fehb94 food license

7/24/2019 Fehb94 Food License

1/25

FEHB 94 (1/2015) 1

APPLICATION FOR FOOD BUSINESS LICENCE

ToAssistant Secretary, Licensing Office

I intend to apply for a

()

(Please choose only one item

on the right)

General Restaurant Licence

Light Refreshment Restaurant Licence

Marine Restaurant Licence

Bakery Licence

Cold Store Licence

Factory Canteen Licence

Food Factory Licence

Fresh Provision Shop Licence

Frozen Confection Factory Licence

Milk Factory Licence

Siu Mei and Lo Mei Shop Licence

Particulars of Application

(138)(If application is made in the name of a corporation, you only need to complete items 1, 3 and 8onwards and the Appendix.)

(2) *Hong Kong Identity Card/Passport* No.

(3)

Correspondence Address before Issue of Licence

() Same as aboveCorrespondence Address after Issue of Licence(If you wish to receive correspondence at another address afterthe issue of licence, please state.)

* Please delete where appropriate Please tick the appropriate box(es).

(1) * () (*)Name of

Applicant/Corporation*

(Chinese) (Mr./Ms.*)

() (English in BLOCK letters)

(4)

Tel. No. Fax No.


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FEHB 94 (1/2015) 2

#()#

Email Address# Additional Email Address (if any)#

#:

#Note: The two email addresses will receive all the emails sent by this department simultaneously.

(5) () (*)

Name of Contact Person (Chinese) (Mr./Ms.*)

()

(English in BLOCK letters)

(6) Tel. No. Fax No.

(7) ()

() *

Address of Premises under Application (in English):

Flat/Rm/Shop Floor Block

Building

Estate/Village

No. and Name of

Road/Street

if more than one

road/street is

involved, please specify

Sub-district District

Lot Number (if any) HK/Kln/NT/Islands*

* Please delete where appropriate.


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FEHB 94 (1/2015) 3

(8) (a) ()Shop Sign of the Proposed Business (if any)

()

(Chinese)

()

(English)

(b) : __________________________

Size of the Proposed Shop m2

(9) Type(s) of Heating Equipment and Fuel Intended to be Used

Electricity

Town Gas

Liquefied Petroleum Gas from Central

Liquefied Petroleum Gas from Cylinder Chamber Supply

Diesel Oil

Kerosene

Others, please specify

(10) Air-conditioning System Intended to be Installed

Type

Air-cooled air-conditioning system

( ):

Please specify the type of AC units (e.g. split type or window type):

_______________________________________________________________________

(())

Water-cooled air-conditioning system (using fresh water cooling towers)

Country of Manufacture

____________________________________________________________________________

(11) Other Licence(s) Intended to be Applied

Provisional Licence

Liquor Licence (For General/Light Refreshment Restaurant Licence applications only and

separate application form is required)

Please tick the appropriate box(es).


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FEHB 94 (1/2015) 4

(12) ((2))

Enclosed (see paragraph (2) of Notice to Applicant)

copies of identical proposed layout plans

copies of identical proposed ventilating system layout plans

(13) Additional Information to be Provided

(I)General Restaurant/Factory Canteen Licence application (see Annex I)

(II)Light Refreshment Restaurant Licence application (see Annex II)

(III)Food Factory/Fresh Provision Shop/Siu Mei and Lo Mei Shop Licence application (see Annex

III)

((FEHB 197))

Application for Outside Seating Accommodation (OSA) (Applicable to Restaurant Licence

application only. Please submit separately the application form (FEHB 197) to this

department.)

(14) Water Meter Number/Water Account Number

()(NOT applicable to Cold Store, Fresh Provision Shop and Siu Mei and Lo Mei Shop Licence

applications)

(15) I understand that it is my responsibility to ensure that operating food business at the shop premises

under application for a food business licence is in compliance with the requirements imposed under

the legislation administered by the Food and Environmental Hygiene Department and other

Government departments as well as the relevant Authorities, including the Government lease and the

statutory plan. I will consult my professional adviser(s), if necessary, on the technical

interpretation of the Government lease or the statutory plan.

