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Name of the Applicant

Email Address for Communication (REQUIRED)

Mobile Number for Communication (REQUIRED)

Name of the Firm/Company

Date of Birth (required):

Select Type of Business

Select Designation

Address of the Premise Where Food Business is Located

What is your Annual Turnover, Choose from one of these

Number of years you want to apply Food License for (REQUIRED)
Number of years you want to apply Food State License for (REQUIRED)
Number of years you want to apply Food Central License for (REQUIRED)




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