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Form C Government of India Food Safety and Standards Authority of India License Under FSS Act, 2006

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Form C Government of India Food Safety and Standards Authority of India License Under FSS Act, 2006 Form C Government of India Food Safety and Standards Authority of India License under FSS Act, 2006 अनुजिपत संखया / License Number: 10016022005547 1. Name & Registered Office address of Sahyadri Agro Retails Limited Licensee / अनुजिपतधारी के पंजीकृ त कायारलय का नाम Gat No: 1102/8, Behind Police Headquarter At/ और पता: Post: Adgaon Tal: Nasik, Nashik, Maharashtra-422003 2. Address of Authorized Premises / पािधकृ त Gat No: 314/1 At/Post: Mohadi, Tal: Dindori, पिरसरो का पता: Nashik, Maharashtra-422206 3. Kind of Business / कारोबार का पकार: Relabeller - General Manufacturing Trade/Retail - Retailer Trade/Retail - Marketer Trade/Retail - Distributor Trade/Retail - Wholesaler 4. Dairy Business Details / डेयरी कारोबार िववरण हेतु : No 5. Category of License / अनुजिपत का वगर: Central License This license is granted under and is subject to the provisions of FSS Act, 2006 all of which must be complied with by the licensee. / यह अनुजिपत खाद संरका और मानक अिधिनयम, 2006 के अधीन अनुदत की गई और वह अिधिनयम के उपबंधो के अधयादीन है िजनका अनुजिपतधारी दारा अवशय पालन िकया जाना चािहए. Place / सान: FSSAI Mumbai Designated Officer Issued On / िदनांक: 04-01-2019 (Modified License) नािमत अिधकारी Valid Upto: / वैधता: 08-11-2021 (For details, refer Annexure) Annexures: 1. Product Annexure 2. Validity Annexure 3. Non-Form C Annexure 4. Conditions Of License Note: 1. Application for renewal of License can be filed as early as 180 days prior to expiry date of License. You can file application for renewal or modification of License by login into FSSAI's Food Safety Compliance System(https://foscos.fssai.gov.in) with your user id and password or call us at 1800112100 for any clarification. 2. This License is only to commence or carry on food businesses and not for any other purpose. 3. This is computer generated license and doesn't require any signature or stamp by authority. Page 1 of 10 Product Annexure Form C Government of India Food Safety and Standards Authority of India License under FSS Act, 2006 अनुजिपत संखया / License Number: 10016022005547 Kind Of Business: Manufacturer - General Manufacturing Production Capacity(MT / Day): 1915 Sl.No. Food Category Sub-Food Category Product Kind of Business 1 04 - Fruits and Jams, jellies, marmalades Jams, jellies, marmalades Relabeller - vegetables General (including Manufacturing mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 2 04 - Fruits and Frozen vegetables (including Frozen Vegetables (Whole, Relabeller - vegetables mushrooms and fungi, roots Rings, Dices, Slices, Pulp, General (including and tubers, pulses and Puree) Manufacturing mushrooms and legumes, and aloe vera), fungi, roots and seaweeds and nuts and tubers, fresh seeds pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 3 01 - Dairy products Dairy-based drinks - Flavoured Milk Relabeller - and analogues, flavoured milk and/or General excluding products fermented Manufacturing of food category 2.0 4 01 - Dairy products Dairy-based dessers (e.g. Fruit Yoghurt Relabeller - and analogues, Pudding, fruit or flavoured General excluding products yoghurt) Manufacturing of food category 2.0 5 04 - Fruits and Fresh fruit Fresh Fruits Relabeller - vegetables General (including Manufacturing mushrooms and fungi, roots and tubers, fresh pulses and Page 2 of 10 Sl.No. Food Category Sub-Food Category Product Kind of Business legumes, and aloe vera), seaweeds, and nuts and seeds 6 14 - Beverages, Concentrates of fruit juices Thermally Processed Relabeller - excluding dairy (concentrated fruit juices for Concentrated Fruit Juices General products industrial use) Manufacturing 7 14 - Beverages, Fruit juices (fruit juices for Thermally Processed Fruit Relabeller - excluding dairy industrial use, thermally Juices General products processed fruits juices) Manufacturing 8 14 - Beverages, Vegetable juices(vegetable Thermally Processed Tomato Relabeller - excluding dairy juices for industrial use, Juice, Thermally Processed General products thermally processed Vegetable Juice Manufacturing vegetable juices, thermally processed tomato juice) 9 12 - Salts, spices, Fermented soybean sauce Soyabean Sauce Relabeller - soups, sauces, General salads and protein Manufacturing products 10 14 - Beverages, Non-carbonated water- Thermally Processed Fruit Relabeller - excluding dairy based flavoured drinks Beverages , Fruit Drink , General products including punches and ades, Ready to Serve Fruit Manufacturing ginger cocktail (ginger beer Beverages and gingerale), thermally