Statutory plan refers to plan prepared and published by the Town Planning Board under the Town Planning Ordinance.

(16) *

I would use Chinese/English* for my correspondence before issue of licence.

*

I would use Chinese/English* for my correspondence after issue of licence.

* Please delete where appropriate. Please tick the appropriate box(es).


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FEHB 94 (1/2015) 5

(17)

Checklist before Submission of This Application Form

Notice to Applicant has been read

All applicable sections (including the Annex) have been completed

Attach copies of proposed layout plan(s) which conform to the required format

FEHB 192()

Attach a declaration (FEHB 192), if applicable

/ /

() Date (dd/mm/yyyy) Signature of Applicant

http://www.fehd.gov.hk

You are welcome to use the Electronic Application Service of the Food and Environmental Hygiene Department to

submit applications for Food Business/Trade Licences or Permits. Please visit http://www.fehd.gov.hkfor details.



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FEHB 94 (1/2015) 6

APPLICATION FOR FOOD BUSINESS LICENCE

)

(TO BE ISSUED IN THE NAME OF A CORPORATION )

To : Assistant Secretary, Licensing Office

I intend to apply for and on behalf

of the corporation mentioned

below

()

(Please choose only one item

on the right)

General Restaurant Licence

Light Refreshment Restaurant Licence

Marine Restaurant Licence

Bakery Licence

Cold Store Licence

Factory Canteen Licence

Food Factory Licence

Fresh Provision Shop Licence

Frozen Confection Factory Licence

Milk Factory Licence

Siu Mei and Lo Mei Shop Licence

()

() *

* Please delete where appropriate. Please tick the appropriate box(es).

Appendix


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FEHB 94 (1/2015) 7

Address of Premises under Application (in English):

Flat/Rm/Shop Floor Block

Building

Estate/Village

No. and Name of

Road/Street

if more than one

road/street is

involved, please specify

Sub-district District

Lot Number (if any) HK/Kln/NT/Islands*

)

(A) Particulars of the Corporation

(1) ()

Name of

Corporation

(Chinese)

()(English)

(2)

Company Registration No. Tel. No.

(3) Address of Registered Office

(4) () (*)

Name of Managing

Director

(Chinese) (Mr./Ms.*)

()




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FEHB 94 (1/2015) 8

(5) Residential Address

(6)

Tel. No.

)

(B) Particulars of the Authorized Person

(1) () (*)Name of Authorized Person (Chinese) (Mr./Ms.*)

()


(2) *Hong Kong Identity Card/Passport* No.

(3)

Position of the Authorized Person in the Corporation

(4) Residential Address

(5)

Tel. No. Fax No.

#

()#

Email Address# Additional Email Address (if any)#

#:

#Note: The two email addresses will receive all the emails sent by this department simultaneously.

(6) () (*) Name of Contact Person (Chinese) (Mr./Ms.*)

()


(7)

Tel. No. Fax No.



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FEHB 94 (1/2015) 9

/ /

() Date (dd/mm/yyyy) Signature of Authorized Person

()(for and on Behalf of the Applying Corporation)

Company Chop


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FEHB 94 (1/2015) 10

NOTICE TO APPLICANT

(1) For application in the name of a corporation, the following documents should be submitted to this

department, otherwise this department is unable to process the application.

(a) (32)

a copy of Certificate of Incorporation under the Companies Ordinance (Cap. 32) certified as truecopy by the Registrar of Companies; or any other document to establish the legal entity of the

corporation;

(b) ()

a copy of Notice of Change of Address of Registered Office or Incorporation Form (as

appropriate) certified as true copy by the Registrar of Companies;

(c) ()

a copy of the latest Annual Return certified as true copy by the Registrar of Companies (For

new company in the year of its incorporation, please submit a copy of Incorporation Formcertified as true copy by the Registrar of Companies.);

(d) a resolution in writing passed by the Board of Directors to authorize a person to act on behalf of

the corporation to deal with licensing matters with the licensing authority;

(e) Notice of Acceptance of the Authorization signed by the authorized person;

(f) a copy of the Memorandum and Articles of Association of the corporation; and

(g) a copy of Business Registration Certificate for the corporation.

