Form C Government of Rajasthan

Form C
Government of Rajasthan
Medical, Heath and Family Welfare Department
Food Safety and Standards Authority of India
License under FSS Act, 2006
अनु ज्ञि प् त सं ख् या / L i c e n s e N u m b e r : 1 2 2 2 3 0 3 2 0 0 0 0 8 3
Name & Registered Office address of ICONIC CORPORATION

L i c e n s e e / अ न ु ज्ञि प् त ध ा र ी के 65 B, SUBHASH CHOWK, RATANADA , Jodhpur,
प ं ज ी कृ त क ा य ा र्ल य क ा न ा म औ र Rajasthan-342001
पता:
Address of Authorized Premises / 65 B, SUBHASH CHOWK, RATANADA , Jodhour,
प्राि धकृ त पि र स र ो क ा प त ा : Jodhpur, Rajasthan-342001
K i n d o f B u s i n e s s / क ार ोब ार क ा Manufacturer - General Manufacturing
प ् रक ार : Repacker - General Manufacturing
D a i r y B u s i n e s s D e t a i l s / डे यर ी हे
: No
क ार ोब ार ि व वर ण तु
C a t e g o r y o f L i c e n s e / अनु ज्ञि प् त State License
का व गर ् :
This license is granted under and is subject to the provisions of FSS Act, 2006 all of which must be complied with by the
l i c e n s e e . / य ह अ न ु ज्ञि प् त ख ा द्य स ं र क्ष ा औ र म ा न क अि धि न य म , 2 0 0 6 के
अ ध ी न अ न ु द त्त क ी ग ई औ र व ह अि धि न य म के उ प ब ं ध ो के अ ध् य ा द ी न ह ै
ि ज न क ा अ न ु ज्ञि प् त ध ा र ी द्व ा र ा अ व श् य प ा ल न ि क य ा ज ा न ा चाि ह ए .
Place / स् थान : Jodhpur Designated Officer

Issued On / ~ दनां क : 01-02-2023 (New License) Date : 01-02-2023 14:57:12 IST
Valid Upto: / वै धता : 31-01-2024 (For details, refer User Id : doXXXXXXXXXX01
Annexure) Verified through Mobile : 98XXXXXX55
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 26
Product Annexure
Form C
Government of Rajasthan
Medical, Heath and Family Welfare Department
Food Safety and Standards Authority of India
License under FSS Act, 2006
अनु ज्ञि प् त सं ख् या / L i c e n s e N u m b e r : 1 2 2 2 3 0 3 2 0 0 0 0 8 3
Kind Of Business: Manufacturer - General Manufacturing

