SELF - DECLARATION FOR PROPRIETORSHIP FORMAT FOR APPLICATION OF FSSAI LICENSE
Download self-declaration format for proprietorship FSSAI license application. Mandatory for individual food business owners to meet FSSAI compliance requirements.
SELF - DECLARATION FOR PROPRIETORSHIP
(To be used for establishing proprietorship status)
(To be printed on Letterhead of the Firm)
I, [Full Name of Proprietor], S/o / W/o / D/o [Spouse’s/Father Name], do hereby state and affirm as follows:
R/o [Residential Address]
1. I am the sole owner/proprietor of a business operating under the name and style “[Business Name]”, operating from [Start Date].
2. This business is not undertaken/operated by a partnership firm or limited liability company.
3. It is also declared that the below-mentioned person is my legal nominee for the said proprietorship concern:
Name: [Nominee’s Full Name]
Relationship with the proprietor: [Relationship]
4. That the contents of this declaration are true and correct to the best of my knowledge and belief.
Signatures of the Proprietor with Stamp/Seal
Name: [Proprietor’s Name]
Place: [City]
Address: [Full Address]
Date: [DD MMM YYYY]
Contact No: [Phone Number]