(2) The application must be accompanied by 3 identical hard copies of proposed layout plans of the

premises, otherwise this department is unable to process the application except that :

(a) For application for a Factory Canteen Licence, 4 identical hard copies of proposed layout plans

are required; and

(b) () For application for a Food Factory (Meat Roasting) Licence, 5 identical hard copies of proposed

layout plans are required.

1:100All the above proposed layout plans must be drawn in metric unit and in scale commonly used of not

less than 1:100.

(3) Whenever there are changes to the submitted plans for the application, the applicant is required to

highlight any proposed changes on the revised plans with colour pens and simple descriptions before

making submission to this department for consideration and referral to other departments for

processing. Revised plans not in compliance with this requirement will be rejected.


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FEHB 94 (1/2015) 11

(4) D() D() If the submission of Certificate of Compliance D (Ventilation Requirements) is a requirement to be

complied with before a Provisional Licence can be issued, the applicant is required to submit three

copies of ventilating system layout plan(s), drawn as nearly as possible to scale, showing the final

layout of the ventilating system installed in the premises together with the Certificate of Compliance

D (Ventilation Requirements).

(5) ()()(( 123 ) 3 )(FEHB 190 FEHB 191) Except for food premises in Government properties or Housing Authority properties, certification

made by recognised professional(s) (i.e. authorized persons/structural engineers registered under

Section 3 of the Buildings Ordinance (Cap. 123)) certifying that the food business premises are free of

unauthorized building works shall be submitted (in person or by mail) to this department in prescribed

form(s) (FEHB 190 or FEHB 191) as in accordance with the corresponding guidelines, where

appropriate, listed as follows :

- Certification of Food Business Premises Free of Unauthorized Building Works - Guidelines for

Authorized Persons and Registered Structural Engineers issued by the Director of Buildings

- Certification of Food Business Premises Free of Unauthorized Building Works in respect of New

Territories Exempted Houses - Guideline for Authorized Persons and Registered Structural

Engineers issued by the Director of Lands

- ( Certification of Food Business Premises Free of Unauthorized Building Works - Guidelines for

Authorized Persons and Registered Structural Engineers (applicable to the properties divested to

The Link Management Limited) issued by the Independent Checking Unit of Housing Department

(6) (FEHB 192)Except for food business premises in Government properties, Housing Authoritys properties or the

properties divested to The Link Management Limited, a declaration (FEHB 192) declaring that the

operation of the food business at the premises under application is in compliance with Government

lease conditions shall be submitted to this department, otherwise this department is unable to process

the application.

(7) ()()()When choosing a shop premises, the applicant must ensure that operating food business at the subject

shop premises is in compliance with the requirements imposed under the legislation administered by

this department and other Government departments as well as the relevant Authorities. Applicants

are therefore strongly advised to check well in advance the following documents; (1) the Government

Lease, (2) the Occupation Permit of the building, and (3) statutory plan. Relevant information and

documents may be obtained from the following Government department offices:


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FEHB 94 (1/2015) 12

Land Registry

Central Search Office

66 19

Address:

19/F, Queensway Government Offices,

66 Queensway, Hong Kong

2867 2871 Enquiry No.: 2867 2871

()

A fee will be charged for providing copies

of Government Lease and Occupation

Permit (if registered in the Land Registry) ofthe building

Buildings Department

Building Information Centre

750 13

Address:

13/F, Pioneer Centre, 750 Nathan Road,

Mong Kok, Kowloon.

