Transcription of END USE DECLARATION FSSAI Import License No.
1 END USE DECLARATION (To be printed on Importerletter head) FSSAI Import License No. _____IE Code. _____I/We(Importer/Proprietor/Partner/Ma nagingDirector/Director/ Authorised Signatory) of M/s(Name andAddress) do hereby have imported the consignment of(Name of productasmentioned on label and BoE), measuring(Wt/unit) from_____(Country of Origin), vide Nodatedat_____(port location/point of entry).3. The aforementioned product is intended solely for use/salein (Tick as applicable)(a) Food IndustryOr(b) Non-Foodindustry, details theintended use of the imported shall be responsible and liable for any contravention of the Food Safety and Standard Act,2006 and rules & regulations made there affirm that all information given above is true and correct to the best of my/our knowledgeand :Signatureof importerwithsealName:Date:Address:Contac t ID.
