Attached files
Exhibit 10.2
APPLICATION FOR THE REGISTRATION OF A FOOD BUSINESS ESTABLISHMENT
(Regulation (EC) No. 852/2004 on the hygiene of foodstuffs, Article 6(2))
This form should be completed by food business operators in respect of new food
business establishments and received by the relevant Food Authority 28 days
before commencing food operations. On the basis of the activities carried out,
certain food business establishments are required to be approved rather than
registered. If you are unsure whether any aspect of your food operations would
require your establishment to be approved, please contact [insert name of Food
Authority] for guidance.
1. Address of establishment_____________________________________________________
(or address at which moveable establishment is kept)
_________________________________________________________ Post code_____________
2. Trading name of food business___________________Telephone no.________________
3. Full Name of food business operator(s)_______________________________________
(or Limited company where relevant)
4. Head Office address of food business operator _______________________________
(where different from address of establishment)
_________________________________________________________ Post code ____________
Telephone no.______________________________E-mail_______________________________
5. Type of food activity (Please tick ALL the boxes that apply):
Staff restaurant/canteen/kitchen [ ] Hospital/residential home/school [ ]
Retailer (including farm shop) [ ] Distribution/warehousing [ ]
Restaurant/cafe/snack bar [ ] Food manufacturing/processing [ ]
Market/ Market stall [ ] Importer [ ]
Takeaway [ ] Catering [ ]
Hotel/pub/guest house [ ] Packer [ ]
Private house used for a food business [ ] Moveable establishment e.g. ice cream van [ ]
Wholesale/cash and carry [ ] Primary producer - livestock [ ]
Food Broker [ ] Primary producer - arable [ ]
Other (please give details):
________________________________________________________________________________
6. If this is a new business, the date you intend to open_______________________
Signature of food business operator_________________________________________
Date: ______________________________________________________________________
Name: ______________________________________________________________________
(BLOCK CAPITALS)
AFTER THIS FORM HAS BEEN SUBMITTED, FOOD BUSINESS OPERATORS
MUST NOTIFY ANY SIGNIFICANT CHANGE IN ACTIVITIES TO THE
ACTIVITIES STATED ABOVE (INCLUDING CLOSURE) TO THE FOOD
AUTHORITY AND SHOULD DO SO WITHIN 28 DAYS OF THE CHANGE(S)
HAPPENING