2626 1207

Enquiry No.: 2626 1207

A fee will be charged on applying for

certified true copy of Occupation Permit of

the building

Planning Department

Planning Enquiry Counters

333 17

1 14

Address:17/F, North Point Government Offices,333 Java Road, North Point, Hong Kong or14/F, Sha Tin Government Offices, 1,Sheung Wo Che Road, Sha Tin, NewTerritories

2231 5000 Enquiry No.: 2231 5000

www.ozp.tpb.gov.hk

333 23 (2231 3187) 382

(2780 0981)

Free enquiry service is provided on whetherthe use of premises requires planning

permission according to the relevant

statutory plan and the Notes attached to the

plan

The relevant statutory plan and the Notes

attached to the plan can be browsed at

Statutory Planning Portal

www.ozp.tpb.gov.hk

A copy of the statutory plan and the Notes

attached to the plan can be obtained, on

payment of the prescribed fee, from the Map

Publications Centre of Lands Departmentat : 23/F, North Point Government Offices,

333 Java Road, Hong Kong (Tel. No. : 2231

3187) or G/F, 382 Nathan Road, Kowloon

(Tel. No. : 2780 0981)

(8) (5)(7)(i) () (ii) (iii) http://www.fehd.gov.hk/tc_chi/howtoseries/forms/External_guide_combine_c.PDF((14))For paragraphs (5) to (7) above, applicant should read A Guide to Applicants/Licensees on

Procedures of Applying for Issue and Transfer of Food Business Licences on (i) Certification of Freeof Unauthorized Building Works (UBW) (ii) Compliance with Government Lease Conditions (iii)

Compliance with Statutory Plan Restrictions. Relevant information is uploaded to the website of

this Department at http://www.fehd.gov.hk/english/howtoseries/forms/new/External_guide_combine_e.PDF.


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FEHB 94 (1/2015) 13

In addition, the Guide is also available at the Licensing Offices or District Environmental Hygiene

Offices of this department (see paragraph (14) below).

(9) If the premises under application for Provisional/Full Licence are already covered by a valid food

business licence/permit, the licence will not be issued until and unless the existing licence/permit has

been cancelled.

(10) ()( 132 ) 125(1)(b) 12 http://www.fehd.gov.hk/tc_chi/licensing/list_premises_cancelled.htmlIf a food business licence in respect of a premises is cancelled by the Director of Food and

Environmental Hygiene (the Director) under Section 125(1)(b) of the Public Health and MunicipalServices Ordinance (Cap. 132), this Department will not process future application for the same type

of food business licence in respect of the same premises submitted by the former licensee or his/her

representative/business partner/business proprietor for a period of 12 months from the date ofcancellation of the licence. Documentary proof will have to be submitted to this Department to show

that the applicant does not have any business connection with the former licensee or his/her

representative/business partner/business proprietor. The list of food premises in respect of which thelicence has been cancelled by the Director under the aforesaid provision is uploaded to the website of

this Department at http://www.fehd.gov.hk/english/licensing/list_premises_cancelled.html.

( 132X ) 132 128B () In addition, this Department may consider applying for a Closure Order under Section 128B of Cap.132 to close the premises operating a food business without a valid licence issued under the Food

Business Regulation (Cap. 132X). In the course of application for Closure Order, this Department will

stop processing all Full and Provisional (if applicable) Licence applications of the premises until thedetermination of the application for Closure Order has been handed down by the Court. Upon the grant

of the Closure Order by the Court and as long as such Closure Order remains in force, all licence

applications in respect of the closed premises will not be processed further by this Department.

(11) ( 132 ) 128B 132 128B http://www.fehd.gov.hk/tc_chi/licensing/list_premises_closed.htmlIn regard to a premises where a Closure Order has been granted by the Court under Section 128B of

the Public Health and Municipal Services Ordinance, Cap. 132 (Cap. 132), this Department will refuseto accept and process any application for a food business licence in respect of the closed premises aslong as the Closure Order remains in force. The list of unlicensed food premises that have been

ordered to close by the Court under Section 128B of Cap. 132 is uploaded to the website of this

Department at http://www.fehd.gov.hk/english/licensing/list_premises_closed.html.

