Foodstuffs, Cosmetics and Disinfectants Act, 1972 (Act No. 54 of 1972

Regulations

Regulations Governing General Hygiene Requirements for Food Premises and the Transport of Food

Annexures

Annexure B : Certificate of Acceptability for Food Premises
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ANNEXURE B

[Regulation 3(6)(a)]

 

CERTIFICATE OF ACCEPTABILITY FOR FOOD PREMISES

 

This certificate is not transferable from premises to premises

 

A.AUTHORITY: ..............................................................................................................

 

CERTIFICATE NO: .......................................................................................................

 

NAME:  ......................................................................................................................

 

TEL. NO: ....................................................................................................................

 

OFFICIAL DATE  STAMP

 

 

 

 

B.FOOD PREMISES

Name (if any)

Address: (Location or trading area, stand no. or vehicle registration No.):

Address where food is processed:

 

C.        PERSON IN CHARGE

Name:

I.D. Number


 

D.        CERTIFICATION AND RESTRICTION

 

It is hereby certified that the above-mentioned food premises comply with the provisions of regulations 5 and 6 made by Government Notice No. .......... of .........in respect of ..........................................................................  (the handling of food as specified in the application).

 

Restrictions, conditions or stipulations in terms of regulation 3(1)(b):

 

                                                                                                                                                                         

                                                                                                                                                                         

 

                                                                                                                                                                         

 

 

E.SIGNATURE OF INSPECTOR

 

Name of Inspector ...................................................................................................

 

Official Designation: ................................................................................................

 

Signature: ................................................................................................................

 

Date: ........................................................................................................................

 

F.ENDORSEMENTS/EXEMPTIONS - In terms of regulation 15

 

Endorsements / Exemptions

Date

Signature of Inspector