Food Establishment (Export) Registration

APPLICATION FOR FOOD ESTABLISHMENT(EXPORT) REGISTRATION

Name of Company *

Company registration number under the act *

Date of registration *

Premises registration number under the food (registration of premises) registraion 2024 *

Addressof Company

Office *

Factory

Warehouse

Contact numbers

Name of the owner/ authorized person *

Office *

Factory

Warehouse

Fax

E-mail

Name

Position

Telephone. No

Fax

E-mail

Details of Heads of The Institute

Name *

Position *

Telephone. No *

Fax

E-mail

Taxpayer Identification Number certificate (TIN certificate) number and date obtained

TIN Certificate *

Date Obtained *

Value Added Tax Registration certificate (VAT) number and date obtained

VAT Certificate *

Date Obtained *

Exporters’ Registration certificate number and date obtained

Registration certificate number *

Date obtained *

Coconut Board Registration number and date obtained (If relevant)

Registration certificate number *

Date obtained *

Tea Board Registration Number and date obtained (If relevant)

Registration certificate number *

Date obtained *

Quality Standard Certificates *

Production List( Please Attach) *

Nature of the Company (please mark)

Manufacturer & Exporter

Only Exporter

Re-Export

Is the product freely available at the local market

Exporting Countries (Please. Attach the list) *

Details of the agent / Person to contact if needed

Name *

Position *

Telephone. No *

E-mail *

I hereby state that the aforesaid details and the attached documents are true, correct and genuine to the best of my knowledge

I request that the above company will be registered at the food Control Administration Unit of Ministry of Health

Note: -If any information given above changes, the necessary information must be provided to the FCAU within 14 days.

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APPLICATION FOR FOOD ESTABLISHMENT(EXPORT) REGISTRATION

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