(12) 6 12 () The maximum period of time allowed for the applicant to comply with all licensing requirements is 6

months after the expiry of the Provisional Licence or 12 months after issue of the letter ofrequirements for a Full Licence in the case where application for a Full Licence only is made or a

Provisional Licence is not issued, unless the delay in meeting the licensing requirements is due tofactors beyond the applicants reasonable control. The application for food business licence will bedeemed withdrawn if the applicant fails to comply with all licensing requirements after the above

period of time.


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FEHB 94 (1/2015) 14

(13) (132)125(8)125(9)14Pursuant to Section 125(8) of the Public Health and Municipal Services Ordinance (Cap.132), the

Director shall inform you in writing of any decision made to reject your application for the grant or

renewal of licence, permit or registration. If you are dissatisfied with the decision made by the

Director, you may within 14 days after the service on you of the notice declaring the decision appeal

to the Licensing Appeals Board in accordance with Section 125(9) of the Ordinance.

(14) Licensing Offices

Hong Kong & Islands

225 Assistant Secretary, Licensing Office

8 Hong Kong & Islands Licensing Office,

8/F, Lockhart Road Municipal Services Building

225 Hennessy Road, Wanchai, Hong Kong.

2879 5729 Tel. No.: 2879 5729

Kowloon


4 Kowloon Licensing Office,

4/F, Pei Ho Street Municipal Services Building,

333 Ki Lung Street, Sham Shui Po, Kowloon.

2729 1632 Tel. No.: 2729 1632

New Territories


4 New Territories Licensing Office,

4/F, Tai Po Complex, 8 Heung Sze Wui Street,

Tai Po, New Territories.

3183 9226 Tel. No.: 3183 9226

District Environmental Hygiene Offices

Hong Kong & Islands

345102545 0506 2851 7653

Central/Western District Environmental

Hygiene Office

10/F, Sheung Wan Municipal Services Building,

345 Queens Road Central, Hong Kong

Tel. No.: 2545 0506 Fax No.: 2851 7653

3833103 7041 2565 8203

Eastern District Environmental Hygiene Office

3/F, Quarry Bay Municipal Services Building,

38 Quarry Bay Street, Hong Kong

Tel. No.: 3103 7041 Fax No.: 2565 8203


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FEHB 94 (1/2015) 15

20342903 0411 2873 1608

Southern District Environmental Hygiene

Office

4/F, Aberdeen Municipal Services Building,

203 Aberdeen Main Road, Hong Kong

Tel. No.: 2903 0411 Fax No.: 2873 1608

2257

2879 5760 2519 6884

Wanchai District Environmental Hygiene

Office

7/F, Lockhart Road Municipal Services Building,225 Hennessy Road, Wanchai, Hong Kong

