Official Format for FSMS Declaration – FSSAI Guidelines

Download the official FSMS Declaration Format for FSSAI compliance. Ensure food safety with our editable template for FBOs.

Declaration regarding Food Safety Management System (FSMS)

 (To be given on the Letterhead of the FBO/Firm/Company)

 

I, ­­­­­­­­­­­­________________­­­­­___________________ as Proprietor/ Partner/ Director of __________________________________________________(Firm Name), located at ____________________________________________________________(Address) 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 my firm is:

(a) Manufacturer / Trader of _________________________________________________ (as mentioned in the product description of the online Form 3); 

   

3. I 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 there under.

 

4. I further undertake that I 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: ___________________________

Place: __________________

Address: _________________________
_________________________________
_________________________________

Date: ___-___-______

Contact No: _______________