PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS AedL— O24 (FOR THE YEAR. 2038/2039. ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation,2011) . Itis certified that Shri/Smt,/Miss: Rene. Aas Empored with Ws. laMtaenntGlaagaces..Metpile lef, coming in iect ME Bde Contact with food items has been carefully examined by me on date....... 4° Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Je with seal 9 jameand Signat Of Registered medical Practitioner/ Civil Surgeon, ‘Medical Examination to be Conducted: te, Narva] Naghe de=Physical Examination. M.B BS Begd, No. 8183 E tye test. 3Skin examination. 4 Compliance with schedule of vaccine to be inoculated against enteric group of diseases 5 Any test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination,PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS Qort — WLE (FOR THE YEAR...2038/2079. ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation, 2011) Wisceied ot hasnt fis: Bashi des. Sih, Employed with M/s MARSA A M9 aero... Hes pltalets coming inact Contact with food items has been carefully examined by me on date nn. ulm ZOD Based on the medical examination conducted, he/she is found free From any infectious or ‘Communicable diseases and the person is fit to work in the above mentioned food establishment. ignated with seal Of Registered medical Practitioner/ Civil Surgeon. De. Neeraj) Now ME BY, 3~Physical Examination. Regd, No. 5194 Zeyerest Ee Sin exarination, 4 Compliance with schedule of vaccine to be inoculated against enteric group of diseases. 5s Any test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination.PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS Derr — WLZ+ (FOR THE YEAR...2638/2019. ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation,2011) itis certified that Shei/Smt Mi ok. ea Khare esprtetey coming in direct olor wrL Employed with M/s. Contact with food items has been carefully examined by me on date. Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Civil Surgeon. ‘Medical Examination to be Conducted De Neeraj; Nagpe MBBS ‘de Physical Examination, " Begd, No, 5183 Teyetes 4s-Compllance with schedule of vaccine tobe incited aginst enteric rou of dseass Be suffering from on clinical examination.Form C Government of Jammu and Kashmir 9 il Department Of Health and Medical Education Food Safety and Standards Authority of India License under FSS Act, 2006 srgaf@ dea / License Number: 1101815000006 & 1, Name & Registered Office address of Khaana Knazana Hospitality Licensee / orgafiaenét & dafiega emaera am Sector 2, Channi Himmat Housing Colony stew: Jammu, Jammu Municipal Corporation, Jammu & Kashmir-180015 2, Address of Authorized Premises / sfiepa Sector 2, Channi Himmat Housing Colony feed a oat: Jammu, Jammu Municipal CorporationzZone-3 Ward -50, Jammu, Jammu & Kashmir-180015 3, Kind of Business / eran a Hae Food Services - Restaurants Food Services - Food Vending Establishment 4, Dalry Business Details / 2a andar Rerorég: No 5, Category of License Pargaftt ara: state License “This license is granted under and is subject tothe provisions of FSS Act, 2006 all of which must be complied with by the Teens. / ag gaa rs ear ote ram Ram, 2006 bond ogee ae me ee ree & Re TE a a Pr a HH, Place / =F: Jammu Issued On / Rie: 06-03-2023 (Renewal License) Valid Upto: / wen: 14-03-2024 (For details, refer Annexure) Annexures: 1. Product Annexure 2. Validity Annexure. 