SECTION A Q2 gurpreet singh
docx
keyboard_arrow_up
School
Australian College of Trade *
*We aren’t endorsed by this school
Course
BSBADM502
Subject
Health Science
Date
Nov 24, 2024
Type
docx
Pages
2
Uploaded by MagistrateLoris3590
H:\HEALTH\Forms - Public Health\2020-2021 forms\Food Act\Application Form - Food Act Premise.doc
Proprietor OR Company Name:
(If company please provide certificate of incorporation)
APPLICATION FORM - FOOD ACT PREMISES
Please COMPLETE and return this application to the Hume City Council Public Health Unit, 1079 Pascoe Vale Rd, Broadmeadows, 3047, together with premise plans (optional)
1.
Premises Plans to be sent electronically to healthadmin@hume.vic.gov.au
(preferably)
DETAIL SELECTION:
Applicants Name (s)
Given Name: Gurpreet singh
Surname: singh
Applicants Postal Address
13 bourke Australia
Suburb:
Postcode12361
Trading name of business
Marketing Specialist
Address of Food Premises
Suburb:
Postcode: 12361
Contact Details:
Phone 987654321
Mobile: 732659001
Email gurpreet12@gmail.com
ABN:23456000011
Applicants Involvement:
Proprietor
Builder
Architect
Other (Please specify) ……………………………
TYPE OF PREMISES
:
Warehouse
Café/Restaurant
Take Away
Convenience Store
Canteen
Manufacturer
Low risk packaged food
Other (please specify)…………………
Mobile Food Van - Food Vehicle Registration number…0987654321………………
OTHER PERMITS
Building and/or a Planning permits may be required for your proposed premises, please ensure you obtain the relevant
permits prior to commencement of any works. Requirements under other legislation may also be required i.e. local water
authority for installation of a grease trap.
Applicants must make their own enquires with the relevant bodies.
SIGNATURE
Print Name: Gurpreet singh
Applicants Signature
: Gurpreet singh
The signing officer must state his/her position of authority in the case of a corporate or unincorporated body of persons, (eg. Company or Partnership).
Position: Marketing Specialist
_ Date:02 /12 / 23
H:\HEALTH\Forms - Public Health\2020-2021 forms\Food Act\Application Form - Food Act Premise.doc
PREMISES PLANS
You should submit a copy of the premises plans on A3 or A4 size paper, showing the following items:
The use of each area of the premises;
The location of all fittings, hand basins, sinks and equipment;
Location of the floor waste drain/s, cleaners sink and grease trap;
Indicate the nature of the work processes to be carried out in EACH PART of the food premises/vehicle (i.e. storage, preparation, wash-up areas)
Details of floors, walls, ceilings, fittings and their finishes; and
Provide specifications on the Mechanical Exhaust System.
The submission of this application with floor plans for assessment may facilitate the ease of compliance with regulatory
requirements, preventing delays in commencement. Prior to opening your food business you will require at least one inspection, to ensure your premises adheres to food safety legislation.
Should you have any concerns, please contact the Public Health Unit on 9205 2200.
PRIVACY STATEMENT
Council collects the personal information on this form so that it may register your premises in accordance with the Food Act 1984. This personal information is used by Council and may be disclosed to the Department of Health (Vic) in connection with the administration and enforcement of the Food Act 1984 / Public Health & Wellbeing Act 2008, but will not be disclosed to anyone else unless required to by law. Access and correction of this personal information can be made via the Public Health Unit on (03) 9205 2200.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help