Directorate of Environmental Health, Occupational Health & Food Safety

Application for Health Certificate in Respect of Consignment of Food Intended for Export

(To be submitted at least one week prior to shipment)

Name of Applicant *

Address of Applicant *

Name of Consignee *

Address of Consignee *

Description of consignment and quantity *

Date of intended export *

L/C No *

Container Numbers (attach list if necessary) *

Name of Vessel/ Number *

Address where consignment is stored *

Type of Package, Batch Codes and Total weight *

Details of ingredients used in product *

Details of in-house quality monitoring *

Raw materials and product analysis certificates (Attach) *

Any other Declarations

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Enter Verification Code *