Food (Registration of Premises) (Jersey) Order 2001 — Schedule 1 (Article 4(1)) — Form of Application for Registration of Food Premises Completed Form Examples and Samples
View filled-in examples and samples of the Food (Registration of Premises) (Jersey) Order 2001 — Schedule 1 (Article 4(1)) — Form of Application for Registration of Food Premises. Our detailed examples, such as for an artisan bakery, provide a clear guide on how to correctly complete the form for your food business in Jersey.
Jersey Food Premises Registration Form Example – Artisan Bakery
How this form was filled:
This is a sample of a completed Food Premises Registration form for a new artisan bakery in Jersey. It shows the correct way to fill in details for the business premises, the proprietor, the type of food business (e.g., retailer, manufacturer), staffing levels, and the intended opening date.
Information used to fill out the document:
- Registration Address of Food Premises: 12 King Street, St Helier, Jersey, JE2 4WF
- Postal Address of Food Premises: 12 King Street, St Helier, Jersey, JE2 4WF
- Telephone Number of Food Premises: 01534 887766
- Name of Food Business: The Jersey Loaf Artisan Bakery
- Address of Head Office/Registered Office: 12 King Street, St Helier, Jersey, JE2 4WF
- Type of Food Business: Restaurant/cafe/snack bar, Retailer (other), Manufacturer/packer
- Name of Proprietor: Elodie Le Breton
- Address of Proprietor: 4 Le Clos du Sud, St Brelade, Jersey, JE3 8AB
- Number of persons engaged in the food business: 3 (1 full-time, 2 part-time)
- Water supply at the food premises: Mains
- Date business intends to open: 15th August 2026
- Business Opening Hours: Mon-Sat: 07:00 - 16:00, Sun: Closed
- Signature of Applicant: E. Le Breton
- Date of Application: 1st July 2026
- Applicant's Position: Proprietor
What this filled form sample shows:
- Clearly identifies the business premises address and contact details.
- Specifies multiple relevant types of food business (Retailer, Manufacturer).
- Provides distinct addresses for the business and the proprietor.
- Includes essential operational details like staff numbers and opening date.
- Demonstrates correct completion for a sole proprietor opening a new food establishment.
Form specifications and details:
| Form Name: | Food (Registration of Premises) (Jersey) Order 2001 — Schedule 1 (Article 4(1)) — Form of Application for Registration of Food Premises |
| Jurisdiction: | Jersey |
| Use Case: | New Artisan Bakery Registration (Sole Proprietor) |
Created: February 05, 2026 09:09 PM