3, Non-Form C Annexure 4, Conditions Of License fense can be filed as early as 180 days prior to expiry date of License. You can file application for renewal or modification of License by login into FSSAI's Food Safety Compliance System(https://foscos.fssai.gov.in) with your user id and password or call us at 1800112100 for any clarification, 2. This License is only to commence or carry on food businesses and not for any other purpose. 3. This is computer generated license and doesn't require any signature or stamp by authority, Page 1 of 6PERFOMA Ft FITNESS CERTIFICATE FOR FOOD HANDLERS (FORTHE YEAR... 2023—.20%M, {See Para no.10.1.2, part-2, Schedule 4 of FSS Regulation.2024) itis certified that Shri/Smt Miss. AB Behe nnn = Employed wth ws. ate.Lhlaa aan reg pithy. cominginaiee Contact with food items has been carefully examined by me on date OTA0. Sm. 202 Bow based on the medical gramination conducted, he/she is found free From any infectious or communicable diseases and the person sit to workin the above mentioned food establishment Din Taveras Katie! sn (MBBS, MD. Medicine) of RegibtdNe Atal Rracitioner/ Civil Surgeon. ese Oxllinon a Becosouaed La Physical Examination. Urtye test {Skin examination tas-complance with schedule of vaccine to be inoculated against enteric rou of diseases. Lachny test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination.z ep fit BHP 8 a Te Ble [Ppa sob 3 2\3 fi fi L B\2\s EY Te _| 828 i or lee Tae uh MO) roTHY OY wove en P86 oP egsegseaes ‘S0LS8161¥6 : “JOW eran ow Vote snuumer 4e6eN BINYLL ‘L/ZBL << SNOILD1OS 1S4d uv) IH aavo aor ez - an SUIT TY] 8 be 77 EST gle fe —£|3| Be re gl2\, EE pe ET gle - 828 ¢ imeubis jist Coes yeatueto ealy era | cay ally woe GaeFoeh own oy) onvoy 7] wen werd as esceseses ‘0029816196 : SON bbG snuwer “eben eyN4LL “L/Z8b =" Suoumos sad JUV) IH SS | quvo aorwot be pH aol gr of | } Sil OD. Ls> a\3 m4 i zp g\2|5 g\=\8 pes, roy 7G + o|c¢ [_aimeubis ee yeptueuo cay awa | of par Oy Fr yinh reek, OT, ‘euweN wetld ON ee Rent CAB [497 snuuer seGeN BIMALL “L/L8) = MB, cava aor SNOLLDIOS 184d 34D IH SS”PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS: Lar-L0rt (FOR THE YEAR..2648/2049. ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation, 2011) tis certified that Shri/Smet/Miss- 82D LA... AOL Afar Mlageasa...Lbed pile: coming in direct plete wrr Contact with food items has been carefully examined by me on date... Employed with M/s. Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Of Registered medical Practitioner/ Civil Surgeon. De Neeraj Na ination to be Conducted: M. Bead. No 5153 Medical Exa Physical Examination. eye test. (22Skin examination. 4: Compliance with schedule of vaccine to be inoculated against enteric group of diseases. 