17. (1) The Authorised Officer shall follow the procedure of inspection, sampling, testing and clearance laid down under these regulations, for disposal of all cases of uncleared or unclaimed articles of food.
(2) The Authorised Officer shall, on receipt of request made by the Custodian and after ensuring that the requisite fee has been paid, issue either a no-objection certificate or non-conformance report after assessing the safety of uncleared or unclaimed food consignment based on inspection and laboratory analysis.
Form 1
[See Regulation 5(5)]
Visual Inspection Format
The seal on the container was inspected, it reads as .. and the same was found to be intact.
The seal was broken by the Authorised Officer or his representatives in presence of the following:
1.
2.
3.
BREAK OPEN SEAL FORMAT
| This package is opened and a sample taken by the Authorised Officer of FSSAI, to have the same analysed by a notified laboratory. Authorised Officer Seal |
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Location: .. Sample ID: .. Signature: . Name of Officer: .. Date: Time: |
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This Package has be re-sealed in my presence Initials of Customs House Agent |
| (Please tick the applicable) |
| Nothing was stored in the container. |
| The following were found stored, in the container: |
| 1. |
| 2. |
| 3. |
| The articles of food were stored in a clean and hygienic condition and were free of: |
| 1. Living/dead/fragments of insect |
| 2. Rodent contamination |
| 3. Moulds |
| 4. Unwanted odour taint or mustiness |
| 5. Any other substance, which can influence the safety of the food. |
| The packaging material was inspected and the following was observed; |
| The package prima facie appeared to be compliant to the packaging and labelling requirements as per the Food Safety and Standard (Packaging and Labelling) Regulations, 2011 |
| The package of the food consignment was inspected and the following was observed: |
| 1. Size |
| 2. Material used |
| 3. Securely packed and sealed |
| 4. Free from major dents, rust, perforation, seam distortion, leaks etc. Brief description of the package: |
| Photograph of the Label |
| Observation. The Food consignment is in compliance with the provisions of the Food Safety and Standards (Packaging and Labelling) Regulations, 2011. Food article was found to be fit/not found fit for drawing sample and therefore the sample was drawn/not drawn. |
| SD/ |
| Authorised Officer |
| The process has been carried out in the presence of all the signatories who have signed the present memo in token of their acknowledgement of the correctness of the proceeding. |
| 1. |
| 2. |
Form 2
[See Regulation 10(5)]
Report of Laboratory Analysis
Name of Laboratory Address
Test Certificate No: Date:
Report of Laboratory Analysis
1. Sample Identification: Sample No:
2. Ref No.:
3. Sample received from:
4. Sample Particulars: Brief description of sample material
5. Volume/Weight:
6. Sample received Date and Time :Time: on
7. Lot/Batch No.:
8. Date of Manufacture : (mmyyyy)
9. Fee Received : Yes
10. Lab Code No.: code assigned by laboratory for its records
A. Physical Examination
11. Type of Packaging :
12. Condition of Package:
13. Physical Appearance of sample:
14. Labelling Details sufficient: Yes No
15. If condition of packaging or sample or details provided in the label is not acceptable, provide reason: ..
B. Laboratory Analysis
16. Analysis date of starting: Analysis date of completion:
Test results
| Sl. No: |
Quality Parameters |
Specified limit as per FSSR/ as per COA if not mentioned in FSSR |
Test Results |
Test method |
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Safety Parameters |
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C. Conclusion:
The sample conforms to the specifications laid down for all the parameters in the Act and the rules and regulations made thereunder.
The sample does not conform to the specifications laid down in the Act and the rules and regulations made thereunder for the parameters.
Place Signature
Date Name and Seal and Designation
Form 3
[See Regulation 14(1)]
No Objection Certificate
No objection certificate No: Date:
Port of Entry/Location: Import General Manifest No. and date:
Bill of entry number and date:
To,
The Assistant/Deputy Commissioner of Customs
Sir,
| Product as per the bill of entry |
Sample ID |
Exporting country |
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Remarks: Conforming
Balance shelf life of the product, on the date of issue of this no objection certificate:
This office has no objection if the above mentioned articles of food is released or cleared from this port before Validity period of the no objection certificate, as the result of the inspection or analysis that the sample conform to the specifications provided under the Food Safety and Standards Act 2006 (34 of 2006), and the rules and regulations made thereuder.
This is for your information and necessary action please.