Production Capacity(MT / Day): 1
Sl.No. Food Category Sub-Food Product Kind of
Category Business
1 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Tomato Manufacturer -
excluding dairy ("soft") beverages Juice [14.1.2.2] General
products Manufacturing
2 14 - Beverages, 14.1 - Non-alcoholic Vegetable Juice with Manufacturer -
excluding dairy ("soft") beverages Preservatives for Industrial Use General
products only [14.1.2.2] Manufacturing
3 14 - Beverages, 14.1 - Non-alcoholic Synthetic Syrup or Sharbat Manufacturer -
excluding dairy ("soft") beverages [14.1.4.3] General
4 14 - Beverages, 14.1 - Non-alcoholic VEGETABLE JUICES [14.1.2.2] Manufacturer -
excluding dairy ("soft") beverages General
5 14 - Beverages, 14.1 - Non-alcoholic Barley Water [14.1.4.3] Manufacturer -
6 14 - Beverages, 14.1 - Non-alcoholic Ginger Cocktail [14.1.4.2] Manufacturer -
7 14 - Beverages, 14.1 - Non-alcoholic Themally Processed Fruit Nectars Manufacturer -
8 14 - Beverages, 14.1 - Non-alcoholic Non-carbonated Water Based Manufacturer -
excluding dairy ("soft") beverages Beverages (Non-Alcoholic) General
products [14.1.4.2] Manufacturing
9 14 - Beverages, 14.1 - Non-alcoholic Synthetic Syrup for use in Manufacturer -
excluding dairy ("soft") beverages Dispensers for Carbonated Water General
10 14 - Beverages, 14.1 - Non-alcoholic Coffee [14.1.5] Manufacturer -
11 14 - Beverages, 14.1 - Non-alcoholic FRUIT JUICES [14.1.2.1] Manufacturer -
12 14 - Beverages, 14.1 - Non-alcoholic Caffeinated Beverage [14.1.5] Manufacturer -
Page 2 of 26
Category Business
13 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Manufacturer -
excluding dairy ("soft") beverages Concentrated Fruit Juice Pulp/ General
products Puree [14.1.2.3] Manufacturing
14 14 - Beverages, 14.1 - Non-alcoholic Instant Tea in Solid Form [14.1.5] Manufacturer -
15 14 - Beverages, 14.1 - Non-alcoholic Cordial [14.1.4.3] Manufacturer -
16 14 - Beverages, 14.1 - Non-alcoholic Drinking Water (Purified) sold Manufacturer -
excluding dairy ("soft") beverages through vending machine [14.1.1] General
17 14 - Beverages, 14.1 - Non-alcoholic Green Tea [14.1.5] Manufacturer -
18 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Fruit Manufacturer -
excluding dairy ("soft") beverages Beverages / Fruit Drink/ Ready to General
products Serve Fruit Beverages [14.1.4.2] Manufacturing
19 14 - Beverages, 14.1 - Non-alcoholic Coffee-Chicory Mixture [14.1.5] Manufacturer -
20 14 - Beverages, 14.1 - Non-alcoholic Mineral water [14.1.1] Manufacturer -
21 14 - Beverages, 14.1 - Non-alcoholic Kangra Tea [14.1.5] Manufacturer -
22 14 - Beverages, 14.1 - Non-alcoholic Concentrated Fruit Juice with Manufacturer -
excluding dairy ("soft") beverages Preservatives for industrial use General
23 14 - Beverages, 14.1 - Non-alcoholic Chicory [14.1.5] Manufacturer -
24 14 - Beverages, 14.1 - Non-alcoholic Squash [14.1.4.3] Manufacturer -
25 14 - Beverages, 14.1 - Non-alcoholic Fruit Juice with Preservatives for Manufacturer -
excluding dairy ("soft") beverages Industrial Use only [14.1.2.1] General
26 14 - Beverages, 14.1 - Non-alcoholic Packaged Drinking Water (other Manufacturer -
excluding dairy ("soft") beverages than Mineral Water) [14.1.1] General
27 14 - Beverages, 14.1 - Non-alcoholic Tea [14.1.5] Manufacturer -
Page 3 of 26
Category Business
28 14 - Beverages, 14.1 - Non-alcoholic Carbonated Water [14.1.4.1] Manufacturer -
29 14 - Beverages, 14.1 - Non-alcoholic Crush [14.1.4.3] Manufacturer -
30 14 - Beverages, 14.1 - Non-alcoholic Fruit Based Beverage Mix/ Manufacturer -
excluding dairy ("soft") beverages Powdered Fruit Based Beverage General
31 14 - Beverages, 14.1 - Non-alcoholic Concentrated Vegetable Juice Manufacturer -
excluding dairy ("soft") beverages with Preservatives for industrial General
products use only [14.1.2.4] Manufacturing
32 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Manufacturer -
excluding dairy ("soft") beverages Concentrated Vegetable Juice General
products Pulp/ Puree [14.1.2.4] Manufacturing
33 14 - Beverages, 14.1 - Non-alcoholic Fruit Syrup/ Fruit Sharbats Manufacturer -
34 14 - Beverages, 14.1 - Non-alcoholic Carbonated Fruit Beverages or Manufacturer -
excluding dairy ("soft") beverages Fruit Drinks [14.1.4] General
35 12 - Salts, spices, soups, 12.3 - Vinegars Vinegar [12.3] Manufacturer -
sauces, salads and General
protein products Manufacturing
36 12 - Salts, spices, soups, 12.3 - Vinegars Vinegar [12.3] Repacker -
sauces, salads and General
protein products Manufacturing
