IFFO RS Improvers Programme Application Form V1.0

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IFFO RS Limited
Enquiry for Acceptance into the Improvers Programme
IFFO Global Standard for Responsible Supply (IFFO RS)
Dear Applicant,
Thank you for your interest in the IFFO RS Certification Programme. In order to assist the
approved Inspection or Certification Body of your choice to develop the correct plan for
you, we require some information about your company/ group of companies and the raw
material sources you use.
Please be assured that all such information is treated in a confidential manner.
Please return this application form attaching all the required evidence to IFFO RS Limited
via rs@iffo.net
If you have any question at any time during the acceptance processes please do not
hesitate to contact me.
Yours sincerely
Francisco Aldon
Head of Operations
Instructions for completion of this application.
All Applicants must complete all the information requested in this form.
Applicants sourcing raw materials from Fisheries (whole fish) must complete Section 2.
All Applicants that have a FIP in place for their fishery must provide the relevant
information in Section 3 and all supporting documentation must be attached to this form
Form 3
IFFO RS IP
Page 1 of 8
Issue 1: Rev 0: June 2015
Section 1
All Applicants must complete this section
Company Details
Company Name:
Address
City/state
Province/country
Postal code
Phone
Fax
E-mail
Company Legal
Entity
e.g. INC, PLC, Sole Trader, Producer Group
Contact person details
Title
First Name
Last Name
Position/Role
Address
City/State
Province/Country
Postal Code
Phone
Fax
E-mail
Form 3 IFFO RS IP
Page 2 of 8
Issue 1: Rev 0: June 2015
Section 1
All Applicants must complete this section
Production Facility Details
Total Number of Marine Ingredients Producing Sites the Company/Group own:
Number of sites to be audited:
Please list the sites to be audited in the table below:
Site Name
Site Address
Key Contact Details
Name
Tel No
Email Address
Note: Where an applicant’s total number of sites is greater than the number of sites to be
assessed under the application a Head Office assessment may be required to establish the
traceability and integrity of the company wide process.
Form 3 IFFO RS IP
Page 3 of 8
Issue 1: Rev 0: June 2015
Section 1
All Applicants must complete this section
Key Standard Criteria
Please confirm all details of externally validated certifications held by each production
facility included in this application.
Site Name
Certification
Held
Certification Body
Certificate Reference
Number
Certificate Expiry
Date
Please include with this application copies of all Third Party Certificates (IFIS or equivalent)
along with corresponding copies of last audit reports (or Audit Summary Report).
Form 3 IFFO RS IP
Page 4 of 8
Issue 1: Rev 0: June 2015
Section 2
Applicants who are sourcing whole fish from a Fishery must complete this section
Fisheries Information
Please list the fisheries from which you intend to source from.
No
Fish Species
(Common & Latin
Name)
Geographical Location
of Fishery
Catching
Method
Name of Nominated
Sites Sourcing form
the Fishery
% of Total
Turnover
Own or Subcontracted
Fleet
Fishery
Improver
Programme
(FIP)
1.
2.
3.
4.
5.
6.
7.
8.
Please note that you will be required during the assessment process to demonstrate that the supplying fisheries listed above meet
the requirements of the IFFO Global Standard for Responsible Supply. In case of having a Fishery Improver Programme (FIP) in place
for the relevant fishery, please provide details in Section 4.
Form 3 IFFO RS IP
Page 5 of 8
Issue 1: Rev 0: June 2015
Section 3
All Applicants must complete this section.
IFFO RS Statistical Information
Please provide us with the estimated quantity of marine ingredients produced from the raw
material species that you would like to approve under the IFFO RS Standard in the last 3
years.
Type of Marine
Ingredient
Produced
Year - 3
Year - 2
Year - 1
Fishmeal
Fish oil
*
Total
*If marine ingredient produced is not fishmeal or fish oil please specify.
Please note that all the information provided in this section is for statistical purposes and will
be treated as strictly confidential and will not be shared with other parties or made public.
Form 3 IFFO RS IP
Page 6 of 8
Issue 1: Rev 0: June 2015
Section 3
All Applicants must complete this section.
Please list the items that you have submitted in support of your Application and
information about FIPs in place for your raw material (if applicable)
Form 3 IFFO RS IP
Page 7 of 8
Issue 1: Rev 0: June 2015
Section 3
All Applicants must complete this section.
Commitment and Signature
I understand the requirements of the IFFO Global Standard for Responsible Supply (IFFO RS) and that the
information supplied in this Application form will be used by the IFFO RS secretariat and any of the approved
Inspection/Certification Bodies to determine the full assessment requirements for the applicant and associated
costs.
I agree to comply with the relevant current standard and any future issues or revisions.
I agree to disclose all relevant information to the Inspection/Certification Body to allow them to carry out a full
and thorough assessment and inspection. I agree to instruct the chosen Inspection Body to release all
documentation relevant to this application to the approved Certification Body.
I confirm that all information and answers I have supplied are true and complete to the best of my knowledge
at the time of application.
I understand that false or misleading information in my application may result in the full assessment
requirements and costs being increased.
I confirm that there are no legal proceedings against the company that could bring the IFFO RS standard into
disrepute.
I accept to pay IFFO RS secretariat the initial administration fee of £400 with this application form and on
acceptance to the Improvers Programme the annual application fee of £2,000 per company registration + £200
per site registration and the agreed fees for fisheries assessments.
I accept and agree that it is my responsibility to provide all information required by the Fisheries Assessment
Body and Certification Body about the raw material I use for the fisheries assessments.
I accept and agree that the appointed Inspection/Certification Body will provide to the IFFO RS secretariat a
copy of the final report and non-conformances for monitoring of consistency and interpretation.
I understand that information about the amount of marine ingredients produced by the company may be
necessary by the IFFO RS approved Certification Bodies and the IFFO RS Secretariat for auditing and statistical
purposes and that this information is strictly confidential and will not be shared with other parties.
I understand that there will be an additional fee charged for each site audit as agreed with the approved
Inspection/Certification Body of choice.
I agree to provide site access during normal working hours to authorised auditors of the approved
Inspection/Certification Body of choice for the purpose of carrying out inspections of product and premises in
order to establish compliance to the IFFO RS standard.
I acknowledge that failure to comply with the requirements of the standard will result in withdrawal of
certification and all entitlements and references to the IFFO RS certified claim.
I accept that this application form lasts for 3 years from the date of submission and that any changes after the
initial submission will need to be added to this same application form and re-submitted to the IFFO RS secretariat
for its process.
I understand that the completion and submission of this application formulates a contract to abide by the
requirements of the program.
Signature
Date
Name and Position
Form 3 IFFO RS IP
Page 8 of 8
Issue 1: Rev 0: June 2015
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