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 PROFORMA OF CERTIFICATE

This is to certify that Shri/Kumari/Smt S/o,D/o,W/o Shri

posses Master's Degree in Chemistry or Biochemistry or Microbiology or Dairy Chemistry or Food
Technology, Food and Nutrition from a University established in India by the Law, or

holds Bachelor of Technology in Dairy/Oil or holds degree in Veterinary Sciences from a university
established in India by law, or

is an associate of the Institution of Chemists (India) by examination in the section of Food Analysts
conducted by the Institution of Chemists(India)

or

any other equivalent qualifieation recognized and notified by the Central government for such purposes and
has not less than three years experience in the analysis of food; (* give document and reference of
Notification and date.)
and

Has been declared qualified for appointment as a Food Analyst by a board appointed and notified by the
Food Safety and Standards Authority ofIndia or

any person who has been declared qualified for appointment as Public Analyst by the board constituted
under Prevention of Food Adulteration Act, 1954

and

possess years months experience of testing of Food in a Notified laboratory from

FSSAI(Food Safety and Standards Authority ofIndia
has equivalent qualification recognized and notified* by the Central Government.)
(* give document and reference of Notification and date.)

Date:

(Signature)
Designation and Name of Food Anayst
with Rubber Seal

or

(Signature)
Name ofthe Head ofthe Institution
with Rubber Seal

or

(Signature)
Designation and Name Name of Referral /Central Food Testing Laboratory)
(Place)

(Strike off Whichever is not applicable)

 PROFORMA OF CERTIFICATE
(For Post Graduate Candidate)

This is to certify that Shri/Kumari/Smt S/o,D/o,W/o Shri

is a post graduate in Medicine or Science or Pharmacy or Pharmaceutical
Chemistry of a (University established in India by the Law or has equivalent qualification
recognized and notified* by the Central Government.)
(* give reference of Notification and date.)

or

posses associates Diploma with subject Analysis of Drug and Pharmaceuticals fi*om the Institute of
Chemist(India)

and

after possesing the above post graduate degree/diploma posses year and months
experience in the testing of drugs in our Laboratory under my control, or.

completed two years training on testing of drugs including items stated in schedule C ofthe Drugs
and Cosmetics Rules, 1945 in Central Drugs Laboratory.

Date:

(Signature)
Designation and Name of Government Anayst
with Rubber Seal

or

(Signature)
Name of the Head ofthe Institution
or Testing Laboratory approved for the
purpose by the Appointing Authority
with Rubber seal and Approval number

or

(Signature)
Designation and Name
Name of Central Drugs Laboratory
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(Strike off Whichever is not applicable)

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