5: Any test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination.FITNESS CERTIFICATE FOR FOOD HANDLERS Baiccdstert.) PERFOMA (See Para no.10.4.2, part-2, Schedule -4 of F55 Regulation,2011) Itis certified that Shri/Smt./Miss.. Shores bee. Shab ' Employed with M/s wie ha yaar Hespttockely, _coming in direct i OS Pee. Contact with food items has been carefully examined by me on date. Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Kout pr Taras se) YGF with seal Or Reptered medal racine] Civil Surgeon. ‘Medical Examination to be Conducted: Wh Physical Examination. eye test, {iSkin examination. {&-CSmpliance with schedule of vaccine to be inoculated against enteric group of diseases. LSeAny test required to confirm any communicable or infectious disease which the person suspected to | Be suffering from on clinical examination.PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS Yr 2r3 + (FOR THE YEAR...2048/2010.... ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation, 2011) itis certified that Shri/Sme Miss... 8¥oaatt,.. Kittrnect Hossain Map trann..A dp feASe.... comingin direc ele O4e wor, Employed with M/s. Contact with food items has been carefully examined by me on date Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Of Registered medical Practitioner/ Civil Surgeon. Deen" - ‘Medical Examination to be Conducted: ues Begd, No. 5169 Physical Examination ‘dekye test 3-58 examination, 4:-Compliance with schedule of vacine to be inoculated against enteric group of diseases, 5: Any test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination.PERFOMA FOR MEDICAL FITNESS CERTIFICATE FOR FOOD HANDLERS rr — 22d (FOR THE YEAR...2018/20%6.... ) (See Para no.10.1.2, part-2, Schedule -4 of FSS Regulation, 2011) itis certified that Shri/Smt /Misi-..8 te bwcl.. Kuroanted.. hageat...klaayaana Hosp tatty.» coming in direct Contact with food items has been carefully examined by me on date... OM.0. Wed; Employed with M/s. Based on the medical examination conducted, he/she is found free From any infectious or Communicable diseases and the person is fit to work in the above mentioned food establishment. Civil Surgeon, np oes” ‘Medical Examination to be Conducted: ou Herel eas 1: Physical Examination Begd, No. 516° 2: Eye test 3: Skin examination 4:- Compliance with schedule of vaccine to be inoculated against enteric group of diseases 5 Any test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examination.FITNESS CERTIFICATE FOR FOOD HANDLERS ZeLIm. Dery PERFOMA (See Para no,10.1.2, part-2, Schedule -4 of FSS Regulation,2011) Ulfara....¢ e : Kbagane capital. coming in direct Oi 6 3c eae Itis certified that Shri/Smt./Miss. Employed with M/S... 8A Contact with food items has been carefully examined by me on dat. Based on the medical examination conducted, he/she is found free From any infectious oF Communicable diseases and the person is fit to work in the above mentioned food establishment. Drosravssigorvyiy=™ "Trea Mone Civil Surgeon. Medical Examination t 2 Pinysical Examination. 2hietest. 