Date: Name/Signature with Seal of the Authorised Officer
Place:
Copy to:
Name of the Importer and Import Export Code:
Address of Importer:
Food Safety and Standards Act License Number of the Importer:
Name of the Custom Brokers:
Enclosure: Report/ Certificate of Laboratory.
Form 4
[See Regulation 14(5)]
Non-Conformance Report
Non conf No. :Date:
Port of Entry/Location: Import General Manifest No. and date:
Bill of entry number and date:
To,
The Assistant/Deputy Commissioner of Customs
Sir,
| Product as per the bill of entry |
Sample ID |
Exporting country |
The consignment is rejected on following grounds:
1. .
2. .
3. .
This office is of the opinion that the consignment is not to be released or cleared from this port for the reasons mentioned above.
This is for your information and necessary action please.
Date: Name/Signature with Seal of the Authorised Officer
Place:
Copy to:
Name of the Importer and Import Export Code:
Address of Importer:
Food Safety and Standards Act License Number of the Importer:
Name of the Custom Brokers:
ENCL: Report/Certificate of Laboratory.
Form 5
[See Regulation 14(7)]
Mandatory Destruction Order
Food Safety and Standards Authority of India Authorised Officer
To, Date:
The Asst. Commissioner of Customs
Food Article imported by : Importer License No:
Vessel Name:
Import General Manifest Number: Dated:
BE: Dated:
Index No:
Custom Brokers License No: Custom Brokers Name:
Sir,
1. The above mentioned food consignment imported ..by
. was inspected on by the Authorised Officials of Food Safety and Standards Authority of India and samples have been analysed by the Notified laboratory.
2. This office requests you to reject the clearance of import of this article of food and not to release it from this port as the result of the inspection and analysis of the sample of the articles of food does not conform to the specifications specified under the Food Safety and Standards Act, 2006 (34 of 2006) and rules and regulations made thereunder.
3. Based on the findings and recommendation in Non-Conformance Laboratory Analysis Report and subsequent confirmation from the Referral Laboratory, the contamination and presence of microbiological organisms in the food sample is likely to pose a significant risk to public health. The lab analysis reports are enclosed.
4. This office requests you to reject the clearance of import of this consignment and not to release it from this port and recommends for mandatory destruction of the articles of food of this consignment owing to the significant risks to the Public Health.
This is for your information and necessary action please.
Yours Faithfully,
(Name and Seal of Authorised Officer)
Copy of Lab Analysis Report attached
Form 6
[See Regulation 15(2)(a)]
Review Application to the Review Officer
Name and address of the petitioner:
Registration No. as Food Business Operator:
Importer's License No.: .
Import Details
Date of Import: .. Bill of Entry No: . Point of import:
..
Name of Article of Food under consideration: ..Product
Type:
Invoice Value of Articles of Food: . Perishable:
Yes/No. ..
Balance Shelf life of the item:
End Usage:
Rejection Report Details
Date of Rejection Report sought to be reviewed: . Order
passed by: .
(Authority) (Place)
Food Safety and Standards (Food Import) Regulation, 2016 under which the Rejection Report was passed:
..
Relief claimed in appeal:
Statement of Facts:
Grounds of Appeal
1.
2.
3.
Date: ..
Place: .
Signed
(Appellant)
Form of verification
I, .. ., the petitioner herein/ the authorised representative of the petitioner herein, do hereby declare that what is stated in the accompanying Form I dated . is true to the best of my knowledge, information and belief.
Place
Date .
(Appellant)
Form 7
[See Regulation 7(1)]
(For imported food consignment meant for Personal Use)
Declaration and undertaking by Importer
I/ We, .., resident(s) .. of do hereby declare and undertake that:
1. I/We have imported <Name of food> from <country of origin of consignment> . vide .. <Bill of Entry number> . dated .;
2. The above consignment of <Net weight or unit> will be solely used for personal consumption;
3. No part of the aforementioned consignment will be sold/ released into the domestic market in any manner;
4. I am holding Passport Number which is valid up to only). issued from ..<name of the country>. which is valid up to (*Applicable in case of Foreigners/NRIs only).
5. I shall be responsible and liable for any contravention of the Food Safety and Standard Act, 2006 and rules and regulations made there under.
I affirm that all information given above is true and correct to the best of my/our knowledge and belief.