processed fruit beverages/ fruit drinks/ready to serve fruit beverages 11 14 - Beverages, Fruit nectar Thermally Processed Fruit Relabeller - excluding dairy Nectars General products Manufacturing 12 04 - Fruits and Fresh vegetables, (including Fresh Vegetables Relabeller - vegetables mushrooms and fungi, roots General (including and tubers, pulses and Manufacturing mushrooms and legumes, and aloevera), fungi, roots and seaweeds and nuts and tubers, fresh seeds pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 13 04 - Fruits and Fruit preparations, including Fruit Preparation Pulp and Relabeller - vegetables pulp, purees, fruit toppings Toppings Thermally General (including and coconut milk Processed Mango Pulp, Manufacturing mushrooms and Puree and sweetened Mango fungi, roots and Pulp, Puree, Thermally tubers, fresh Processed Fruit Pulp, Puree pulses and and Sweetened Fruit Pulp, legumes, and aloe Puree Other Than Mango vera), seaweeds, (Guava Pulp and Puree, and nuts and seeds Banana Pulp and Puree, Red Papaya Pulp and Puree, Page 3 of 10 Sl.No. Food Category Sub-Food Category Product Kind of Business Pomegranate Pulp and Puree) 14 04 - Fruits and Vegetable (including Thermally Processed Tomato Relabeller - vegetables mushrooms and fungi, roots Puree, Thermally Processed General (including and tubers, pulses and Concentrated Vegetable Manufacturing mushrooms and legumes, and aloe vera), Puree fungi, roots and seaweed, and nut and seed tubers, fresh purees and spreads (e.g. pulses and Peanut butter) legumes, and aloe vera), seaweeds, and nuts and seeds 15 04 - Fruits and Candied / glazed / Candied, Crystalized Glazed Relabeller - vegetables crystallised fruit including Fruit, ( Amla Candy, Mango General (including murrabba Candy, Papaya Candy, Manufacturing mushrooms and Pineapple Candy, Strawberry fungi, roots and candy, Ber Candy, Chiku tubers, fresh Candy, Mix Candy) pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 16 04 - Fruits and Frozen fruit Frozen Fruits (Whole, Rings, Relabeller - vegetables Dices, Slices, Chunks, Pulp, General (including Puree) Manufacturing mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 17 04 - Fruits and Vegetables (including Thermally Processed Relabeller - vegetables mushrooms and fungi, roots Concentrated Vegetable General (including and tubers,pulses and Pulp, Thermally Processed Manufacturing mushrooms and legumes, and aloe vera) sea Tomato Paste, Tomato Sauce fungi, roots and weeds, nuts and seeds pulps tubers, fresh and preparations (e.g pulses and vegetable desserts and legumes, and aloe sauces, candied vegetables) vera), seaweeds, other than food category and nuts and seeds 4.2.2.5 18 04 - Fruits and Fruit-based spreads (e.g. Mango Chutney Relabeller - vegetables chutney) excluding products General (including of food category 4.1.2.5 Manufacturing mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, Page 4 of 10 Sl.No. Food Category Sub-Food Category Product Kind of Business and nuts and seeds 19 12 - Salts, spices, Non emulsified sauces (e.g Tomato Ketchup, Culinary Relabeller - soups, sauces, ketchup, cheese sauce, Paste Fruits and Vegetable General salads and protein cream sauce, brown gravy) Sauces Other Than Tomato Manufacturing products Sauce Soya Sauce (Green Chilli Sauce, Red Chilli Sauce, Tamarind Sauce, Ginger Paste, Garlic Paste, Ginger Garlic Paste, Onion Paste) 20 14 - Beverages, Concentrates (liquid or Squashes, Crushes, Fruit Relabeller - excluding dairy solid) for water based Syrups, Fruit Sharbat And General products flavoured drinks (synthetic Barley Water, Synthetic Manufacturing syrups for dispensers, Syrup, Synthetic Sharbat sharbat (synthetic syrup),squashes, crushes, fruit syrups, cordials and barley water 21 04 - Fruits and Dried fruits, nuts and seeds Raisins Relabeller - vegetables General (including Manufacturing mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds Kind Of Business: Trade/Retail - Wholesaler Sl.No. Product(s) 1 04 - Fruits and vegetables (including mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds Kind Of Business: Trade/Retail - Retailer Sl.No. Product(s) 1 04 - Fruits and vegetables (including mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds 2 06 - Cereals and cereal products, derived from cereal grains, from roots and tubers, pulses, legumes and pith or soft core of palm tree, excluding bakery wares of food category 7.0 3 01 - Dairy products and analogues, excluding products of food category 2.0 Kind Of Business: Trade/Retail - Distributor Sl.No. Product(s) 1 04 - Fruits and vegetables (including mushrooms and fungi, roots and tubers, fresh pulses and legumes, and aloe vera), seaweeds, and nuts and seeds Page 5 of 10 Kind Of Business: Trade/Retail
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