DECLARATION

I, Mr. SURESH RADHESHYAM JAISWAL S/o. Mr. RADHESHYAM JAISWAL R/O. HOUSE
NO 403/1/04 JAY AMBE SOCIETY AGRA ROAD, KAMLA HOTEL BHIWANDI Thane 421302 do
here by solemnly affirms and declares that all information and particulars
furnished here by me are true and correct to the best of my knowledge. I further
declare that the food business conducted or proposed to be conducted
by/through me conforms/shall conform to the Food Safety and Standards Act,
Regulation/ Bye-laws enacted thereunder, and specifically to the Guidelines on
Hygiene and Sanitary Practices provided under Schedule 4 of the Registration and
Licensing Regulation published by the Food Safety and Standards Authority of
India or any person authorized on its behalf from time to time.

DATE: 12/10/2017

SURESH RADHESHYAM JAISWAL SHOP NAME :

M/S. SHRI OM SAI TRADERS

ADDRESS & Contact No

H.NO 66/1/1 GALA 1, GR FLOOR, AHMED APT KOTERGATE BHIWANDI
THANE 421302
9763265903