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APPLICATION FORM FOR GLOBALG.A.P. CERTIFICATION

This form is your online Application for Certification services with GreenCert Ltd. If you wish to complete this Application manually, Please download a copy fill it and send it to our email applications@greencert.co.tz or deliver it physically to our office, keep a copy of this document for your records.

APPLICATION INFORMATION

APPLICATION TYPE

Name of the operator / Farmer group / company applying for certification:

ADDRESS

Farm / Site Location

P.O. Box:

Latitude: Degrees Direction

Longitude: Degrees Direction

Min.

Sec.

Phone

Fax :

Mobile

Country

Legal status (Ownership of farm):

Registration number of company:

Name and address of Holding company

Countries where the products are intended to be traded:

Certification Contact Person Name:

Title:

Phone :

Financial Contact Person Name:

Title:

Phone :

SCOPE OF OPERATION

Scope applied for: (Tick the standard)

GLOBALG.A.P option I Version 5.2 August 2019

GLOBALG.A.P option II Version 5.2 March 2019 (QMS) and Version 5.2 August for IFA Standard

Has a self-assessment for option I or internal inspections for all producers under option II been done?

Yes

CERTIFICATION HISTORY

Previous registration with another certification body for GLOBALG.A.P.

Yes

Provide previous GGN

Provide previous Certificate no

Name of Certification Body

Previous registration with GreenCert Ltd

Yes

Provide previous GGN

Provide previous Certificate no

Crops To Be Certified And Field/Plot Size And Location

For Single Producer

For Farmer Group

Crop (common & scientific name)

Non-covered crops first harvest Plot/Field size (ha)

Covered crops first harvest Plot/Field size (ha)

Covered crops further harvest Plot/Field size (ha)

Harvest exclusion (refer to 9 below)

Crop two

Add Crop

Crop (common & scientific name)

Non-covered crops first harvest Plot/Field size (ha)

Non-covered crops further harvest Plot/Field size (ha)

Covered crops first harvest Plot/Field size (ha)

Covered crops further harvest Plot/Field size (ha)

Harvest exclusion (refer to 9 below)

Crop three

Add Crop

Crop (common & scientific name)

Non-covered crops first harvest Plot/Field size (ha)

Non-covered crops further harvest Plot/Field size (ha)

Covered crops first harvest Plot/Field size (ha)

Covered crops further harvest Plot/Field size (ha)

Harvest exclusion (refer to 9 below)

Crop four

Add Crop

Crop (common & scientific name)

Non-covered crops first harvest Plot/Field size (ha)

Non-covered crops further harvest Plot/Field size (ha)

Covered crops first harvest Plot/Field size (ha)

Covered crops further harvest Plot/Field size (ha)

Harvest exclusion (refer to 9 below)

Crop five

Add Crop

Crop (common & scientific name)

Non-covered crops first harvest Plot/Field size (ha)

Non-covered crops further harvest Plot/Field size (ha)

Covered crops first harvest Plot/Field size (ha)

Covered crops further harvest Plot/Field size (ha)

Harvest exclusion (refer to 9 below)

For crops listed above or in the farmer register, indicate dates when harvest started, whether harvest is ongoing and when harvest will end for all certification options.

Crop one

Crop name

Date when harvest started

Is harvest on-going?

Yes

When is harvest likely to end?

Crop two

Crop name

Date when harvest started

Is harvest on-going?

Yes

When is harvest likely to end?

Crop three

Crop name

Date when harvest started

Is harvest on-going?

Yes

When is harvest likely to end?

Crop four

Crop name

Date when harvest started

Is harvest on-going?

Yes

When is harvest likely to end?

Crop Five

Crop name

Date when harvest started

Is harvest on-going?

Yes

When is harvest likely to end?

Harvest Exclusion

NB. Harvest exclusion is subject to conditions set by GLOBALG.A.P. Crop rules version 5.2 part 2.3. The producer must apply for exclusion per product with detailed justification. The CB will give approval of exclusion on a case-by-case basis before the registration is approved.

Fill the table above (section 8) for any product requiring harvest exclusion.

Produce Handling Sites

N.B. produce handling is a mandatory part of the inspection where the following post-harvest activities are carried out: “sorting, packing, storage and transport ex-farm, chemical treatments, trimming, washing or any other handling where the product may have physical contact with other materials or substances”. A temporarily or permanent collection/dispatch station and the ex-farm transport from farm/field to these units should be considered as produce handling

List the produce handling site(s)

Site

Infield

Facility

Location

If Produce Handling is done off-farm and by the same legal entity, fill below.

Site

Location

GGN (GLOBALG.A.P. Client No.)

Sub-contracted Activities

List all companies or persons that you have sub-contracted activities covered by the GLOBALG.A.P. General Regulations (GLOBALG.A.P. Option 2 QMS or any Technical responsibilities e.g. Crop protection product application).

Company/person name

Contact details

Activity

Add company / person

Company/person name

Contact details

Activity

For Leased production sites (or other) activity (or attach register)

Name of farmer

Location

Size

Crop

Maximum Residue Levels (MRL) Sampling & Analysis done by

Self

Second Party

Third Party

Parallel production (production of certified and non-certified products of the same species, but in different production units of the company):

I apply for parallel production:

Yes

please indicate the name and the address of each production unit for which certification is not requested

Name

Address

CONTRACT FOR CERTIFICATION SERVICES

Disclosure of information:

Please Choose the different data release levels below: By ticking the levels below and by signing this document I agree that GreenCert will treat information as described below.

Level 1 (Minimum and obligatory level for all sub-scopes)

The Company name, Current GGN and GLN (if available), Sub GLN‟s (if available), Previous GGN, registration no., scheme, version, option, CB, products, and status, produce handling/processing declaration, number of producers (in Option 2), city, country of production and destination are available to the public. The Company address is Optional.
GLOBALG.A.P. the certification body and trustee, which the producer or producer group is working with, can use all data in the GLOBALG.A.P. Database for internal processes and sanctioning procedures.

Level 2 In addition to Level 1, the producer or producer group„s organization name, city and postal code are available to the public.

Level 3 - Publication of all data (e.g. contact details, quantities, completed checklists) to public.

Note: Operators applying for certification must have access to the applicable standards (this can be downloaded free of charge from www.globalgap.org Or obtained from the information pack from GreenCert Ltd (delivery and printing cost charged to the client).

We accept the terms and conditions of the certification process and agree to abide by the certification requirements as provided by GREENCERT

Forms

APPLICATION FORM FOR GLOBALG.A.P. CERTIFICATION

APPLICATION INFORMATION

ADDRESS

SCOPE OF OPERATION

CERTIFICATION HISTORY

Harvest Exclusion

Produce Handling Sites

List the produce handling site(s)

If Produce Handling is done off-farm and by the same legal entity, fill below.

Sub-contracted Activities

CONTRACT FOR CERTIFICATION SERVICES

Disclosure of information:

Address

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