Sarav preet foods

s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

Declaration

I, Mr Ratanjeet Singh Sardar, S/o Late. Rajender Singh, R/o H.no 1-2-19, Flat no 302,
Emerlad Park, Domalguda, Himayatnagar, Hyderabad – 500029 do here by solemnly
affirms and declares that all information and particulars furnished here by me are true and
correct to the best of my knowledge. I further declare that the food business conducted or
proposed to be conducted by/through me conforms/shall conform to the Food Safety and
Standards Act, Regulation/ Bye-laws enacted thereunder, and specifically to the Guidelines
on Hygiene and Sanitary Practices provided under Schedule 4 of the Registration and
Licensing Regulation published by the Food Safety and Standards Authority of India or any
person authorized on its behalf from time to time.

For sarav preet foods

------------------------------------
Authorized Signatory

Date: 03/04/2019
Place: Hyderabad
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

(Form of Nomination - Refer rule 2.5.1)

NOMINATION OF AUTHORIZED PERSONS BY THE PROPREITOR

I, Mr. RATANJEET SINGH SARDAR (Proprietor) of M/s SARAV PREET FOODS in terms of
Rule 2.5.1 (2), do hereby give notice that, I am the person in charge of establishment,
branch or the unit located at s.no 270/a/2/1, manorabad mandal, medak, Telangana –
502110 and shall be responsible and liable for food safety or any contravention of the Act
and rules/regulations or directions issued thereunder in respect of the concerned
establishment/branch/unit. The person shall take all such steps as may be necessary to
prevent the commission by the partnership firm of any offence under and comply with the
provisions of Food Safety and Standards Act, 2006 and the Rules and Regulations made
thereunder.

For SARAV PREET FOODS

----------------------------------
(Authorized Signatory)

Date: 03/04/2019
Place: Hyderabad
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

Declaration by a partner of a Partnership Firm:

I, PRAGATHI DAVALAPUR, D/O RAM REDDY KANCHARLA R/O Flat no 4, Plot no 744,
Sneha Residency, Matrusree Nagar, Miyapur, Hyderabad – 500049 do hereby state as
follows:-

I am one of the partner’s designated as Managing Partner of the business operating under
the name and style “M/s MATHRU FOOD PRODUCTS” operating from the location Plot no
D/10, IDA Phase V, Patancheru, Sangareddy(D), Telangana.

This business is undertaken by our partnership firm named M/s SARAV PREET FOODSand
is not undertaken by a pvt ltd company.

That the contents of this declaration are true and correct to the best of my knowledge and
belief

Signature of the Managing partner with

seal
Name: Pragathi Davalapur
Place: HYDERABAD Address: Flat no 4, Sneha Residency,
Miyapur, Hyderabad – 500049
Date: 08/01/2019 Contact No: 8074185674
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

List of the Machines

Name of the Machine Horse Power

1. wafer line 25hp

2. Phonce 20hp

For SARAV PREET FOODS

---------------------------------
(Authorized signatory)

Date: 03/04/2019
Place: Hyderabad.
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

Declaration regarding Food Safety Management System (FSMS)

I, RATANJEET SINGH SARDARas Partner of M/s SARAV PREET FOODS, located at s.no 270/a/2/1,
manorabad mandal, medak, Telangana - 502110 Telangana hereby declare that:

1. I am an applicant for new license under the Food Safety and Standards Act (FSS Act), 2006.

2. The nature of business of 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);

3 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. We further undertake that 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: RATANJEET SINGH SARDAR

Place: Hyderabad Address: HIMAYATNAGAR, Hyderabad

Date: 08/01/2019 Contact Nos: 8074185674

Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

We, the following persons are the partners of the partnership firm named M/s SARAV
PREET FOODSlocated at Plot no D/10, IDA Phase V, Patancheru, Sangareddy Dist,
Telangana.

List of partners: Signature:

RATANJEET SINGH SARDAR -----------------------------

K. MAMATHA ----------------------------

K. SWETHA PRIYA ----------------------------

Date: 08/01/2019
Place: Hyderabad
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

List of Foods items proposed to be manufactured:

S.no Name of the Food Category/Item Quantity in KG per day

1
2
3
4
5

For SARAV PREET FOODS

----------------------------------
Authorized Signatory

Date: 03/04/2019
Place: Hyderabad
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

I, RATANJEET SINGH SARDAR S/O LATE RAJENDER SINGH AGED: 33 Years, Occupation:
Business, Resident of 1-2- 19, Flat no 302, Emerald park, Domalguda, Hyderabad – 500029,
Telangana, India do hereby solely and sincerely a firm and state on oath as follows:

1. I am swearing to this undertaking with sound state of mind as such, I am well

acquainted with the facts and circumstances of this affidavit

2. I submit that I am the Proprietor of M/s. SARAV PREET FOODS

3. I have applied for FSSA License/Registration as required under the provisions of

Food safety and standards Act, 2006 for running the business in the name and style
of M/s SARAV PREET FOODS at s.no 270/a/2/1, manorabad mandal, medak, Telangana –
502110

4. If any document required is not produced by me along with the application for grant of
FSSA License or any documents submitted is found invalid the same will be submitted to
FSSA Authorities

5. I undertake that, Food safety and standards Act, 2006. License issued will be utilized
for conducting of Food Business as provided in the said act, I will not use this license
for any other purpose (legal and others) and the license doesn’t confirm any legal
sancity other than the FSS Act, 2006 & Rules made thereunder.

6. If any deviations to the above, the concerned licensing/registering authority of FSS

Act, 2006 may revoke the license /registration granted if any without any
intimation

7. I will abide to the Rules and regulations of the Food safety and standards Act, 2006

8. Hence I am making this undertaking/declaration before the concerned authorities

of FSSA to enable them to consider this undertaking and oblige

9. I confirm and declare that what all stated above are true and to the best of my
knowledge and belief and I shall be whole responsible if the above are found to be
false at any point of time.

Date: 05/04/2019 Deponent

Place: Hyderabad
Sarav preet foods
s.no 270/a/2/1, manorabad mandal, medak, Telangana - 502110

AFFIDAVIT

This is to that we M/s M/s SARAV PREET FOODS at s.no 270/a/2/1, manorabad mandal,
Medak district, Telangana state – 502110 is an applicant for a New License/conversion/renewal of
license as a Manufacturer of confectioneries of products and that we have a Food Safety Plan to
ensure safety standards of our products as per Food Safety and Standards Act, 2006, we further
declare that we shall put in place a Food safety Management system and shall comply with the
requirements under schedule -4 of Food Safety and Standards (Licensing and Registration of Food
Business Regulations, 2011)

Date: 04.04.2019 Signature

Name:
Designation:
Address of FBO: