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IMO II 00.1.36 G-e Request for inspection and certification of Wild collection

We herewith would like to receive further information on the procedures of IMO inspection and certification, including provisional cost estimation for the following project: (Please fill in)

Mandator: / Company, full address, phone/fax, email, person in charge
Attn.:
Tel:
Fax:
Email:
Aim of Certification / EU Reg. for Organic Farming JAS (Japanese market) NOP (US market)1
Naturland2 Bio Suisse Demeter
Traceability FairWild Standard Version II other, please specify:
Location of Project / Where is the wild collection area / operator(s) situated? Next airport & Travel time from next airport? How to get there?
Purchase centres / How many purchase centres are used in the organic operation? How far away in terms of hours are the purchase centres located from each other?
Additional operation units/ Subcontracted operators / Do you have any subcontracted (or own) additional operation units which will handle the organic products (e.g. processors, warehouses, drying at the collectors home- how many collectors are involved in organic wild collection etc? If yes please list them here and indicate their location.
Brief History of Project / Operating since? Previous certification(s)? Any training or experience in certified organic wild collection?
Collection Area / Geographical Characterization of the collection Area: Size, homogeneity, comments regarding land use of the collection area or sources of contamination.
In how many different collection areas are the products harvested? What is the distance (in km and travelling time) between them?
Collected goods / How many different species are collected? Indicate the Latin names of the collected goods (if not available, please indicate the English name) and which parts of the plants are collected.

1 Additional Information for NOP Certification

By submitting this application for certification the applicant acknowledges that:

-she/he has to submit an organic production and handling system plan according to § 205.201 of the NOP rule (i.e. by completing the IMO form “operator profile”), and

-the application may be withdrawn prior to issuance of a notice of non-compliance or a notice of denial and in this case will not receive a notice of non-compliance respectively a notice of denial. However, the applicant must still bear all costs for services provided until the withdrawal.

2 For Naturland certification the operation must become member of Naturland.

Date, Signature:

IMO II 00.1.6 G-e Application Form Wild Collection v02.doc
Page1 of 1 / Drafted
jp, tajp / Checked
lit / Approved
ta / Version 2
09.2013