FORM
– ‘C’
See
Rule 6(c)
FORM
OF LICENCE
No.
Date
Licence
for the manufacture/ for sale/sell/storage for sale/distribution of food
Shri/Sarva
Shri. ........................................................
residing at ........................................is hereby given a licence for
manufacture for
sale/sell/sell/storage for sale/distribution of (in wholesale / retail)+
.........................................................................................................................................
.............................................................................................................................
(Herein
after referred to as the licence article) at
.....................................
situated at ......................................... subject to the provisions
of the Prevention
of Food Adulteration Act,1954 and rules made thereunder including
the condition of sale referred under rule 6. This licence will remain
valid
from the date of issue to 31st March..............................
+Here
in specify article / articles of food for which licence is granted.
Date of issue
Signature of Licensing Authority
For Local Area