37 100 - Standardised Food 100 - Standardised Cow or Buffalo Colostrum and Repacker -
Product excluding Food Product Colostrum Products [100] General
those covered under excluding those Manufacturing
category 1-14 covered under
category 1-14
38 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Tomato Repacker -
excluding dairy ("soft") beverages Juice [14.1.2.2] General
39 14 - Beverages, 14.1 - Non-alcoholic Non-carbonated Water Based Repacker -
excluding dairy ("soft") beverages Beverages (Non-Alcoholic) General
40 14 - Beverages, 14.1 - Non-alcoholic Green Tea [14.1.5] Repacker -
41 14 - Beverages, 14.1 - Non-alcoholic Coffee [14.1.5] Repacker -
42 14 - Beverages, 14.1 - Non-alcoholic Cordial [14.1.4.3] Repacker -
Page 4 of 26
Category Business
43 14 - Beverages, 14.1 - Non-alcoholic Concentrated Fruit Juice with Repacker -
excluding dairy ("soft") beverages Preservatives for industrial use General
44 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Fruit Repacker -
excluding dairy ("soft") beverages Beverages / Fruit Drink/ Ready to General
products Serve Fruit Beverages [14.1.4.2] Manufacturing
45 14 - Beverages, 14.1 - Non-alcoholic Caffeinated Beverage [14.1.5] Repacker -
46 14 - Beverages, 14.1 - Non-alcoholic FRUIT JUICES [14.1.2.1] Repacker -
47 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Repacker -
excluding dairy ("soft") beverages Concentrated Vegetable Juice General
products Pulp/ Puree [14.1.2.4] Manufacturing
48 14 - Beverages, 14.1 - Non-alcoholic Coffee-Chicory Mixture [14.1.5] Repacker -
49 14 - Beverages, 14.1 - Non-alcoholic Synthetic Syrup for use in Repacker -
excluding dairy ("soft") beverages Dispensers for Carbonated Water General
50 14 - Beverages, 14.1 - Non-alcoholic Synthetic Syrup or Sharbat Repacker -
51 14 - Beverages, 14.1 - Non-alcoholic Fruit Juice with Preservatives for Repacker -
excluding dairy ("soft") beverages Industrial Use only [14.1.2.1] General
52 14 - Beverages, 14.1 - Non-alcoholic Kangra Tea [14.1.5] Repacker -
53 14 - Beverages, 14.1 - Non-alcoholic Tea [14.1.5] Repacker -
54 14 - Beverages, 14.1 - Non-alcoholic Barley Water [14.1.4.3] Repacker -
55 14 - Beverages, 14.1 - Non-alcoholic Drinking Water (Purified) sold Repacker -
excluding dairy ("soft") beverages through vending machine [14.1.1] General
56 14 - Beverages, 14.1 - Non-alcoholic Ginger Cocktail [14.1.4.2] Repacker -
57 14 - Beverages, 14.1 - Non-alcoholic Fruit Syrup/ Fruit Sharbats Repacker -
58 14 - Beverages, 14.1 - Non-alcoholic Instant Tea in Solid Form [14.1.5] Repacker -
Page 5 of 26
Category Business
59 14 - Beverages, 14.1 - Non-alcoholic Concentrated Vegetable Juice Repacker -
excluding dairy ("soft") beverages with Preservatives for industrial General
products use only [14.1.2.4] Manufacturing
60 14 - Beverages, 14.1 - Non-alcoholic Crush [14.1.4.3] Repacker -
61 14 - Beverages, 14.1 - Non-alcoholic VEGETABLE JUICES [14.1.2.2] Repacker -
62 14 - Beverages, 14.1 - Non-alcoholic Carbonated Water [14.1.4.1] Repacker -
63 14 - Beverages, 14.1 - Non-alcoholic Squash [14.1.4.3] Repacker -
64 14 - Beverages, 14.1 - Non-alcoholic Thermally Processed Repacker -
excluding dairy ("soft") beverages Concentrated Fruit Juice Pulp/ General
products Puree [14.1.2.3] Manufacturing
65 14 - Beverages, 14.1 - Non-alcoholic Mineral water [14.1.1] Repacker -
66 14 - Beverages, 14.1 - Non-alcoholic Vegetable Juice with Repacker -
excluding dairy ("soft") beverages Preservatives for Industrial Use General
67 14 - Beverages, 14.1 - Non-alcoholic Fruit Based Beverage Mix/ Repacker -
excluding dairy ("soft") beverages Powdered Fruit Based Beverage General
68 14 - Beverages, 14.1 - Non-alcoholic Themally Processed Fruit Nectars Repacker -
69 14 - Beverages, 14.1 - Non-alcoholic Chicory [14.1.5] Repacker -
70 14 - Beverages, 14.1 - Non-alcoholic Carbonated Fruit Beverages or Repacker -
excluding dairy ("soft") beverages Fruit Drinks [14.1.4] General
71 14 - Beverages, 14.1 - Non-alcoholic Packaged Drinking Water (other Repacker -
excluding dairy ("soft") beverages than Mineral Water) [14.1.1] General
72 03 - Edible ices, 03 - Edible ices, Ice Lollies or Edible Ices [03.0] Manufacturer -
including sherbet and including sorbet General
sorbe (ice candy) Manufacturing
73 03 - Edible ices, 03 - Edible ices, Ice Lollies or Edible Ices [03.0] Repacker -
including sherbet and including sorbet General
sorbe (ice candy) Manufacturing
74 11 - Sweeteners, 11.1 - Refined and Golden Syrup [11.1.3.2] Manufacturer -
Page 6 of 26

