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BEFORE THE FOOD SAFETY APPELLATE TRIBUNAL JAIPUR
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RAJASTHAN
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FILING NUMBER : (To be generated by system)
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IN THE MATTER OF FOOD SAFETY AND STANDARDS ACT, 2006 (34 OF 2006)
AND
IN THE MATTER OF APPEAL UNDER SECTION 70 OF THE FOOD SAFETY AND STANDARDS
ACT 2006
AGAINST THE ORDER DATED ____________PASSED BY THE ADJUDICATING OFFICER
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APPEAL NO.:- (For Office Use only)
Appellant
(To be filled (To be filled in the
form down below )
Versus
Respondents:-
(i) State of Rajasthan, through
the Commissioner, Food Safety, Rajasthan, Jaipur
(ii)
(ii)
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Details of the Order under Section 68 of the Act 2006
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ADJUDICATING OFFICER *
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ADJUDICATING OFFICER REQUIRED
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PLACE*
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PLACE REQUIRED
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DISTRICT*
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DISTRICT REQUIRED
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DATE OF ORDER*
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DATE OF ORDER REQUIRED
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CASE NO.*
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CASE NO REQUIRED
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PENALTY IMPOSED* ₹
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PENALTY IMPOSED REQUIRED
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DATE OF RECEIPT OF COPY OF IMPUGNED ORDER*
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DATE OF RECEIPT OF COPY OF IMPUGNED ORDER REQUIRED
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VALUATION OF APPEAL ₹
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VALUATION OF APPEAL REQUIRED
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AMOUNT OF FEE* ₹
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AMOUNT OF FEE REQUIRED
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Particulars of the Apellant
DO NOT USE UPPERCASE OR SPECIAL CHRACTER "*/){[+=#$@!%~^" WHILE FILL THIS FORM
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NAME OF APPELLANT*
DON'T USE UPPERCASE OR SPECIAL CHRACTER
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NAME OF APPELLANT REQUIRED
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ADDRESS OF APPELLANT*
DON'T USE UPPERCASE OR SPECIAL CHRACTER
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ADDRESS OF APPELLANT REQUIRED
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ADDRESS FOR SERVICE OF ALL NOTICES*
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ADDRESS FOR SERVICE OF ALL NOTICES REQUIRED
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TELEPHONE NO. |
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MOBILE NO.*
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MOBILE NO. REQUIRED
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FAX NO. |
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E-MAIL ID*
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E-MAIL ID REQUIRED
Enter a valid Email id
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Particulars of the Advocate
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NAME OF ADVOCATE*
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NAME OF ADVOCATE REQUIRED
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MOBILE NO.*
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MOBILE NO. REQUIRED
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ADVOCATE EMAIL ID*
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EMAIL ID REQUIRED
Enter a valid Email id
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Important Note
(1) This is computer sheet of the Appeal. Please fill all the necessary information
and take a print in PDF format.
(2) Annex the copy of the print while making presentation of Appeal at Filing Counter.
(3) Filing Number will be generated automatically after making necessary payment.
(4) Appeal Number will be informed after scrutiny by the office.
(5) After successful registration, you will receive information on your registered
email ID also.
(6) This will be deemed as presentation of appeal for the purpose of limitation.
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