Tel. No.: 2879 5760 Fax No.: 2519 6884

3862852 3205 2545 2964

Islands District Environmental Hygiene Office

6/F, Harbour Building, 38 Pier Road, Central,

Hong Kong

Tel. No.: 2852 3205 Fax No.: 2545 2964

Kowloon

165342715 4608 2761 0718

Kowloon City District Environmental HygieneOffice

3/F & 4/F, To Kwa Wan Market and Government

Offices, 165 Ma Tau Wai Road, Kowloon

Tel. No.: 2715 4608 Fax No.: 2761 0718

973102 7373 2343 6734

Kwun Tong District Environmental Hygiene

Office

Level 7, Shui Wo Street Municipal Services

Building, 9 Shui Wo Street, Kwun Tong, Kowloon

Tel. No.: 3102 7373 Fax No.: 2343 6734

123A672749 3626 2391 5572

Mong Kok District Environmental Hygiene

Office

6/F & 7/F, Fa Yuen Street Municipal Services

Building, 123A Fa Yuen Street, Mong Kok,

Kowloon

Tel. No.: 2749 3626 Fax No.: 2391 5572

59-638102748 6934 2748 6937

Sham Shui Po District Environmental Hygiene

Office

8/F-10/F, Un Chau Street Municipal Services

Building, 59-63 Un Chau Street, Sham Shui Po,

Kowloon

Tel. No.: 2748 6934 Fax No.: 2748 6937

12132997 9003 2351 5710

Wong Tai Sin District Environmental Hygiene

Office

3/F, Tai Shing Street Market Building,

121 Choi Hung Road, Wong Tai Sin, Kowloon

Tel. No.: 2997 9003 Fax No.: 2351 5710

173

42302 1301 2735 5955

Yau Tsim District Environmental Hygiene

Office

3/F & 4/F, Kwun Chung Municipal ServicesBuilding, 17 Bowring Street, Yau Ma Tei,

Kowloon

Tel. No.: 2302 1301 Fax No.: 2735 5955


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FEHB 94 (1/2015) 16

New Territories

1381121201-12071220-1221

2634 0136 2634 0442

Sha Tin District Environmental Hygiene Office

Unit 1201-1207, 1220-1221, 12/F, Tower 1, Grand

Central Plaza, 138 Rural Committee Road, Sha

Tin, New Territories

Tel. No.: 2634 0136 Fax No.: 2634 0442

833183 9119 2650 1171

Tai Po District Environmental Hygiene Office

3/F, Tai Po Complex, 8 Heung Sze Wui Street,

Tai Po, New Territories

Tel. No.: 3183 9119 Fax No.: 2650 1171

1342679 2812 2679 5695

North District Environmental Hygiene Office

4/F, Shek Wu Hui Municipal Services Building,

13 Chi Cheong Road, Sheung Shui,

New TerritoriesTel. No.: 2679 2812 Fax No.: 2679 5695

3883740 5100 2792 9937

Sai Kung District Environmental Hygiene Office

8/F, Sai Kung Tseung Kwan O Government

Complex, 38 Pui Shing Road, Tseung Kwan O,

New Territories

Tel. No.: 3740 5100 Fax No.: 2792 9937

166-17492420 9204 2480 4023

Kwai Tsing District Environmental Hygiene

Office

9/F, Kwai Hing Government Offices Building.,

166-174 Hing Fong Road, Kwai Chung, New

Territories

Tel. No.: 2420 9204 Fax No.: 2480 4023

4532212 9735 2414 8809

Tsuen Wan District Environmental Hygiene

Office

3/F, Yeung Uk Road Municipal Services Building,

45 Yeung Uk Road, Tsuen Wan,

New Territories

Tel. No.: 2212 9735 Fax No.: 2414 8809

1132451 3113 2452 6559

Tuen Mun District Environmental HygieneOffice

1/F & 3/F, Tuen Mun Government Offices

Building, 1 Tuen Hi Road, Tuen Mun,

New Territories

Tel. No.: 2451 3113 Fax No.: 2452 6559

2252920 7605 2477 5099

Yuen Long District Environmental Hygiene

Office

2/F-5/F, Yuen Long Government Offices,

2 Kiu Lok Square, Yuen Long, New Territories

Tel. No.: 2920 7605 Fax No.: 2477 5099


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FEHB 94 (1/2015) 17

IAnnex I

For General Restaurant Licence and Factory Canteen Licence Application Only

(a) Type of Business

Chinese style restaurant

Western style restaurant

Fast food restaurant


(b) Items of Restricted Food Intended to be Sold in the Premises

Non-bottled drinks prepared by diluting drink

mixes/fruit juices with water on the premises

Preserved meat/ducks/Chinese sausages

Fresh fruit juices extracted on the premises Siu mei and lo mei

Sashimi

Non-bottled drinks in pressurised containers

by means of a manual dispensing machine

Chinese herb tea Sushi

Milk and milk beverages Oyster to be eaten in raw state

Frozen confection sold by the scoop Meat to be eaten in raw state

()

Frozen confection (soft ice-cream) Imported cooked meat/dried meat

/meat products

Frozen confection in manufacturers cups and wrappers Imported intestine

Leung fan Imported pies and sausages

Cut fruit Shell fish

()

Food sold by vending machine (Name of food/drink to be specified on the licence)

(c) Services/Facilities to be Provided

()

Take-away food service at same factory building (Applicable to Factory Canteen Licence application)

Dancing facilities (Not applicable to Factory Canteen Licence application)



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FEHB 94 (1/2015) 18

II

Annex II

For Light Refreshment Restaurant Licence Application Only

(a)

Group of Food Items to be Provided (Only one group can be chosen)

(http://www.fehd.gov.hk/tc_chi/howtoseries/forms/new/Specified_Snack_List.pdf)(Regarding the categorisation of food items for Light Refreshment Restaurants, please refer to List of

Approved Food Items for Light Refreshment Restaurants at the website of this department,

http://www.fehd.gov.hk/english/howtoseries/forms/new/Specified_Snack_List.pdf.)

