Form LS-2
―——————————————————
(Name of legal entity)
______________________________________
―——————————————————
(Place and date of application)
CROATIAN CHAMBER OF FORESTRY
AND WOOD TECHNOLOGY ENGINEERS
10000 Zagreb, Prilaz Gjure Deželića 63
Pursuant to the provisions of Art. 5 Par. 1 of Law on Croatian Chamber of Forestry
and Wood Processing Engineers (“National Gazette”, Nr. 22/06) and the Ordinance on
issuing, renewal and revocation of the license for forestry, game management and wood
processing operations, I hereby submit
APPLICATION
a) for issuing or
b) for renewal of the license for forestry operations
1.
Basic information on the legal entity
1.0. Name ..............................................................................PIN: ..............................................
1.1. Registration No: .......................................... 1.2. Date of registration ..................................
1.3.Address/headquarters: ............................................................................................................
1.4.Telephone/telefax: ....................................................1.5. E-mail: ..........................................
1.6. Owner: ..................................................................................................................................
2.
Data for issuing/renewal of license
2.0. Responsible person: ............................................................................................................
2.1. Authorized persons: ...........................................................................................................
...................................................................................................................................................
2.2. No. of employees: .............................................................................................................
2.3. No. of valid license: ............................... 2.4. Duration of license ..................................
The application shall be submitted for the following types of forestry operations (pursuant to
the Ordinance on types of forestry operations, minimum conditions for their implementation
and works that could be undertaken by forest owners independently, NG No. 66/07, 29/08,
4/11) – the required fields to be marked by “+”:
No.
Type of operation
1.1.
Development of forest
management plans
1.2.
Development of game
management plans
1.3.
Development of programs
for management of forest
seed objects
2.1.
Silvicultural work
2.2.
3.1.
3.2.
Preparation
of work
Implementation
of work
Supervision
of work
Forest reproduction material
– to be specified acc. to the
Ordinance
Protection – harmful
organisms
Protection – forest fires and
natural disasters
4.
Timber harvesting
5.
Construction and
maintenance of forest
infrastructure
6.
Urban forestry
7.1.
Forest ecology
7.2.
Preservation of biodiversity
8.
Tree marking
9.
Management of private
forest
Note*: ................................................................................................................................
.....................................................................................................................................................
......................................................................................................................................................
* to be specified if the supplement of a valid license for other type of stage of work is in question
Enclosed accompanying documentation (Art. 10 of Ordinance of licensing):
1. Evidence of legal personality, or registration
* Excerpt from the court, professional or trade register
2. Evidence of the required number of employees
*list of employees of the legal entity that will perform the operations that require the license, certified by the
responsible person
3. Evidence of the required quantity of procured machines, equipment, measuring instruments
and tools for performing a certain type or stage of work
*inventory list of basic instruments, status as of December 31st of the year preceding the submitting of the
application or statement of the responsible person given under the financial and penal responsibility, certified by
a public notary
4. Evidence of the professional qualifications of workers and of competence of responsible
persons – certified engineers
*certificate for operators of machines and tools, certificate of IV degree, or Diploma for other degrees of
education; decision on the enrollment into the Register of certified engineers - copies
5. Evidence of certificates and attests for the machinery, equipment, measuring instruments
and tools required for a safe and reliable performance of a certain type or phase of work
6. Other documentation prescribed by special regulations
*for type of work: silvicultural operations, forest nursery operations, timber harvesting, construction and
maintenance of forest infrastructure, urban forestry – evidence of workers’ qualifications for work safety;
*for type of work: protection of forests from harmful organisms – evidence of workers’ qualifications for
handling hazardous substances.
7. A statement of the firm’s overall turnover in the preceding year
*extract from the profit and loss account or income tax form
8. Statement on the quantity of work performed in the preceding year
9. Statement of the responsible person on temporary/interim performance of activities in
Republic of Croatia
I hereby certify under penalty of perjury, that the foregoing statements are true and correct:
M.P.
—————————————
Signature of the applicant
By signing this application the applicant declares under penalty of perjury that the above information is true.
The applicant explicitly declares that he voluntarily ceded to disposal to the Croatian Chamber of Forestry and
Wood Processing Engineers (further: Chamber) all the above stated information, and that he agrees that the
Chamber keeps, stores, processes and uses them for purpose of identification, of keeping the Register of the
licensed persons and other purposes in accordance with legal regulations.
The applicant agrees to notify the Chamber immediately if any changes to the above stated data occur.