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Wednesday, 01 September 2010 05:30

Download Milk & Milk Product Food Licences Application Form

Download forms for state: Delhi
Form Details
DepartmentDepartment of Food, Supplies and Consumer Affairs
TitleMilk & Milk Product Food Licences Application Form
Document Size107.6 KB
Text of the PDF document(for quick reference)
As per Milk and Milk Product Order, 1992, on and from the date of commencement of this Order, no person or manufacturer shall set up a new plant or expand the capacity of the existing plant without obtaining registration/permission as the case may he from the concerned Registering Authority. For this purpose, such person may make an application in the form specified in the first Schedule along with the prescribed fee to the Registering Authority for obtaining registration certificate. Fees A registration fee of Rs. 5000.00 is payable at the time of application, in the form of a demand draft only from a nationalised bank payable to the Commissioner, Food and Supplies, Delhi at New Delhi. Required Documents 1. Demand draft worth Rs. 5000.00 2. Affidavit on stamp paper of 10 Rs. attested by notary public. (To be submitted by applicant / every partner) 3. Residence proof to be submitted by applicant / every partner ( Ration Card / Election I. Card) 4. Partnership Deed ( if applicable) 5. Acknowledgement / Consent to operate from Delhi Pollution Control Committee. 6. Valid industrial license from M.C.D. 7. Rent receipt / GPA / Registry for factory premises. AFFIDAVIT I, ___________ s/o ______________ r/o_______________________________, do hereby solemnly affirm and declare as under: 1. That I am Proprietor / partner in M/S __________________. 2. That the business of the firm is being carried at________________________. 3. That the godown premises of the said firm is situated at_______________. 4. That the business premises/godown specified above are in the legal possession of the firm as owner / tenant and no other firm or person is using the said premises for storage of any articles. 5. That I, on behalf of the said firm have applied for registration under Milk and Milk product order, 1992. 6. That the names & addresses of other partners of the firm are : 1. 2. 3. 7. That no other license issued by the Food & Supplies Department are being held by the said firm on the date of affirmation of this affidavit. 8. That no person related to me is holding any license in Food & Supplies Department, Delhi: 9. That I am not a partner/proprietor/employee/director or related to any person connected with any firm folding license for any foodstuff which has been suspended or cancelled by the department on account of irregularities. 10. That I have not been working as prop./ partner/ employee/ director in any other firm registered under Milk and milk product order, 1992. 11. That none of the partners of the firm are also prop./partner holding packaging license. 12. That I have not been convicted of any licensing order made under the E.C. Act, 1995 or under D.I.R. or under any other law relating to Foodstuffs. DEPONENT Verification I, the above named deponent do hereby verify at Delhi on this __ day of ___, 20__ that the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed there from. DEPONENT Application for registration [See Sub-Paragraph (1) of Paragraph 51 PART I 1. Name and Address of the applicant. 2. Names of the Managing Director, Directors, Proprietors, Partners, Owners etc. 3. Address of the business/dairy plant and of all the establishments/premises owned or managed by the applicant. 4. Telephone Numbers/Gram/Telex 5 (a) Description of milk and milk products with quantities per year which the applicant is equipped to handle/control/process/manufacture. (Give full details) (b) If already handling processing/controlling or manufacturing milk or milk product, the annual quantity of each product in the last three years (Give separately for each year) (c) The quantity of each item of milk or milk product proposed to be handled processed or manufactured. 6. Branches including chilling/collection centers. 7. Installed per day capacity of the dairy plant. 8. Total quantities of milk and each of the mil products handled or processed or controlled during the year. 9. Average quantity of milk per day to be used or handled (a) In lean season (b) In flush season 1. Geographical area proposed for the milk collection. 2. Number of districts and villages from where the milk will be collected. 3. Number of breed-wise milch cows. buffaloes, sheep or goat. district-wise in the area. 4. District map showing taluka/Tehsil boundaries and major roads/rail roads etc. 5. A brief description about the existing milk procurement, processing and marketing facilities. 6. Milk producers' cooperative societies/union etc - total and functional in the area of operation. 7. Number of dairy plants - public/private in the area of operation. 8. Any other developmental program. 9. Input services provided to the farmers/proposed to be provided for milk production enhancement. I/we hereby undertake to comply with all the provisions of the Milk land Milk Product Order. 1992. Please find forwarded herewith the prescribed registration fee. I/we declare that the facts stated herein above and the particulars given in Parts II and I are true and correct. Place: Signature(s) of the applicant(s) Date:
Last Updated on Friday, 17 December 2010 05:30

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