Name of auditing agency*

Address of Head Office of Company/Agency*

Pin Code*

State*

District*

Name of Contact Person as provided in Application Form to FSSAI*

Mobile*

Tel NO.

E-mail*

Website

Accreditation Certificate No provided by Accreditation Agency*

Validity of Certificate of Recognition issued by FSSAI*

Number of Auditor*

FSSAI Recognition Number*

Legal Entity Status(Proprietor/Partner/LLP etc)*

SCOPE OF AUDITING *

GEOGRAPHICAL AREAS WHERE THEY CAN AUDIT *

Manufacturing/Processing

Dairy units including milk chilling units equipped to handle or process
Vegetable oil processing units and units producing vegetable oil by the process of solvent extraction and refineries including oil expeller unit
Slaughtering units
Meat Processing units
All food processing units including Relabellers & Repackers
Food business operators manufacturing any article of food containing ingredients or substances or using technologies or processes or combination thereof whose safety has not been established through these regulations or which do not have a history of safe use or food containing ingredients which are
Others

Food Services

Hotel
Restaurant
Food Catering services
Club / Canteen
Banquet halls with food catering arrangements
Caterer
Dhaba, Boarding houses serving food, , Home based Canteens/ DabbaWallas, Permanent/ Temporary stall Holder, Food stalls/ Arrangements in Religious gatherings/fairs etc., Fish/Meat/Poultry shop/Seller or any other food vending establishment
Hawker (Itinerant / mobile food vendor)
Petty Retailer of snacks / tea shops
Mid Day Meal Caterer
Mid Day Meal Canteen
Food vending Agencies
Others

Transportation

Transporter (having a number of specialized vehicles like insulated refrigerated van/ wagon, milk tankers etc.)
Others

Trade/Retail

Importer
Wholesaler
Retailer
Distributor
Supplier
Marketer
100 % Export Oriented Units
Exporter
Others

Storage

Storage(Except Controlled Atmosphere and Cold)
Storage (Cold / Refrigerated)
Storage (Controlled Atmosphere + Cold
Others

Others

Head Office/Registered Office