1) Applicant's information (individual)

Title *

 Mr.   Mrs.   Ms.

Full name *

National identification card number *

Telephone number *

Email (if there)

Current Address *

1) Information of the applicant (juristic person)

Legal entity name *

Legal entity registration number *

Name of authorized person signing *

Position *

Telephone number *

Email (if there)

Office address (juristic person) *

Apply for a permit for *

 Places that sell food   Food storage premises

Establishment name/shop name *

Food type/business type *

Operating days / hours

Usable area (square meters) *

* Required only for areas of 201 square meters and above.

Number of employees (people). *

Business location *

Date the business / use of the premises begins *

Purpose of requesting a licence. *

-- Select --Apply for a business permit under the applicable lawFor submission to an agency / as a supporting documentOther

Specify (if Other is selected)

Building/Location. *

 Commercial building.   Residential.   Building/Warehouse   Other

Specify (if Other is selected)

Initial measures / hygiene arrangements *