Product
    Approval Copy
    I declare that:

    1. No hormones or steroids or psychotropic ingredients have been used in the above food
    product.
    2. The ingredients and additives used in the food product are in accordance with the type
    of food product/category as mentioned in the Nutraceutical regulations.
    3. Nutrients added to the product comply with the respective Recommended Daily
    Allowance specified by ICMR/Codex Alimentarius Commission.
    4. The product is not a more combination of vitamins and minerals.
    5. No claim regarding prevention, treatment or cure of any disease or referring to such
    properties shall be made for the said food product.
    6. The product is not a drug as defined under drugs and cosmetics Act, 1940

    Signature of FBO/Authorized Signatory with seal

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