Category Business
including honey raw sugars General
Manufacturing
75 04 - Fruits and 04.2 - Vegetables Pickled Fungi [04.2.2.7] Manufacturer -
vegetables (including (including General
mushrooms and fungi, mushrooms and Manufacturing
roots and tubers, fresh fungi, roots and
pulses and legumes, tubers, pulses and
and aloe vera), legumes, and aloe
seaweeds, and nuts and vera), seaweeds,
seeds and nuts and seeds
76 04 - Fruits and 04.2 - Vegetables Ginger paste [04.2.2.6] Manufacturer -
77 04 - Fruits and 04.2 - Vegetables Sterilized Fungi [04.2.2.4] Manufacturer -
78 04 - Fruits and 04.2 - Vegetables Dehydrated Vegetables [04.2.2.2] Manufacturer -
79 04 - Fruits and 04.2 - Vegetables Peanut Butter [04.2.2.5] Manufacturer -
80 04 - Fruits and 04.2 - Vegetables Thermally Processed Tomato Manufacturer -
vegetables (including (including Puree and Paste [04.2.2.5] General
Page 7 of 26

Category Business
81 04 - Fruits and 04.2 - Vegetables Pickles made from vegetables or Manufacturer -
vegetables (including (including other edible plant material General
mushrooms and fungi, mushrooms and including mushrooms [04.2.2.3] Manufacturing
82 04 - Fruits and 04.2 - Vegetables Quick Frozen Fried Potatoes Manufacturer -
vegetables (including (including [04.2.2.8] General
83 04 - Fruits and 04.2 - Vegetables Table Olives [04.2.2.3] Manufacturer -
84 04 - Fruits and 04.2 - Vegetables Fungi extract and Fungi Manufacturer -
vegetables (including (including Concentrate [04.2.2.2] General
85 04 - Fruits and 04.2 - Vegetables Cocoa Beans [04.2.2.7] Manufacturer -
86 04 - Fruits and 04.2 - Vegetables Thermally processed Curried Manufacturer -
vegetables (including (including Vegetables/Ready to Eat General
mushrooms and fungi, mushrooms and Vegetables [04.2.2.4] Manufacturing
87 04 - Fruits and 04.2 - Vegetables Surface-treated fresh vegetables Manufacturer -
Page 8 of 26

Category Business
88 04 - Fruits and 04.2 - Vegetables Salted fungi (semi processed Manufacturer -
vegetables (including (including products) [04.2.2.3] General
89 04 - Fruits and 04.2 - Vegetables Frozen Vegetables [04.2.2.1] Manufacturer -
90 04 - Fruits and 04.2 - Vegetables Dried fungi [04.2.2.2] Manufacturer -
91 04 - Fruits and 04.2 - Vegetables Canned Tomatoes [04.2.2.4] Manufacturer -
92 04 - Fruits and 04.2 - Vegetables Concentrated Vegetable Pulp/ Manufacturer -
vegetables (including (including Puree with Preservatives for General
mushrooms and fungi, mushrooms and industrial use only [04.2.2.6] Manufacturing
93 04 - Fruits and 04.2 - Vegetables Quick Frozen Fungi [04.2.2.1] Manufacturer -
Page 9 of 26

Category Business
94 04 - Fruits and 04.2 - Vegetables Fermented Fungi [04.2.2.7] Manufacturer -
95 04 - Fruits and 04.2 - Vegetables Untreated fresh vegetables Manufacturer -
96 04 - Fruits and 04.2 - Vegetables Canned Chestnuts and Canned Manufacturer -
vegetables (including (including Chestnut Puree [04.2.2.4] General
97 04 - Fruits and 04.2 - Vegetables Dried Fungi Concentrate Manufacturer -
98 04 - Fruits and 04.2 - Vegetables Fungi Grits and Fungi Powder Manufacturer -
99 04 - Fruits and 04.2 - Vegetables YELLOW PEA POWDER [04.2.2.2] Manufacturer -
Page 10 of 26

Form C Government of Rajasthan

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Form C Government of Rajasthan

Uploaded by

Copyright:

Available Formats

Form C

Name & Registered Office address of ICONIC CORPORATION

Place / स् थान : Jodhpur Designated Officer

Kind Of Business: Manufacturer - General Manufacturing

Sl.No. Food Category Sub-Food Product Kind of

Sl.No. Food Category Sub-Food Product Kind of

Sl.No. Food Category Sub-Food Product Kind of

Sl.No. Food Category Sub-Food Product Kind of

You might also like