FSSAI Audit Application Form-v4.1-March'24 1
FSSAI Audit Application Form-v4.1-March'24 1
FSSAI Audit Application Form-v4.1-March'24 1
Application Form
Certification v4 – March’24
Page 1 of 3
(Confidential document)
In order to prepare a formal commercial proposal specific to a HACCP/ GMP Codex, EN 15593,
various assessment schemes driven by FSSAI or QCI related to food or any other Customized / 2 nd
Party audits Bureau VERITAS (India) Private Limited requires certain information on your activities
and organisation.
Thank you in advance for providing us the information in details so that we can prepare a precise
proposal to meet your exact needs. All information provided will be kept confidential.
Please indicate the Activity of your organisation. The supply chain model will determine the terms of
your certification and the way we perform the audit.
Manufacturing
Storage , Logistics and Distribution
Retail
Agents , Brokers and Trading
Food Processing
*Please tick the applicable box
1. COMPANY DETAILS
2.1 FSSAI License along with validity (Attach the Copy of the license)
235
*2.3 Number of production lines / Product group in FBO / No. of HACCP Study.
HACCP - 6
*2.5 Please describe in detail kind of products being manufactured / process activity.
I hereby certify that the statements written down on the present certificate are accurate.
At _______________, date ____________________
Signature