APPLICATION REGISTRATION FORM FOR THE GRANT OF PRODUCT REGISTRATION UNDER SINDH FOOD AUTHORITY ACT 2016

To,

The Director General,

Sindh Food Authority, Karachi

Subject:	APPLICATION FOR REGISTRATION OF FOOD PRODUCT

I/we hereby apply for the registration of the product in pursuant to the provisions of Section 19 (1&2) of Sindh Food Authority Act, 2016.

PART-I

APPLICANT/COMPANY INFORMATION

Company Name: کمپنی کا نام
SFA License Number: لائسنس نمبر SFA	Please Upload Image of Label (also attach a copy)
License – Issuance Date: لائسنس ۔ اِجراٰ کی تاریخ
License – Expiry Date: لائسنس - انقضاء کی تاریخ
Office Address: آفس کا پتہ
City: شہر کا نام	Province/State: صوبہ/ ریاست
Country: ملک کا نام	Website: ویب سایٗٹ
Phone: فون نمبر	Fax: فیکس نمبر
Contact Person: رابطہ کرنے والا شخص
Designation: عہدہ	Email Address: ای میل ایڈریس
CNIC: شناختی کارڈ نمبر	Mobile Number: موبائل نمبر
Contact Person (In case of emergency Focal person: رابطہ کرنے والا شخص	Designation: عہدہ	Email Address: ای میل ایڈریس
Mobile Number: موبائل نمبر	Email Address: ای میل ایڈریس	Mobile Number: موبائل نمبر

PART-II

PRODUCT INFORMATION

Product Name: پراڈکٹ کا نام	Brand: برینڈ
Trademark Reg.: ٹریڈ مارک رجسٹریشن	☐	Yes (ہاں)	☐	No (نہیں)	TM No. / Country: ٹریڈ مارک رجسٹریشن (ملک)
Product Category: فوڈ کیٹیگری	1. Dairy products and analogues, excluding products of category 02.0	Sub Category Name: کیٹیگری کا نام
PS Number: (if local standard available) پاکستان سٹینڈرڈ نمبر	Intl. Standard (If local standard NOT available)
List of SKUs / Flavors: (Different packaging size and flavors of same product)
Ingredient List: اجزاء کی فہرست
Product origin / Intended use of registration certificate:	☐	Local (مقامی)	☐	Import (درآمد)	☐	Export (برآمد)	☐	Local & Export (مقامی و درآمد)

Is your product currently registered with the PSQCA? If YES, kindly complete the subsequent section. کیا آپکا پروڈکٹ پی ایس کیو سی اے سے رجسٹر ہے؟ اگر ہاں، تو براہ کرم اگلے حصے کو مکمل کریں۔	☐	Yes (ہاں)	☐	No (نہیں)
PSQCA License No.	Expiry Date:

PART-III

MANUFACTURING INFORMATION

Manufacturing Facility Name: فیکٹری / فیسلٹی کا نام
Facility Address: فیسلٹی کا پتہ
City: شہر کا نام	District: ضلع کا نام
List of Current Certifications:	☐	ISO/FSSC 22000	☐	BRC	☐	HACCP	☐	SQF
☐	Eurep GAP/ Global GAP	☐	ISF	☐	Others:

PART-IV

Fee Paid PKR __________ Challan Form No. ___________ Deposit Slip No.___________ Dated: ______________ Bank Name: Sindh Bank Limited	Account No: 0303-509374-1000	Branch / Code: _______________ Account Title: Establishment of Sindh Food Authority Fund, Branch Sindh Secretariat Karachi	(Please enclosed original fee deposit receipt) __

TERMS & CONDITIONS

I/We on grant of Product Registration number shall:

Comply with the provisions of Sindh Food Authority Act, 2016 and rules and regulations made thereunder.

In case of expiry or validity or cancellation or withdrawal of license, discontinue forth with the production and withdraw all products from market including promotional and advertisement matter which contains any reference thereat.

Permit access to a team appointed by Sindh Food Authority for the purpose of inspection and collection of sample(s) from the Industry, factory and from the market.

Pay all financial dues to the Sindh Food Authority including registration fee per product and cost of analysis of each product, even during the period of discontinued registration. Including registration/renewal fee PKR 5,800/- per product per annum and PKR 1,160/- label approval fee per product.

Report any product related complaint to Sindh Food Authority and cooperate with and assist Sindh Food Authority for resolution of such complaint including recall and withdrawal of product.

