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 AldonHead 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 AddressKey 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

NumberCertificate 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.

NoFish Species

(Common & Latin Name)

Geographical Location of Fishery

Catching Method

Name of Nominated Sites Sourcing form

the Fishery

% of Total Turnover

Own or Sub-contracted

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 SignatureI 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