APPLICATION FORM FOR GROUP OF GROWERS
PMO:
Name of PMO:
Contact Person:  
PMO Address:  
Arrangement with Exporter (if any):  
Contact Numbers: STD code: Office: Cell:
Fax:    Email:
No of PMO Grower Members :  
Area in Hectares :  
Crops Grown :  
Scheme for which application is filled :  
No of Employees at PMO :  
Dept wise :  
 
1.     Whether Registered Exporter with APEDA?
2.     Is fresh applicant or already registered?
3.     Whether certified by any other agency, if yes Registration Number:
4.     Reasons for transfer from previous agency:
5.     Which country the produce is intended to be traded:
6)    Produce harvest, pre & post farm handling information:
1)    Produce Harvest:
a)    Is produce harvesting done by the applicant?
b)    If No, give the name and details of person responsible for harvest:
2)    Produce Handling and Final Packing:
a)    Is Post Farm Produce Handled at pack house within the farm?
b)    If no, give the name and details of person responsible for produce final handling:
 
c)    Name and address of the pack house where produce finally packed:
 
d)    Is the external produce handling facility certified against BRC/IFS/SQS 2000 systems?
e)    If Yes, give the following details:
Certificate No.  
Date of Issue:  
Valid up to:  
Certification Body:  
7.    Whether any consultant is engaged or proposed to be engaged for advice or implementation at your location.

The undersigned authorized representative applies herewith for certification of the PMO grower members (as per the annexure) and requests FoodCert India (Pvt) Ltd at Quality House, H.No:8-2-601/P/6, Road.No:10, Banjara Hills, Panchavati Colony, Hyderabad-500034, India, called herer after as FCI, on behalf of ISACert B.V., The Netherlands, Arnhemseweg 18, 6711 HA Ede, Postbus 8006, 6710 AA Ede, The Netherlands, to carry out an inspection in order to be granted with a certificate for the production of fresh fruits / vegetables crops / combinable crops in hectares (ha) as per the Annexure to be filled in for each of the member grower.

1.   To be responsible and authorized for the production and management of the above-mentioned crops/farms for all the member growers with in the Farmers Group in compliance with present GlobalGAP Scheme.
2.   To be familiar with the certification procedure has been published on the website of the certification body and relevant scheme owner concerned to be able to implement and adhere to the scheme specified. For example for GLOBALGAP scheme “General Regulations and Control Pints and Compliance Criteria Fruit and Vegetables, Combinable vegetables (www.globalgap.org) within the above-mentioned activities.
3.    To be familiar with the requirement to have evidence and records available going back up to 3 months before the date of harvest or going back to the date of the farmer's first registration with whichever is longer or as may be specified in the relevant scheme.
4.    To refrain from any publicity to this certification application as long as the certificate has not been granted.
5.    Not to file any suit or claim against FCI or its assessors for any monetary recoveries or for any other damages of any nature whatsoever, which the applicant suffers as a result of not granting the certificate or as a result of the failure by FCI in dealing with this application, for the reasons beyond the control of FCI.
6.    To agree that FCI shall not be liable to the applicant in any respect if it is prevented from discharging such obligation arising out of this application, as a result beyond the control of FCI.
7.   To agree with the Letter of Offer made by FCI with the financials and other terms and to pay the mentioned amount within fifteen days from the date of invoice forwarded by FCI.
8.   All travel expenses including boarding and lodging expenses for the inspection activity shall be arranged and shall be born by the applicant in addition to the fees charged towards application, inspection and certification.
9.   Disputes if any arising out of this application between ISACert B.V., and the applicant shall be subject to the Jurisdiction of courts in The Netherlands, but not at any other court. However disputes if any between FCI and the applicant arising out of the terms and conditions of the application form and the letter of offer submitted by FCI shall be governed by laws of India and subject to the jurisdiction of competent courts in the city of Hyderabad for which the applicant has agreed.
10.   Agree that application charges / inspection charges paid under this application shall not be refundable to the applicant and these expenses stands as forfeited.
11.   To prefer the first inspection to be carried out as from week number:………….. and in any case to inform FCI 60 days in advance about the proposed date of inspection.
12.   Agree that the inspection body can schedule inspection based on the availability of the inspectors.
13.   To comply with any additional requirements as may be stipulated or required by FCI basing on the scheme requirements being assessed.
14.   The applicant is responsible for the product liability, if any arises, in case of pesticide residuals exceeding MRLs or indicates forbidden chemical usage or any other factors.
15.   To be familiar with and to accept that with the underwriting of this application form a mutual agreement has been engaged with the FCI for a period of 3 years with rights and obligations and termination conditions as mentioned in the General Regulations, or any other regulations of the scheme under which the applicant applied for certification.
16.   This is to confirm that I have not applied to any other inspection body for Scheme for the current crop.
17.   Make no use of FCI / Accreditation bodies logos or statements inferring to registration, with the scope which could be misleading or unacceptable to FCI and in such an event, registration can be suspended by FCI.
18.   Upon successful registration agree to have its name, location and scope of application including in FCI, Directory of Registered Customers.
19.   Upon suspension/withdrawal of its certification, discontinue use of all advertising material and return original copy of certificate as required by FCI.
20.   Maintain all records of complaints relating to products compliance and to take appropriate actions and to make available to FCI, when requested, the records of all complaints and corrective actions taken.
21.   To allow personnel from accreditation bodies to accompany FCI assessors for witnessing the assessments.
22.   Agree to enter into such certification agreement as may be required by FCI before or at the time of granting of certificate.
23.   To use certification only to indicate as being in conformity with the scheme being registered.
24.   Agree to follow the requirements of FCI while making reference to its certification program in its communications via media etc.
25.   Agree to inform FCI in case of any significant changes affecting the products design or specification or changes in the management/ownership or changes in the certification system.
26.   By signing the application the applicant is agreeing the terms and conditions and enters into a contractual agreement with FCI to carryout assessment and registration services.
FCI obligations to the applicant:
1.     Maintain all information pertaining to the applicant as confidential and not to disclose to other parties without the written consent of the applicant except to as required to be submitted to regulatory authority, accreditation bodies and in pursuance of court order under information to the applicant.
2.   Notify the applicant of any complaints on the applicant received by FCI.
3.   Issue of registration or certificate on successful completion of the inspection and after compliance of all requirements as specified by FCI and scheme owner unless the issue of certificate is prevented by reasons, which are not under the control of FCI.
4.   Maintaining Directory of Registered customers with the scope.
Name   Designation
Date Place
(Signature)
FoodCert India Pvt Ltd.
Quality House, H.No:8-2-601/P/6, Road.No:10, Banjara Hills, Panchavati Colony, Hyderabad-500034
Ph.No: +91-40-23313547, 23310013 Fax : +91-40-23313048; email: foodcert@foodcert.in; www.foodcert.in

Annexure
(To be filled separately by each grower member of PMO)
Inspection Visit Address :
Name of the Grower Member of Farmer Group :
Farm Name :
(Details of Crops grown)
S. NoCrop NameExact Area covered (Acres/Hectares)Physical Location of FarmDistance from Nearest Major Town (in Kms)
Name of the Grower Member:
Place : Signature :
Date :