Group A

Group D

Group B

Group E

Group C

Group F

(b)

Dancing Facilities will be Provided

(c) Item(s) of Restricted Food Intended to be Sold in the Premises



Items below are supplied from source

acceptable by the Department

Fresh fruit juices extracted on the premises Sashimi

Sushi

Non-bottled drinks in pressurised containers

by means of a manual dispensing machine

Milk and milk beverages Chinese herb tea

Frozen confection sold by the scoop Leung fan

() Frozen confection (soft ice-cream) Imported cooked meat/dried meat

/meat products

Frozen confection in manufacturers cups and wrappers Imported intestine

Cut fruit Imported pies and sausages



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FEHB 94 (1/2015) 19

(d) ( http://www.fehd.gov.hk/tc_chi/howtoseries/forms/new/Specified_Snack_List.pdf)5 Self-specified Snack Items to be Provided (please refer to List of Approved Food Items for Light

Refreshment Restaurants at the website of this department,

http://www.fehd.gov.hk/english/howtoseries/forms/new/Specified_Snack_List.pdf.)

I wish to sell the following pre-prepared snack items from the Specified Snack List

Item No.

Name of Snack Item(s)

Obtained from

I wish to sell the following pre-prepared snack item(s) which is(are) not on the Specified Snack

List

Item No.

Name of Snack Item(s)

Obtained from

(e)

For Group F Speciality item (selling one food item) applicants, please describe food preparation

process in restaurant

Name of Speciality Item

Description of Food Preparation Process in Restaurant



20/25

FEHB 94 (1/2015) 20

III

Annex III

For Food Factory Licence Application Only

(a)Type(s) of Food Intended to be Prepared

Processing of preserved pig knuckles

Manufacture of flour products (noodles/rice

noodles/vermicelli/macaroni/bean threads etc.)

Roasting of meat/pig or poultry Processing of animal offals

Manufacture of fish balls/shrimp balls/meat balls

Manufacture of sauces

Manufacture of distilled water/bottling of water Manufacture of seasoning

Manufacture/refining of sugar

Manufacture of dried/preserved meat/sausages/ham

/ Manufacture of canned/bottled food/drinks or

food/drinks by other means of packaging

Manufacture of sashimi

Manufacture of bean curd/soya bean

juice/fermented bean/taro curd

Manufacture of sushi

Manufacture/wrapping of confectionery Preparation of oyster to be eaten in

raw state

Manufacture of Chinese pudding/ Dim Sum Preparation of meat to be eaten in

raw state

Manufacture of flour Manufacture of edible oil excludingedible lard/fat

Fast food Manufacture of shrimp slices

Supply of lunch boxes




21/25

FEHB 94 (1/2015) 21

(b)

Item(s) of Restricted Food Intended to be Sold in the Premises

Non-bottled drinks prepared by diluting drink mixes/fruit juices with water on the premises

Non-bottled drinks in pressurized containers by means of a manual dispensing machine

Fresh fruit juices extracted on the premises Sashimi

Cut fruit

Sushi

Milk and milk beverages Chinese herb tea

Frozen confection sold by the scoop Oyster to be eaten in raw state

Frozen confection in manufacturers cups and wrappers Meat to be eaten in raw state

