FSSA REGISTRATION LICENSE FSSAI/FOOD Registration information Form Applicant Name * Email Address * Mobile No. * Select NEW or Renew —Please choose an option—New RegistrationRenew Your Registration Constitution of Business —Please choose an option—IndividualProprietorshipPartnershipPrivate LimitedLLPNGOsOthers Business Name (Optional) Full Address City State —Please choose an option—ANDAMAN AND NICOBAR ISLANDANDHRA PRADESHARUNACHAL PRADESHASSAMBIHARCHANDIGARHCHHATISGARHDADRA AND NAGAR HAVELIDAMAN AND DIUDELHIGOAGUJARATHARYANAHIMACHAL PRADESHJAMMU AND KASHMIRJHARKHANDKARNATAKAKERALALAKSHADWEEPMADHYA PRADESHMAHARASHTRAMANIPURMEGHALAYAMIZORAMNAGALANDODISHAPONDICHERRYPUNJABRAJASHTHANSIKKIMTAMIL NADUTELANGANATRIPURAUTTAR PRADESHUTTRAKHANDWEST BENGAL Area Pin Code Description of your Products (if available) Δ