Victorian Consolidated Regulations

FOOD (FORMS AND REGISTRATION) REGULATIONS 2015 - SCHEDULE 4

Schedule 4—Certificate of registration of food premises

Regulation 9

Food Act 1984

Food (Forms and Registration) Regulations 2015

CERTIFICATE OF REGISTRATION OF FOOD PREMISES

Registration Authority:                     [ insert name ]

This certificate of registration is granted to [ insert name and address of person(s) in whose name the premises are registered under section 40(1) of the Food Act 1984 ].

The registration continues in force until [ insert date of expiry of registration ].

Name of business (if any):

Description of business:

Address of food premises:

Class of food premises:

Registration Authority: [ signature ]

Date: