1) Applicant's information (individual)

prefix *

 Mr.   Mrs.   Miss

First and last name *

ID card number *

Telephone number *

Email (if any)

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 any)

Office address (juristic person) *

Request a license for *

 Where to sell food   Food collection location

Establishment name/shop name *

Food type/business type *

Business day/time

Usable area (square meters) *

* Applicable only to areas of 201 square meters or more.

Number of workers (people) *

Business location *

Date of start of business/use of location *

Purpose of requesting a license *

-- Select --Request permission to operate a business according to the lawAssembling document submission/agencyOther

Specify (in case of other selections)

Characteristics of building/place *

 commercial building   Residential house   Building/warehouse   Other

Specify (in case of other selections)

Basic measures/hygiene *