4 3e$iin examination. (4e-Gmpliance with schedule of vaccine to be inoculated against enteric group of diseases ce-Kny test required to confirm any communicable or infectious disease which the person suspected to Be suffering from on clinical examinationSIMA LABS ‘Address | A-37, Mayapurt Indust Phe Now Both - 1 Phone: +(91)4011) 43054300 ‘Sophisticated Industrial Materials Email: reports@simelab.com Analytic Labs Pvt. Ltd. CINNo : U74899DL1988PTCO31785 ri gant (GOVT, APPROVED TESTING LABORATORIES) Website : www.simalab.net | www simalab.com TCO rm TEST REPORT Be uur: Te1122020200005426F ary Code: KuK/10009 REPORT NO. + SEO721001223NN “Issued to KHAANA KHAZANA HOSPITALITY *Customer RefNo. iNS PiotNo.2, Seotor2, Channi, Himmet, Jammu, “Reference Date ENS Jammu & Kester Date of Samping pororrees Date of eceved ——: 20772009 Dato of ieeue 27/0702 Siar Deteof Analysts: 20772088 Date of Completion: 27/67/2028 ‘sample Name: Drinking Water (After RO) Emitonmenial ondlion ; 2722°C,R10549% SampleCondlion —: OK “Samo Qt, rout. soPSemplng Pian: SMVENVISOPI24 Todt Method Devaion + NA Sample Colecion——: Sample Drawn By Us RESULTS OF ANALYSIS Reference : 1S 10500 -2012 [Sample Descipion Clear colouress ieuld S.No] Parameter Unite] Roaulls] Accoptabie | Permissible Protocols Detection Limite (ae por | Limits (as por its ¥3:10500-2012) | 18:10500-2012) Jorganoteptc & Physical : E z Parameters 7. |eotour Hazen 20 Wax 6 Wax 15 1535025 4) TA 2 [odour NA | Astezabie | Agreeanie | Agieeatle 15:0025 (P-5) mA 3_[pHVaiue nA 728) GstG6 | Ne Relaxation | 18:3025 0-14) NA 4 [Fase NA ie | Ageeabie | Astocable | (S9025(P788) NA [Total Dissoved Solids rogil 154 ‘Max 500 | Max 2000_| _18:9025 (P-16) NA 6_[Turbidty NIU <0 Max. Wax 6 16:2025 (P-10) NA |Goreral Parameter z 5 = - 7._[Aluminiom fas A mail EG) ‘wax. 003 | _Max 02 Ten05 (2) | LoaoH [Ammonia (as TatarAmmon-n)| mg/l BOL Max 06 | NoRolaxation | __18:9025 (P34) oo % [Anionie Detergente (eo MBAS) | _ mal BOL Max 02 Wax 10 | Annex KoftS 19428 | O41 70. [Barun @s Ba) malt 004 Wax 07 [No Relaxation | __16:9025(P-2) NA 71, [Boron (as &) Tigi Bia) Wax 05 Wax 24 w33025(P2) __ | Loacoos iret Frdeanst olpreaiaa oir Warod nr pid ute rang ote pet sal bo sutton xy. dre nie Couto a rodrekba se ary ering RETTIG, 7 Ta Rr lod warony Oo av ad elo Bw 5. Ts tet Roperio state rpredens oly or pat ant ara! oud 4 TORIRG beac comatcit be donee fir sneer, Perhablesanpe (Oe an Out & Comets wb boyd tar? cys nancr poate sls wb ood er Soda of he cat ss tl pet ues cherio spect 5 Suuatabs nt wilnabe hea pana fbn ahr fy peered, lrgedans x paral esenedes roars sw ats Pt td i aay af eorezive eon pero poly ae fay deren ary samples by SHA Labs Pt Lat 1 Retosny corgi ilo aplebin aso resul eeepodct 1 unblcpy witb isuosen curable bas, 5, Tha Teetfopois stall wihet a aloe. 10M Stns fo Sepistzoted atrial Nat poe Taeatae deals provided by the customerSIMA LABS ‘Address + 4-27, Mayepurl ndusril Area, Ph Now Dall 110064 Phone: +(91)4011) 43884800 Sophisticated Industrial Materials Email: reports(@smelab.com Analytic Labs Pvt. Ltd. CINNo : U74899DL1938PTCC31785 (GOVT, APPROVED TESTING LABORATOREES) Wabeita: uwwsimalab na | wwnwsimalab.com A TEST REPORT BS Lr: rettzz0zs20000s<20F parycote __; Kunnenap ns Sororz0ot909N er as] Ress | Reco] peraistne | routs) pasar erate: | soos roe re ee ee | gamer 7 Sameer aa a eee] 1 foreormn oa rece Noramaion | Sse) | or Te foie a) oe | ise | cao ro] 2s a) | A