Leung fan Imported cooked meat/dried meat/

meat products

Imported pies and sausages Imported intestine

Shell fish



22/25

FEHB 94 (1/2015) 22

For Fresh Provision Shop Licence Application Only

Fresh Commodities

Chilled Commodities

Frozen Commodities

Fresh beef Imported chilled beef Frozen beef

Prepackaged imported

chilled beef

Fresh pork Imported chilled pork Frozen pork


chilled pork

Fresh mutton Imported chilled mutton Frozen mutton


chilled mutton

Fresh fish Imported chilled fish Frozen fish

( ) Live fish Marine Fresh

water

Chilled fish

()Imported chilled chicken Frozen

poultry

Chicken duck goose

( )Chilled

poultry

duck goose

Fresh reptiles

Chilled reptiles

Frozen reptiles

Fresh snake meat

Live reptiles

Live snake and fresh snake meat



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FEHB 94 (1/2015) 23

Others

Cut fruit Frozen confection in manufacturers cups

and wrappers

Fresh fruit juices extracted on the premises Frozen confection sold by the scoop

Fresh/frozen game Imported cooked meat/meat products

Milk and milk beverages Shell fish

Sashimi

Non-bottled drinks in pressurised containers by

means of a manual dispensing machine

Sushi



For Siu Mei and Lo Mei Shop Licence Application Only

Source of Supply



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FEHB 94 (1/2015) 24

Collection of Personal Data in Connection with Application for Food Business

and Other Trade Licences

)

)

(In accordance with the Personal Data (Privacy) Ordinance)

Statement of Purpose

1.

Purposes of Collection

The personal data provided by means of this form will be used by the Licensing Authority for

(a) carrying out activities relating to the applications for the grant/transfer/renewal of food business

and other trade licences/permits made to the Licensing Authority;

(b)

carrying out activities relating to the applications for the grant/transfer/renewal of liquorlicences and club liquor licences made to the Licensing Authority. These may include posting of

public notices in such manner as determined by the Liquor Licensing Board and setting out the

particulars of the application for public consultation; and

(c) facilitating communication among staff of the Licensing Authority, other Government

departments and yourself concerning the cooperation of your food business or trade in

compliance with the relevant laws and regulations.

The provision of personal data by means of this form is voluntary. However, if you do not provide

sufficient information, the Licensing Authority may not be able to process your application for

licences.

2.

Class of Transferees

1

(612)(463)

The personal data which you have provided by means of this form may be disclosed to other

Government departments and agencies in pursuance of the purposes mentioned in paragraph 1 above.

The personal data may also be disclosed to the Centre for Food Safety (CFS) of this department and

other Government departments for law enforcement purposes, amongst which the CFS will use such

data for the enforcement of the Food Safety Ordinance (Cap. 612) and Drainage Services Department

for the enforcement of the Sewage Services Ordinance (Cap. 463) and its subsidiary legislations.

According to the Sewage Services Ordinance, the operators of the restaurant and food manufacturing

trades are required to pay Trade Effluent Surcharge for their trade effluent discharged.


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3.

Access to Personal Data

() 18 22 1 6 You have a right to request access to and correction of the personal data provided in accordance with

Sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. Your

right of access includes the right to obtain a copy of your personal data which you have provided by

means of this form. A fee may be imposed for complying with a data access request.

4.

Enquiries

Enquiries concerning the application for licence, including the personal data collected by means of this

form, should be addressed to the officer in charge of the below Licensing Offices.

Hong Kong & Islands

225 Assistant Secretary, Licensing Office8 Hong Kong & Islands Licensing Office, 8/F, Lockhart Road Municipal Services Building, 225 Hennessy Road,2879 5712 Wanchai, Hong Kong

Tel. No.: 2879 5712

Kowloon333 Assistant Secretary, Licensing Office4 Kowloon Licensing Office, 4/F, Pei Ho Street Municipal Services Building, 333 Ki Lung Street,2729 1293 Sham Shui Po, Kowloon

Tel. No.: 2729 1293

New Territories8 Assistant Secretary, Licensing Office4 New Territories Licensing Office, 4/F, Tai Po Complex, 8 Heung Sze Wui Street, Tai Po, New Territories3183 9234 Tel. No.: 3183 9234

fehb94 food license

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