FOR ASSESSOR USE ONLY / NEW / RENEWAL / INDEPEND OWNED / MANAGED

NSF Certification UK– SECTION A

T To be completed in full (in block capitals)

FREEDOM FOOD SCHEME - WELLBOATS, TRANSPORT

& ON-SHORE SALMON SLAUGHTER

APPLICATION FORM

Company / Trade Name: / Tel no:
Fax no:
E-mail:
Address:
Contact name: / Position: / Direct Tel / Mobile no:
Nature of business:
Where did you learn about Freedom Food?
Type of Transport:
Name of vessel (if applicable):
Name & address of company for whom you will harvest:
Delivery address:

The applicant is obliged to disclose in writing to Freedom Food Ltd details of any previous convictions in the past 3 years (or any longer period which corresponds with any sentence imposed by the Court) and pending prosecutions relating to any offence involving the care, handling, rearing, transport, slaughter or sale of animals or produce.

Please do not submit an application unless you have fully read the RSPCA standards and believe you meet full compliance with them

I agree to abide by the NSF Certification UK Scheme regulations and requirements of the Freedom Food Scheme.

Signed by the applicant or authorised signatory on membership application

Signed: ______Position: ______Date: ______

FREEDOM FOOD CHARGES

PLEASE ENCLOSE PAYMENT WITH APPLICATION

Plus VAT @ 20.0% / Total
JOINING FEE / £30 / £6.00 / £36.00
Freedom Food day rate (by prior arrangement) / £405 / £81.00 / £486
£
Note: A receipted invoice will be sent by return / CHEQUE ENCLOSED

If you would prefer to pay by BACS, our account details are:

Sort code: 60 11 17

Account number: 69595259

Account name: Freedom Food Limited

Note : A receipted invoice will be sent by return

FOR OFFICE USE ONLY
PAID (incl VAT)
YES / NO / Part of Group?
YES / NO / Folder requested?
YES / NO / To DC / Assessor / Date sent

APPLICATION REVIEW SECTION – OFFICE USE ONLY

………………………………………………………………………………………………………………………………………….
Signature Name Date
Authorised by approved application reviewer

Wellboat,Transport Slaughter Section A Issue 5 FF03WB

Return to Freedom Food HO with Payment