OCA-025 (31/10/11)
Your One Stop for Certification Services
OneCert Asia
OneCert = Value
Agri Certification Pvt. Ltd.
Initial Enquiry Form
Note:
 Please fill all the information’s correctly
 Your detailed information will help us in quoting most competitive offer to you
1.
CONTACT INFORMATION
1.1
1.2
1.3
Name of company/Farm/Farmer/Producer/Processor:
Responsible Person Name:
(Position/Title)
Operation Location Address:
1.4
Mailing Address of Operator:
1.5
2.
Telephone Land Line:
Mobile 1:
CERTIFICATION INFORMATION
2.1
Is your farm/organization currently certified?
2.2
Name of Certification Agency(If Yes):
Do you propose to certify under following standards?
India-NPOP
USA-NOP
ISO-22000
2.3
Fax:
E-mail
Yes
Europe-834/2007
2.5
2.6
2.7
2.8
Japan- JAS
Others (specify)
Do you propose to certify following activities?(Please tick  appropriate activity)
Crop Production
Handling/Processing
Animal Husbandry
Organic Inputs
Please give brief description about your operation:
2.4
No
Wild Craft
For organic Certification Only.
Just Beginning
How long, you have been under organic management?
Since last 1 year
Since last 2 years
Since last 3 years Since more than 3 years
Land Offered for the Organic Certification.
INDIVIDUAL PRODUCER applicant
Total Land Holding(For the Individual farmer
Certification Only)
GROUP APPLICANS
Total land holding of Group
No. of Farmers in Group
No of Farmers having land holding more than 4
Total Land Holding of Farmers having land
Hectares.
holding more than 4 Hectares.
Are you doing any processing: Yes/No
If Yes, On Farm/Off Farm (In case of off farm
processing please attach a brief detail of location
If Yes, describe processing on additional sheet
& processing activity)
Are you doing any textile and Processing/operations
including ISO-22000?
2.9 For animal husbandry activities.
2.10 For wild Harvest operations
Signature of Applicant
If yes, state the total number of employees.
State the total no. of animals.
Mention the forest area.
Date :
OneCert Asia Agri Certification (P) Ltd. H-08, Mansarovar Industrial Area, Mansarovar, Jaipur-302020 (Raj.) India
Phone & Fax –0141 2395481, 6541882 Email: info@onecertasia.in, Website: www.onecertasia.in
Head Office: OneCert Inc. Lincoln, NE 68503 ●USA Phone: (402) 420-6080, Fax (775) 416-9855 ● Email: sam@onecert.com ●Website: www.onecert.com
Approved By: Sandeep Bhargava