IC) oo wets | mea eT Te ne ah oe ets | area or] — a a eames tec | pat ae] am 92 | Tint | eas 2 | — 08 Tr fm) oo aa ta [nares | aes LO Tagen ete | | ast a 2 pseese I) aa [ics] i eT 3 iar eto orci | ese] a a: ea ERO a en emma | nat] BOL] ar 007} War Bone | TS a) | 0 levers 7 porn Sc asus Se ee Se foushactos 55 Se in| aa | im ea — a | 27. |Suiphide (as HS) mo BOL Wax. 0.05 | NoRelexation 15:3025 (P-29) 002 FSGS ape 28 | Sor] M000 | a (=) [ AR ose | ern | ar 600 | 1505 [NR seen one | m0 ts | snes | Hove se : : : : 31. [Cadmium (es Cd} mg/L BLa ‘Max. 0.003 | No Relaxation 18:3025 (P-2) ‘L0Q (0.002) 3 [ova os we eae a one [Norman | Saas Pa 008 3 [aan ee Scharaer peti no ae [i 2 aati | USEPa ad 007 [LOO EH Sse ax OF oo | tr Nereis | BEA [LOR wo) a6 waSTaF SE aaa Ame oe ator | ne rateaton | Boo ao OT 3a ewer ar a ee To Se Pasehorat boheme [mat] ara | i 85 a () ape MK oe Aalifeed Spray AUTHORISED SIGNATORY STA Reh er cela ae soarvomy mf enpadcaraat cin atta sets Do nse foi2e4 5 aelcnceats fe epoucogutyarh pc onfcrarbe mae nena Ca lew rd eudrolbe ee Nery abe vs 4. Thosonpateot Due Corals vie nega te ona yn, aaa santas (thr ranDrugs& Costes wal be desye ae dys ‘Tiinor patabe ciple dotted str 80 faye! f wae ees poo nes arise spaced ‘Shi LibeP Lt we note et ropenaafrtb aust ew poco, xs andorporilypesered st opts, ‘Sk LabaPw (Hf wl enaealleoreciva acon at rou ply ncaa oy erga nary sonpe sed by SIMA Lbs Pet Li Reseuingchogor wl appleatio reason ee we ape Dpsalocory ba sun on apsble Desi Short Ropat bol whos ahoogam {0.514 Stas Sophisatod iu Mata Ale TRECATSE als provided oy the customerSIMA LABS ‘Address: 4-917, Mayapuri Industrial Aros, Pl Now Doll - 170064 Phone; +(91)4011) 43854300 Sophisticated Industrial Materials Email: reports@simalab.com Analytic Labs Pvt. Ltd. ENNo ; U7s8E0DL19PTCONT7ES (covr APPROVED TEETIG LABORATORES) Webel wum.sralaat anima com TEST REPORT UL: 7¢1122025200008420F Party code __: KuK10020 REPORT NO, + SE0721c01223N No |Parater Tints | Rosas] Arcepatio | Permisibio | Protoais | buteaion Limits as per | Lit (08 par tints ssrtoso0.2042) | 1810800-2012) 3 Tearozy 40, |Poiracear arate ag] Bi 0007 | Wo Raion | SiaMUSISTP OR | LOO rcocarbors (as PAK) (o«orozs) Pesiciies Rescue ; : ; z = a fparo00 vet [a | aco we | SmaSSTROG | LoaeAD pau a nA] emamnssreeer | 10a een) we paoor yet faa | at wa | SmANNSSTPRGt | 10a Ga) a pacoicnrohononyAcwieio[ — oo | BLO | Wax 80 WA SmamnssTrGT | Loa Gen) @ fae 000 ptf a | Mat wa | SMamsserres | 109 @09) we fa OE yeu f Ba | Mata wa | SATNSSTPOGT | LOO OHH) a fee oor Fe TA | SNSSTFOGT | Loa @aH) aa [pacer wat [aa | wane TA | SwNWNGIETPOET | LOG OHH) = fem wat [aa | Mec 08 | NA | SRNINTSTRONT | TOR eT 6 [Apa endo aot [sa] waco Ta | SWANSON | 108.097) 51 fapha HOH age | aa | ac 007 || SMNNSTSTPVONT [LOG (0.00), a_[Aracio peu | ea | wax wk SMAINSISTROR | 100 617) Fa feta endosuan wot [aa Maco TA | SMAINSTSTPGGT | LOa|ORT) Safle FH aoe [ ata | wan 004 | nk |SMMTETrION | 100,001) 3e_ fonction ee wh | SMNINSSTPGGT | TORO 6_forrpios wot [ata | Waco WA] SimnnersTroar | 108031 37 fata HA Got ea mac oe] NA | SMAINSISTPODT_[ LOR 0) 38 [bots pot] eta | ae 0.08 | NA | SRIAINTETPFONT_[ LOO OTT 