Application Form Sri Lanka Organic Program

Requirements for organic culture production and processing (Sri Lanka Organic).

Kindly complete and sign the application form and return to Control Union Certification (CUC) office. We will provide you with an offer and discuss the best way in moving forward towards a certification audit.

SLORG.APPL.F01
Version:SL02;01-04-2019

Applying for the certification

Applying for the certification Applying for the first time Only indicate changes
1. Client information
Organization Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Office Contact No.
Office Fax no./Web
VAT No, if applicable
2. Contact Persons’ Information
Primary contact’s name and position
Contact number
Email address
Secondary contact’s name and position
Contact number
Email address
3. Products (Please mention the products you want to get certified)
Name of the product + Added/Changed/Withdrawn
(Please select as appropriate)
- - - - -
Please attach filled product specification form for each product (Not applicable for trading units).
4. Production Units

(Please mention the production units you want to get certified)
1. Name of the unit | 2. Address | 3. Land extent | 4. Number of farmers | 5. Status: Added/changed/withdrawn
- - - - -
Please attach organic management plan-Production unit for each production unit.
4.1. If you have applied to add new farm lands, do you wish to request Control Union to retrospectively consider the conversion period (to obtain the organic status directly)?

4.1. If you have applied to add new farm lands, do you wish to request Control Union to retrospectively consider the conversion period (to obtain the organic status directly)? Yes No
5. Processing Units

(Please mention the production units you want to get certified)
1. Name of the unit | 2. Address | 3. Processes | 4. Status: Added/changed/withdrawn
- - - - -
* Please attach organic management plan-Processing unit for each processing unit.

** Please note that all the processing steps should be included in any of the above locations.
6. Has the operation/project and any farmers ever been registered, inspected or certified before by another certification body (CB)?

6. Has the operation/project and any farmers ever been registered, inspected or certified before by another certification body (CB)? Yes No
if yes,

Name of the CB

(if you ticked no in the previous question, please fill a - in)
TextContact number/Email address of the CB
Reason/s for changing the CB
7. Has the operation/project ever been provided with consultancy on organic production and/or processing?

7. Has the operation/project ever been provided with consultancy on organic production and/or processing? Yes No
if yes,

Name of the consultant/consulting agency

(if you ticked no in the previous question, please fill a - in)
Contact number/Email address
8. Please send the copy of your company registration at the Chamber of Commerce along with this document (Applicable for companies which are applying for the first time only).

Attach Files

(if you don't apply for the first time, please upload an empty file)
Applicant Declaration

Undersigned declares to have completed this application form truthfully.
Name
Position
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / DD / MM YYYY
Based on the above information CUC will draw up a non-obligatory offer for a contract and send to you.

Control Union Inspections (Pvt) Ltd.
OFFICE No.100/8 • 3rd Floor • FPA Building • Nawala Road • Narahenpita • Colombo 05 • Sri Lanka
T +94 11 2678607-9 • www.controlunion.com • cusrilanka@controlunion.com

Application Form Sri Lanka Organic Program

Application Form Sri Lanka Organic Program

1. Client information

2. Contact Persons’ Information

3. Products (Please mention the products you want to get certified)

4. Production Units

5. Processing Units

Applicant Declaration

Based on the above information CUC will draw up a non-obligatory offer for a contract and send to you.