Approvals Operations Group
Regulation and Assurance
Ministry for Primary Industries
Pastoral House, 25 The Terrace
PO Box 2526, Wellington, New Zealand 6140
Tel: 04 894 2550, fax: 04 894 2566
Email: approvals@mpi.govt.nz
Application Form OP1
Organic Exporter Registration
New
Renewal

This application for registration as a New Zealand exporter of organic products is made to the Director-General of the Ministry for Primary
Industries by exporters wishing to participate in the MPI Official Organic Assurance Programme.

Send the completed application form together with the fee and any other documentation required (see below) to the Ministry for Primary
Industries at the above address. We prefer email files.

If there are any changes to the details provided in this application after the application has been submitted, you must promptly inform the
Ministry for Primary Industries of the changes in writing.

Refer to the Privacy Act 1993 and Official Information Act 1982 notices at the end of this form regarding collection of information by the
Ministry for Primary Industries.
1.
Business Identification
A unique identifier must be assigned to each Exporter. Please choose 2 business identifiers in case your first choice is not available.
Identifiers must have at least 3, and no more than 10, characters, with at least 1 numeric character and no leading zeros.
ID (New or existing)
First choice
Second choice
Third Party Agency
registration number(s)
2.
Full Legal Name of Exporter
Registered company name or partnership names (including the trading name) or individual name.
Attach a copy of the company name registration from the New Zealand Companies office (www.companies.govt.nz)
3.
Business Address and Contact Details
Street/Physical (location of actual premises)
Postal, including post code (for communication)
Tel
Mobile
Fax
Email
By entering an email address you consent to being sent
information and notifications electronically, if required.
4.
Registered Company Address and Contact Details
Only complete if the applicant is a registered company and the registered office address is different from the physical/business address in
section 3.
Registered
office
address
Tel
Fax
5.
Third Party Agency (TPA) Details
Organic certifying body
Name
Tel
Physical
address
Fax
Email
6.
Supporting Documentation
Attach written confirmation (current certificate) from your Third Party Agency that you are participating in an Organic Management Plan
which has been assessed and verified as meeting the requirements of the MPI Official Organic Assurance Programme.
Documentation attached
7.
Countries Where Products Are To Be Exported To
Country
8.
Product(s)
Supplier(s)
Supplier’s TPA Reg No
Applicant Statement
I confirm that:
1. I am authorised to make this application as the Exporter, or a person with legal authority to act on behalf of the Exporter; and
2.
The information supplied in this application is truthful and accurate to the best of my knowledge; and
3.
Neither I nor any director, partner or manager of the applicant have been convicted, whether in New Zealand or overseas, of
any offence relating to fraud or dishonesty, or relating to production, processing or export of organic products; and
4.
I am resident in New Zealand within the meaning of section YD 1 or YD 2 (excluding section YD 2(2)) of the Income Tax Act
2007; and
5.
I agree to comply with the Official Organic Assurance Programme. I acknowledge that non-compliance may result in removal
from the Register of Organics Exporters.
Name
Job Title
Signature
Date
August 2014
Page 2 of 4
OP1: Organic Exporter Registration
9.
MPI Service Charge
ON PAYMENT THIS BECOMES A TAX INVOICE
GST No: 64-558-838
APPLICATION FEE: $210.45 incl. GST for new or renewal applications.
Note: In addition to the application fee, an assessment fee based on an hourly rate of $140.30 per hour and $35.07 per quarter hour (incl.
GST) may be charged in instances where applications take longer than expected.
PAYMENT OPTIONS: Payments comprising multiple fees must be supported by a remittance advice. Please attach your advice to this
application or send it separately to: MPI Approvals, PO Box 2526, Wellington 6140.
MPI does not accept cash. Payment must be made using one of the following methods. (Please tick and fill in the appropriate section.)
DIRECT CREDIT:
1.
Pay into Bank Account no. 03 0049 0001709 002
2.
In the ‘Reference’ details, put the code: ORGEXP
3.
Enter the date of deposit and your name (payee) on this form below:
Date of Deposit
Your Name (Payee)
CHEQUE:
1.
Make the cheque payable to Ministry for Primary Industries.
2.
Attach the cheque to this application.
CREDIT CARD:
1.
Tick the type of card you wish to use:
2.
Fill in the card details below:
VISA
MasterCard
Card
No:
Name on Card
Expiry Date
Signature
10.
Final Checklist
Have you:
read and understood this form?
filled this form in completely?
provided required documentation (section 6)?
read and signed the Applicant Statement (section 8)?
indicated how the fee will be paid for this application and, if required, attached a cheque (section 9)?
MPI use only
Amount paid
Companies office checked
August 2014
Date
Initials
Initials
Page 3 of 4
OP1: Organic Exporter Registration
Collection of Information
Collection of Personal Information
Pursuant to Principle 3 of the Privacy Act 1993, we advise that:

This information is being collected for the purpose of registering an organic exporter under the MPI Official Organic Assurance
Programme; and

The recipient of this information, which is the agency that will collect and hold the information, is the Ministry for Primary
Industries, PO Box 2526, Wellington 6140; and

Some of the information collected will be displayed on a public register; and

The supply of this information is voluntary; and

Failure to provide the requested information is likely to result in a return of this application form to the applicant; and

Under Principles 6 and 7 of the Privacy Act 1993, you have the right of access to, and correction of, any personal information
that you have provided.
Collection of Official Information
All information provided to the Ministry for Primary Industries is official information and may be subject to a request made under
the Official Information Act 1982.
If a request is made under that Act for information you have provided in this application, the Ministry for Primary Industries will
consider any such request, taking into account its obligations under the Official Information Act 1982 and any other applicable
legislation.
August 2014
Page 4 of 4
OP1: Organic Exporter Registration