Organic Certification :

	APPLICATION FORM FOR  ORGANIC INPUTS APPROVAL	Doc No: 5 / Template No: 05
Sub: Certification templates	Ref : NOP	Rev no:01	Page 1 of 6

 

S.No	COMPANY DETAILS
1	Name of the company/Organization :
2	Name of the responsible person        :
3	Address for communication              :
4	Address of the production unit          :
5	Telephone No                                  : Email Id                                             : Fax                                                     :
8	Legal status of the company              :
9	Are  you following any Quality Management System (Y/N): (If yes mention which standards you are fallowing)
10	Are you aware of NOP Organic Standards             :               Yes □                  No□

 

Note: Enclose following documents to this application

• A copy of company profile.
• A copy of company license.
• A copy of the quality management certificate (if available).
• Submit complete documentation describing all ingredients (active and inactive),
• Manufacturing Processes, process control information, testing, and other information as required by the material evaluation program.

 

 

DETAILS OF THE  PRODUCTS
10	Total number of products to be approved:
	Product will be used as? (mark in appropriate Colum)
	S.No		Product name	fertilizer		Liquid fertilizer		Growth promoter	pesticide	herbicide
11	Product composition:
	S.no	Trade name			Active  component(s)		Inert  components

 

 

	Give the source of raw material: (tick below the appropriate source)
	S.No	Product name			Plant Source	Animal Source		Microbial	Mineral
	Product source:
	S.no		Product name	Estimated production capacity   (per annum)			Packaging sizes you are selling

 

14	Give the  list of all compounds using in the production of each product:
	S.No	Product name	compounds
	Give the methods are using in the manufacturing:
	S.No	Product name	Chemical	biological	mechanical	other

• Enclose the flow chart of the steps involved in the production of the each product

 

	Do you have license to sell all the above products(Y/N)? (Enclose license copy)
	Are there any Non Organic Inputs  being produced  :      Yes□                    No□ If Yes, is there  separate storage area  for  the production compounds and final product to prevent co-mingling:        Yes□                    No□
	Are you storing any synthetic nitrogen compounds in the production unit: Yes□                 No□ If yes how far you are storing synthetic nitrogen compound from the organic compounds:
	Are any activities subcontracted to any other  Company/ Person     :    Yes□                    No□ If Yes, enclose the details of subcontracted Company/Person & also enclose the Subcontract
	Give a brief note on Sanitation procedures adopted & list the materials used in Sanitation:         (Annexe)
	Where do you market your  Inputs produced (a )Local                     □ (b) National                □ (c) International          □
	Have the inputs been Approved by any other Certification Body earlier: Yes□                    No□

 

 

Declaration by the Applicant:

 

I confirm that all information given in this form is true

 

I shall provide HW/IHRCA with any required information or products at any time so as to check compliance with the required standards.

 

 

 

 

Date:                                                                          Signature of the Operator