Receipt

Reference Number 30200127145642253 Applica on Date 29/01/2020

Name of Applicant AMMAMARUCHULU

KATURI VENKATA MARUTHI RAVITEJA, 18-7-9, KOPPAKAVARI STREET,

Premises Address
OPP. BABA TEMPLE, TANUKU, WEST GODAVARI

Kind of Business Food vending establishment

Category of License REGISTRATION

Fee Paid Rs. 300(3 Year(s))

Collected by CSC:
CSC Charges Rs. 30
GST 18% Rs. 5.40
Total Rs. 35.40
For claiming GST
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O/O Food Safety Designated Office,Near Water Tank,Kotadibba,Eluru, West Godavari Dt.Andhara
Pradesh State.

Note: FSSAI does not contact applicants over telephone for License/Registra on. Queries rela ng to
License/Registra on are only raised online. License related complaints may be reported at helpdesk -
1800112100 and licensing@fssai.gov.in.