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Food Safety and Standards Authority of India Ministry of Health ...

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FORM IIA<br />

(See Rule ……...)<br />

[Memor<strong>and</strong>um to <strong>Food</strong> Analyst]<br />

From<br />

..............................................<br />

..............................................<br />

To,<br />

The <strong>Food</strong> Analyst,<br />

...................................<br />

....................................<br />

No…………………… Dated the ...................<br />

MEMORANDUM<br />

The sample described below is sent herewith for analysis under Rule …….<strong>of</strong> the <strong>Food</strong><br />

<strong>Safety</strong> <strong>and</strong> St<strong>and</strong>ards Rules, 2008 alongwith analysis fees <strong>of</strong> Rs. 5,000/- (Dem<strong>and</strong> Draft<br />

No…………Dated………payable to ………………….):-<br />

1. Code number <strong>and</strong> serial No. <strong>of</strong> Designated Officer…………………………<br />

2. Date <strong>and</strong> place <strong>of</strong> collection..............................................................................<br />

3. Nature <strong>of</strong> article submitted for analysis............................................................<br />

4. Nature <strong>and</strong> quantity <strong>of</strong> preservative, if any, added to the sample.....................<br />

69

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