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Signatures of the Importer with Stamp/ Seal |
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Name: |
| Place: |
Address: .. |
| Date: |
Contact Nos.: |
Form 8
[See Regulation 7(2)]
(For imported food consignment meant for hundred per cent Export/Re-export)
Declaration and undertaking by Importer
(To be printed on FBO/Importer/Company's Letterhead)
I/We, .. [Proprietor/Partner/Managing Director/Director/Authorised Signatory of M/S <with address> . do hereby declare and undertake that:
1. I/We have imported the consignment of <Name of product> . measuring <Weight/ Units> from <Country of origin of consignment> vide . <Bill of entry number> . dated at <Port location>;
2. The aforementioned Food Product is intended solely for the captive use/production of value added products/for use of our sister/subsidiary companies (subject to a defined relationship agreement between the two entities) for 100% exports/re-export.
3. I/We undertake that no part thereof will be supplied for domestic consumption.
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Signatures of the Importer with Stamp/ Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 9
[7[See Regulation 7(5)]]
(For imported food consignment meant for Research and Development purposes)
Declaration and undertaking by Importer
(To be printed on FBO/Importer/Company's Letterhead)
I/We . [as Proprietor/Partner/Managing Director/Director/Authorised Signatory of M/S _ ] do hereby declare and undertake that:
3. I/We are the importer . <Name of food> . from ..<Country of origin of the consignment> vide < Bill of Entry number> dated
4. The above consignment is .. <Net weight/Quantity> and will be used solely for <purpose of consignment> .
5. The consignment will be exclusively used for Research and Development purposes for assuring the highest quality standards only and will not be utilized or released in the domestic market for human consumption even if it is for test marketing or market research purpose.
6. I/We shall be fully responsible and liable for any contravention of Food Safety and Standard Act, 2006 (34 of 2006) and rules and regulations made there under.
I/We affirm that all information given above is true to the best of my/our knowledge and belief.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 10
[See Regulation 7(5)]
(For imported food consignment meant for Display Purpose in Trade Fair/Exhibition)
Declaration and undertaking by Importer
(To be printed on FBO/Importer/Company's Letterhead)
I/We, [Proprietor/Partner/Managing Director/Director/Authorised Signatory of M/S <with address> do hereby declare and undertake that:
2. I/We have imported the consignment of <Name of product> . measuring <Weight/Units> from .. <Country of origin of consignment> .vide <Bill of entry number> .. dated . at . <Port location> ;
3. The aforementioned Food Product is intended solely for the purpose of Display only in the Trade Fair/Exhibition_<mention the specific event> ..and not meant for any other commercial purpose.
4. The aforementioned food, apart from Display, is also intended to be used for the purposes of Tasting and I/we undertake that no part of the said product shall be released in the market for consumption purposes in any other manner;
5. I/We undertake that after conclusion of event, the opened packages of these articles will be destroyed and the packed food will be re-exported to the country of origin;
6. I/We shall furnish the details of the total quantity of the consignment imported into India, the quantity consumed in the process of Tasting, the quantity destroyed and the quantity being re-exported to the competent authority in respect of the above said consignment after the conclusion of the Trade fair/Exhibition.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 11
[See Regulation 7(6)]
(For imported food consignment meant for Sports Events)
Declaration and undertaking by Importer
(To be printed on FBO/Importer/Company's letterhead)
I/We, [Proprietor/ Partner/ Managing Director/Director/ Authorised Signatory of M/S .. <with address> do hereby declare and undertake that:
1. I/We have imported the consignment of <Name of product> . measuring .<Weight/Units> from . <Country of origin of consignment> vide . <Bill of entry number> dated .. at . <Port location> ..;
2. I/We undertake that the aforementioned Food Product is intended solely for the Sports Events.
3. I/We undertake that the food shall not be released for sale to any other person.
4. I/We undertake that the unused food shall be re-exported to Exporting country after the event or it shall be destroyed.
5. I/We undertake that I shall submit the documentary proof thereof within thirty days from the last day of event.
6. I/We undertake that the quantities of food imported is not more than the quantities necessary for direct utilization by the persons concerned for the duration of the stay or event, whichever is earlier.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 12
[See Regulation 8(3)]
Declaration regarding issue of provisional no objection certificate for frozen and chilled imported food consignment
(To be printed on the Letterhead of the FBO/Importer/Company)
To
The Authorised Officer, FSSAI
<Port of Import> .. .
Dear Sir,
I/We, .. resident of [as Proprietor/Partner/Managing Director/ Director/Authorised Signatory of M/S . are importer of .. _<Name of Food Items> .. in the consignmentimported vide . <Bill of Entry> . dated .. at . <Port location> .., request you to issue provisional NOC for the same.