The funds that are submitted to Sindh Food Authority are not transferable and not refundable.

REQUIREMENT FOR LOCALLY MANUFACTURED PRODUCT EGISTRATION

Duly filled registration form

Copy of CNIC of applicant.

Raw material/ ingredients information including name of supplier.

Certificate of analysis.

Specimen of label used for the packing of products.

Method of disposal of expired / substandard products (with records).

Specific temperature requirement for ingredients or product (if any).

Halal certificate of ingredients and products.

Shelf-Life detail of each food product.

PSQCA License / Registration Certificate

Note: Requirement/documents should be submitted in the office of FPRC Sindh Food Authority, either by hand or courier.

REQUIREMENT FOR REGISTRATION (Industrial Scale)

Raw material/component information:

Raw material list.

Name of supplier with complete address and contact number.

Certificate of analysis of all raw materials from supplier.

Certificate of analysis of raw material of industry as received (if any).

Manufacturing unit:

Plant layout.

Process flow and detail of manufacturing process (self/outsourced).

Quality Management systems in the industry (GMP, ISO Systems, HACCP, FSSC etc.)

Specific temperature requirement for ingredients or product (if any).

Laboratory information:

List of analytical tests with reference.

Technical staff in laboratory.

Laboratory in-house/third party testing record.

Product and label Specifications:

Finished product specifications (physical, chemical, and microbiological).

Shelf-life Study.

Certificate of analysis of final product.

Specimen of labels and labeling material used in the product.

Discard policy of substandard/unsafe ingredients and product.

Halal certificate of ingredients and products.

Recall policy for expired stock.

Attach list of distributions/Marts/Shops, etc. with complete address and contact number where product is available for sale. (if any).

Note: Requirement/documents should be submitted in the office of FPRC Sindh Food Authority, either by hand or courier.

DECLARATION

I/We hereby declare that the information provided above, and the documents attached are true and correct to the best of my/our knowledge and belief. I/We understand that any false information may lead to rejection of the application or revocation of the registration certificate (if granted).

Furthermore, I/We hereby declare that the sample(s) for which the report(s) are enclosed in the application form are owned by manufacturer / applicant.

I/We affirmatively declare our commitment to uphold the following records, which we shall promptly produce upon demand of the Sindh Food Authority. Failure to furnish any of the requisite documentation within the specified timeframe may result in the possible revocation of the product registration certificate (if granted). If there are any changes in future with regard to the information provided in the form, the same shall be immediately reported to the FPRC-Wing Sindh Food Authority.

Name: _____________________________	Designation: __________________________Signature: __________________

Stamp: _____________________________ __________________________	Date: __________________

Documentation Checklist
(Please attach the following documents with the application form)
☐ Valid Site License issued by SFA

☐ CNIC of Representative / Contact Person
☐ Sample Labels/Artwork (2 Color Copies)
☐ Valid CoA of Product from Pre-qualified Laboratory

☐ PSQCA License / Registration Certificate (if applicable)
☐ Fee Payment Receipt

☐ Halal Certification
☐ Proof of Trademark Registration

RECEIPT OF APPLICATION

Received by: _______________________	Date: _____________	Application No.: ___________________

Remarks: __________________________________________________________________________________

NAME OF PRODUCT: _______________________________________________

For SFA Office Use Only

Fee Verification:

Application Fee Received:	☐ Yes	☐ No	Date: ____________________________

Amount:	Receipt No.:	Fee Verified By: _________________________________

Name and Signature

Assigned Officer:

Assigned to Review Officer:	Initial Review Date & Sign: _______________________

Evaluation Decision by Review Officer:

Approved to Proceed	☐ Incomplete Application

Remarks: ________________________________________________________________________________________________________________

Signature:	Date: ______________________________________

Sample Collection Scheduled:	☐ Yes	☐ Not Required

If Not, Remarks:	_____________________________________________

If Yes, Name / Assigned Officer:	Date of Sampling: ________________________

Lab Test Results:	☐ Pass	☐ Fail	☐ NA

DECISION	Registration Certificate Issued:	☐ Yes	☐ No	Certificate No.:	Signature (Officer Assigned):	Valid Until:	Signature (Director Registration):	Registration Date:	Signature (Director General):	Remarks:	______________________________________________________________________________________________________________

If a category name is not available as per applicable standards or regulations, then please follow the Codex Food Category System.