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

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A copy <strong>of</strong> this memo <strong>and</strong> specimen impression <strong>of</strong> the seal used to seal the packet <strong>of</strong><br />

sample is being sent separately by post/h<strong>and</strong>.*<br />

Name, Address & Contact Number <strong>of</strong> the Purchaser<br />

……………………………………………………...<br />

……………………………………………………...<br />

……………………………………………………...<br />

Place:<br />

(Signature)<br />

Date:<br />

*Strike out whichever is not applicable.<br />

Copy for information to Designated Officer <strong>of</strong> the concerned area alongwith two parts <strong>of</strong><br />

samples <strong>and</strong> copy <strong>of</strong> memo in the sealed packet for keeping in safe custody.<br />

Name, Address & Contact Number <strong>of</strong> the Purchaser<br />

……………………………………………………...<br />

……………………………………………………...<br />

……………………………………………………...<br />

Place:<br />

(Signature)<br />

Date :<br />

70

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