I/We hereby undertake to comply with the following terms and conditions on behalf of the importing firm/company as under
(i) The entire consignment under above mentioned Bill of Entry will be retained in a storage facility with the required temperature control system at .. <address of warehouse>_ and no part of the consignment shall be released into the market prior to issuance of the no-objection certificate;
(ii) Complete temperature log of the storage conditions shall be maintained and provided to Food Safety and Standard Authority of India at the time of issue of no objection certificate;
(iii) Both Customs and Food Safety and Standard Authority of India have the right to inspect the said storage facility at any time to ensure that the consignment is held securely till the clearance certificate is provided by Food Safety and Standard Authority of India;
(iv) In the event of non-conformance to the above storage conditions, I/We shall be fully responsible to move the cargo back to Customs jurisdiction and comply with all the norms for destruction/ re-export as may be decided by the competent Authority;
(v) In case of non-compliance of any of the above norms, I/We will not be eligible to avail of the above mentioned facility in future. Besides, I/We will be liable for contravention of the Food Safety and Standard Act, 2006 and rules and regulations made there under.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : .. |
Form 13
[See Regulation 9(3)]
Declaration regarding issue of provisional NOC for imported food consignment with less than 7 days' shelf life
(To be printed on the Letterhead of the importing FBO/Importer/Company)
To
The Authorised Officer, FSSAI
..<Port of Import> . .
Dear Sir,
I/We, , resident of [As Proprietor/ Partner/Managing Director/Director/Authorised Signatory of M/s] .. are importer of . <Name of food items> .. having very short shelf-life (less than 7 days) in the consignment imported vide .<Bill of Entry> dated .. at . <Port location> . and request you to issue provisional NOC.
2. I/We hereby undertake to comply with the following terms and conditions on behalf of the importing firm/company as under:
(i) I/We shall be fully responsible for complete product recall in case of non-conformity of the product after lab analysis and shall comply with all the norms for destruction/re-export, as may be decided by the competent Authority;
(ii) I/We do hereby certify that we have satisfactory food recall mechanism in place;
(iii) In case of failure of product in lab analysis, I/We shall not be eligible to avail of the above mentioned facility in future and all subsequent imports of the product from the same manufacturer of the same source country or certified by the same lab will be subject to stringent 100% analysis irrespective of certificate issued by the source country prior to clearance by FSSAI Authorised Officer;
(iv) In case of non-conformance of the product after lab analysis, I/We shall be liable for contravention of the FSSA Act, 2006 and rules and regulations made thereunder.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 14
[See Regulation 9(10)]
(For imported food consignment containing bulk packages and having representative sample)
Declaration and undertaking by Importer
(To be printed on FBO/Importer/Company's Letterhead)
I/We . [as Proprietor/Partner/Managing Director/Director/Authorised Signatory of M/S ] do hereby declare and undertake that:
1. I/We are importer of .. <Name of food> .. from .. <name of the country of origin of consignment> vide . <Bill of Entry number> . dated ;
2. The given consignment is aseptically packed and/or hygroscopic in nature and is accompanied with representative sample;
3. I/We hereby undertake that the representative samples provided with the consignment is/ are true representative of the imported food product;
4. I/We shall be fully responsible and liable for any contravention of FSSA Act, 2006 and Rules & Regulations made there under.
I/We affirm that all information given above is true and to the best of my knowledge and belief.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |
Form 15
[See Regulation 9(11)]
(For imported food consignment containing bulk packages and not having representative sample)
Declaration and undertaking by Importer
(To be printed on Letterhead of the FBO/Importer/Company)
I/We, [as Proprietor/Partner/Managing Director/Director/Authorised Signatory of M/S .], do hereby declare and undertake that:
1. I/We are importer of . <Name of food> .. from ..<Country of origin of consignment> .. vide .<Bill of Entry number> . dated ;
2. The given consignment is aseptically packed and/or hygroscopic in nature and does not contain any representative sample;
3. Hence, the FSSAI will not be held responsible for any damage observed before or after sampling of the given consignment;
4. I/We shall be responsible and liable for any contravention of FSSA Act, 2006 and rules & regulations made thereunder.
I/We affirm that all information given above is true and to the best of my knowledge and belief.
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Signatures of the Importer with Stamp/Seal |
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Name: .. |
| Place: |
Address: .. |
| Date: |
Contact Nos. : |