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GOVERNMENT OF PUDUCHERRY
                                            DEPARTMENT OF FOOD SAFETY
                                                       FORM'C'
                                                    LICENSE FORMAT
                                                [See  Regulation 2.1.a(6)]
                                   License Under  Food Safety  and Standards Act 2OO6
                      rfirorb  6r6ti6t t License no. : lflilttrilEltriltrEliltriltr

      1. Name & Registered  Office Address of Licensee /   SELDOM  PHARMA PRIVATE  LIMITED
                  oro upfl eu a uDD  er  slr   6''r eu o$$lcur  Gi u ur  6   Lb  SELDOM  PHARMA  PRIVATE  LIMITED, NO: 28-4-26, MARKET
        foff#ffi?f
                                                           STREET,  KAKINADA  533001.,  Kakinada  Mpl.Corp.  (Andhra
                                                           Pradesh) - 533001
      2. Address  of Authorized  Premises /                SELDOM  PHARMA PRIVATE  LIMITED, NO: 6-8-122,
        e-rflorb eum,r6ofl$suul-l  gr oeurfl,
                                                           ADAVIPOLAM,  YANAM 533464.,  Yanam,
                                                           Puducherry(Puducherry)  -533464
      3. Kind of Business  / eucrflo$$)ro eueoo,           Man ufactu rer
      4. For dairy business details of location  with address and  No
        capacity of Milk Chilling Centers  (MCC)/Bulk  Milk Cooling
        Centers  (BMCs)  /Milk Processing  Units/Milk Packaging  Unit
        owned by the holder of licensee/Reoistration  Certificate /
        e- rfl mp n  ry 19  daqru$t  ot0 u  p  o.r affl orgri,6   e n[ g ro n_or E4]  u..r
                           D
                               .
        etlsrr6-lll6D ulla) (O6fit(DL(b\to  60,roruL0/St6lo gl6[6IlGlJ  ufia)
                                          -O
        igoflqgu@rb  eooutiouuneil  uqiuuo6inCBLb  Orflevunsi:
        Ounularb  Qeuqt5lrLb gg€qrorpffflr  $6urJ)L_'(lDooirrl
        oDglr.o  DlDloruuLL  6olnuJg6l66r  Lltrfi 5115IT616l.l   :
                                                           State
      5. Category of License / e-flro$$on  6)J6Drf,  :
        This license  is granted  underand  is subject to the provisions of FSS Act,2006  all of which must  be complied with by the
                                                           tp e-frLosnryr   tulgcoLourr{r  66oL nrqri'o G6x6ri''r+ur
        53?L":./rhffitqrH[#iL'6'doB?'ntH"Sf"1'rt6'6tfi

      6. Validity  Of License / e-rflLo$$atr  Cleei;a:$g6o  6rrool6iDrrru6iop  rrom lzrEE6Fl  ro lzoE-lzorsl

                                                                                          u/---*-
                     Puducherry
      Place/  SIL-Lb  :
                                                                  Stamp         -===-z-'
                     27/04/20t7
      Date z  pneir  :                                           fluucn
                                                                                 Dcsloneted Officer
                                                          e a: a;pp 6691 rb:  Ll gllu n g p%,icclicl
                                   Va  l  i dat io n An d Ren ew a l                    n g Au-t!!o1ity)
                                                       lGl
                                                                           iooa'Siictv oigr., luaUGhcnY.


                                                                                                                i

      2t/04/20L7     20/04/2018       Rs.3000             refer to annexure  for  Please refer to
                                                             details.          annexure  for detail
      xrhe  Application  for renewal of license shall be submifted 3o days prior to the  "*..FffitI'D'
      which Rs.                                                                        Deslgnatert  Oltlcer
       1OO per day will be charged  up to the date of expiry,                         (Llcemei r"l  titll+ritY)
                                                                                                  ".
      Disclaimer-This License is only to commence  or carry on f ood bu si n esses a n d n ofrodr€dEtyrSupbq#r.!  d u cherryr
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