HERE - Agromanagement

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Application for GLOBALG.A.P. certification
Company/farm name:
Main address:
Cip code:
City:
Country:
Name of owner:
Contact person
(if it is different from owner):
Invoice address
(if it is different from the above address):
Phone number:
Fax.:
Mobil number:
Homepage:
e-mail:
Pick out actual standard:
□ Fruit and Vegetables; □ Flower and Ornamentals; □ Combinable crops;
□ Dairy; □ Poultry; □ Turkey; □ Cattle & sheep; □ Calf and young beef; □ Aquaculture; □ Chain of
Custody Aquaculture; □ Chain of Custody Crop; □ Chain of Custody Livestock; □
Standard GLOBALG.A.P. Version 2.0: □ Plant Propagation Material
Standard GLOBALG.A.P. Version 2.1: Compound Feed Manufacturing; □ Aquaculture; □ Livestock
Standard GLOBALG.A.P. Version 1: □ Livestock Transport; □ GRASP; □ Localg.a.p.
Is the farm a Multi- site (More addresses with independent management each addresses)? Yes: □ (If yes please
attach list with addresses for each site); No: □. Is there a quality management on the farm? Yes: □ ; No: □
Standard GLOBALG.A.P. Version 4.0:
(It is not a demand – it is just a possibility!)
If it is relevant: Former GLOBALG.A.P. number (GGN):
And former Certifying Company:
If you have been certified before it is your duty to inform the GGN. If
you do not inform the GGN a fee have to be paid to GLOBALG.A.P.
The fee is 100 Euro for Option 1 and 500 Euro for Option 2.
GLN number :
VAT number:
(If the company have one)
Crops
Crop
30. July 2014
Area not
covered
1. harvest
(in ha)
Area not
covered
further
harvests *
(in ha)
Area
covered
1.
Harvest**
(in ha)
Area
covered
further
harvest*
(in ha)
The
whole
crop?***
Yes/No
Harvest
Yes/No
Handling
Yes/No
Page 1 of 3
Crop
Area not
covered
1. harvest
(in ha)
Area not
covered
further
harvests *
(in ha)
Area
covered
1.
Harvest**
(in ha)
Area
covered
further
harvest*
(in ha)
The
whole
crop?***
Yes/No
Harvest
Yes/No
Handling
Yes/No
NB.: If the whole crop not is going to be certified, then must a list with fields/houses be attached where it clearly is picked out which
fields/houses that are going to be certified and which not is going to be certified. If there are more crops, then put in more lines or include
extra pages.
*Information´s about future harvest is only information´s that GLOBALG.A.P. wants to know it is not information´s that will be in the
calculation for the offer.
** Not including individual plant/tree covers, nets, low tunnels, hail protection, mulches or anything that is not a greenhouse.
*** Rules for only certify a part of the crop, can be found in the GLOBALG.A.P. Regulations Part I
Livestock
Annual production of meat in tons:
Name of Livestock
Annual production in tons
Annual production of fresh milk in tons:
Meat is measured in metric tons, live weight. Dairy is measured in metric tons fresh milk
Aquaculture
Name of
Aquaculture
Annual production
(quantity in tons)
Broodstock
Seedlings – ova
Seedlings – juveniles
(Estimated organisms
in no.)
(Estimated organisms
in no.)
(Estimated organisms
in no.)
Aquaculture products are measured in metric tons, live weight harvested. For multisite producers the quantity is the annual total for all
sites. Juveniles refer to: smolt, fingerling, alevin, nauplii, postlarvae, others.
Compound Feed Manufacturing
Annual production quantity in tons:
Chain of custody
Number of suppliers the company is sourcing from:
Please also fill out either Aquaculture, Livestock or Crop
30. July 2014
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GRASP
Option 1:
Option 2:
No. of employees
Additional information regarding the certification
Other addresses, where there
are activities that have relation
with the actual crops. (Fertilizer
Activity
Address
store, Chemical store, Packing, etc.)
Do you take in products from
other producers of the same
varieties that you want to
certify? If yes
Which products?
Who own the products?
Are the products GLOBALG.A.P. certified?
Are there subcontractor activities?
(consultants, companies that harvest or other
activities, that have influence on quality,
environmental, food hygiene or workers health and
safety) If yes, please mention here which:
If there is export, which countries do the
products go to?
Other remarks that can have interest for
the certifications process:
The time the farm plan to be certified:
Who have filled the form:
If there are changes in the information in this form, must AgroManagement be informed.
The company is responsible for implementing the standard requirements before certification. The company
must have worked with the system minimum 3 month before certification. For customers that not have been
certified of AgroManagement before must the certification take place under harvest the first year for each
crop. The follow years can the certification take place up to 6 months before the valid time is ended on the
certificate without there are changes in the next period of valid time.
The customer must commit themselves to follow the GLOBALG.A.P. requirements and the certification rules
for AgroManagement.
For Option 2 customers: A list with all producers must be attached this application. AgroManagement have a
form for that – or the form that the standard requires can be used.
30. July 2014
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