38 [Endosan sate vot [aa | Mex NA | SMANSISTPNT | 103 07) en pet faa] wx 30 nA | smisreT#IO07 | 1090.9) 1 [SarnacHOH ane) vot fea] ix 20 wa |STORY| TOO OD") 32 [eopotien wot | aa | Mex 0 NA | SMVNSISTRION | 10a 001) %_Walation age [ aa | max 1e0 || SMNNTETFION | 108 099) = |etiyiPuraion vot [ae | Meo na | SMINSTSTPIOD TOGO 3 Monorobphor ee eC CA Ta |SMAMNSTSTEO=I | LOA eo roa you [te | M20 NA] eimniereTrent | 100090) Wee ha Rf \ Vishal Jel Niet ee Nokes epbiory blow. 7 NG utcgppetaeton 28 Daren” ED by _|_Fobl b Rest AUTHORISED SIGNATORY Evi cal ‘Rimarka! 1 Telos noc on otro abe aadvane Ea a 1 Luntiytetrotyio taeda hed anes oy Any spt aig ox sep salle sub! Dal wisten on. 5 tes napus ot te rorosuend ey ar pt encase! be mode wanna th Cot award vcd alba wod inary vei 4 Thocanpiteot bugs Contes ilo eure nay, arthallo sane (Oar tangs & Csnetes} wile deere ler ds anor peitabe eels wile deroyed or 90 dnc he aa bse ote rbot. or noes rie sac SUNTESinc La ints nels reapesclo rte any et ny rowed pp dcr ata pesmi ws opr. Sm Lie Pt Li wil ene lleorecive acon apace ply css lay daiopancy nan srpe ese y SIMA Labs Pt Lit Rocnsing cargo il apleti cave ro a norco 1 user wb sued an chagoabl els 4. The Tt ep hot eg “0 SIA Sar tr: Sephari Mata Arayic Foe: Soft vs TrccaTes Gaal provided by he customer‘Address: A-37, Mayapurl Indira! Aros, SIMA LABS Pret new Both 0088 Phone + otp(0rt) 43064200 ‘Sophisticated Industrial Materials — emai: reportsq@simaiab.com Analytic Labs Pvt. Lid. CIN No: U748890L1966PTCO31785 {COV APPROVED TESTING LABORATORES) _Wabsita: wswsimalab nei nv simalab com a TEST REPORT ES ULR:: T61122023200005420r Pary code __: KuK/18020 REPORT NO. + S60721001223N No Pararter Tris] Rosai] arcapatie Permissive | Protocis | bowaion mts fas per | ints as per viens ‘18:10500-2012) | 1S:10500-2012) Hsonaars : ; ‘ : : : 37 [Bronoacueronshane set] a |S TSTORE | TOO Girona ng [BL Me | SwaTSTeORe [10a eH 66 [orzo moe] aia] 02 BA | SwAMNIETPR | 100 a) FE parrot eo wa | SimNETOG| TOA Ea} isssboegbaTauatyofwaie | _- = : : : ; Fee ea] Rea) Sasi | aa aime | antec mos iol iaanob 7a atl Calor ariooni] aise Srat atte] WA Terarer aie | We detect in ey {00 lamp "Tho above Tesiod paramaters meals Ihe requirement oTISTOSD0-2012 ‘Specification (Acceptable Limit) 'NA-Not Applicable, BOL- Below Detection Lim, BLO- Below Limit of Quanificaton, LOQ- Limit of Quantiication — End of Test Report AUTHORISED SIGNATO FRemarkay 1 Tra Rend Wied ws iy ra sve ose Kapaa aaa Ener poo iri waned ied 1 Uauiyebatry ime Pusan eeu on ny dap rai ou see tall wt to De jsSctonnh 5 thc Test topo tobe roses aly or prt mca nd ene nto Cou fa rd soul oD sed any avers vs re oe roe Pusat sols (oh hn Doge Costs wile desrope ale dye “non perth solos destayet aor 0 Saye bw oof wo fe ep or unos avian saci s TaN TLECPU's selnstbohed espanebiter bc auretly ny prespe. rgd andor paray poses slop, 6 SIM Labs Pe Lat wilonacealleoreciveafon asp pally Icat of ary dscapancy nan ssnpo ast SMA abs Lt 1 Ressingchrges wit te wpleabe meas re ruts ne pretibe 4 Dupiomlecay wba stun on caine esi 4 The Tat Roper sot a wihod ahoogtan 10.5INA Sard or Sepals Nala Ante Traicates Getals provided by te customer