Please fill out completely – this application serves as a basis
for the calculation of your offer – it is NOT A CONTRACT

Company Information

Address of the Company certificate holder Address where Kiwa BCS will send the Certificate	Address of the production site if not the same as certificate holder Address where Kiwa BCS will send the Certificate
Company Name:	Company Name:
P.O.Box / Street:	P.O. Box / Street:
Zip Code / Town:	Zip Code / Town:
Province / State:	Province / State:
Country:	Country:
Geographical Reference e.g. 49°27'30.86"N 11°5'41.20"E	Geographical Reference e.g. 49°27'30.86"N 11°5'41.20"E
VAT Reg. No. Only EU-clients
Contact data of owner	Contact data of responsible person if not the owner
Name:	Name:
Phone:	Phone:
Mobile:	Mobile:
Fax:	Fax:
E-mail:	E-mail:
Address of the post-harvest / processing site if different from certificate holder or production site	Address of a second production or post-harvest / processing site if relevant
Company Name:	Company Name:
P.O. Box / Street:	P.O. Box / Street:
Zip Code / Town:	Zip Code / Town:
Province / State:	Province / State:
Country:	Country:
Geographical Reference e.g. 49°27'30.86"N 11°5'41.20"E	Geographical Reference e.g. 49°27'30.86"N 11°5'41.20"E
Contact data of responsible person if not the owner	Contact data of responsible person if not the owner
Name:	Name:
Phone:	Phone:
Mobile:	Mobile:
Fax:	Fax:
E-mail:	E-mail:
Note: If applicant is not legal owner of all facilities/sites ( sub-units), please fill in Annex “List of sub-units and structogram”. In case of NOP certification handling and export facilities may be exempt or excluded. IMPORTANT: Marketing, sale and/or export of the organic products can be conducted by the certificate holder exclusively!

Please indicate the used/spoken languages on all levels: managers (if relevant), responsible persons such as employees/ workers, or farmers, beekeepers, etc. (in case of a group)

Company Information

EU 1) (EU-Market)	NOP (US-Market)	JAS (Japanese Market)	GLOBALG.A.P.
UTZ Certified	Fair TSA	Bio Suisse2)	Naturland3)
Other national or private standard(s):

1)	As for EU-certification outside of the European Union (Third Countries) the Kiwa BCS Organic Production Standard applies as legal	basis which is equivalent to regulations (EC) 834/2007 and 889/2008.

2)	Kiwa BCS will carry out the Bio Suisse inspection – which is covered by our offer. The certification will be done by International	Certification Bio Suisse AG (ICB). In most cases, you will need an agreement with a Bio Suisse-certified Suisse business partner.

3)	For Naturland certification, please kindly also contact Naturland (naturland@naturland.de) asap. Kiwa BCS will carry out the Naturland	inspection – covered by our offer. The Naturland certification will be done by Naturland e.V./Germany.

Scopes of Activities to be certifiedompany Information

Agriculture Individual / Farmer	Post-harvest Handling	Processing	Export
Agriculture / Group with ICS 4)	Feeds (JAS)	Wild Collection	Storage
Animal husbandry	Beekeeping	Aquaculture	Re-Packing (JAS)

4)	ICS = Internal Control System  a documented internal quality system that includes a contractual arrangement with each group	member. Qualified internal inspectors are to be nominated to conduct annually inspections of every group member.

Do you produce conventional and organic products?	Yes	Are conventional and organic products in the same facility – or in different facilities?	Yes
No	No
If YES: On which level? (e.g. processing only)	Which products, crops or species are affected?

Agriculture	Not relevant

Total number of sites:	Total size of production area (including conventional area):	ha
Do you apply for retrospective approval of the conversion period?	Yes	Total organic production area:	ha
No
If YES: Please indicate whether the affected areas are cultivated – and whether they were regularly inspected as part of a program to reduce farming intensity:

Producer Group – Farmer, Beekeeper, etc	Not relevant

Total number of group members:	Range of farm sizes (from … to …):	ha
Is the group legally organized, e.g. Cooperative,etc.?	Yes	What is the average farm size?	ha
No	How many members have more farmland than the average?
Is an Internal Control System (ICS) already implemented?	Yes	Total number of sites / facilities, incl. post-harvest handling and storage units, etc.
No

Wild Crops Collection including wild algae	Not relevant

Total number of the collection areas:	The respective size(s) of the collection areas:	ha
Total number of take over points / collection points:	Total number of post-harvest handling and storage facilities:
In case of collection of seaweed/ wild algae: Is the growing area of high ecological quality?	Yes	If YES: Which ecological standard is met?
No

Beekeeping	Not relevant

Total number of bee hives - including conventional:	Total number of organic bee hives:
Total number of locations of the bee hives:	Total of distances between the locations:	km

Aquaculture for collection of wild algae see 3.3	Not relevant

Which kind of species?	Total size of production area (including conventional area):	ha
No. of ponds/pools:	Total organic production area:	ha
In case of seaweed / algae: Used inputs/fertilizers?	In case of animals: Status (organic, etc.) of the used feeds?
Which kind of animal reproduction are used?	If juveniles are purchased: Which status do they have (organic …)?
Do you have a Sustainable Management Plan 5)?	Yes	If annual production is more than 20 t: Have you prepared an Environmental Impact Assessment 6)?	Yes
No	No

5)	Sustainable Management Plan (SMP) The SMP lists the details of the environmental effects of the operation, the environmental	monitoring to be undertaken, and measures to be taken to minimize negative impacts on the surrounding aquatic and terrestrial	environments, including nutrient discharge per production cycle or per year.

6)	Environmental Impact Assessment (EnvImpAs) The assessment should ascertain the conditions of the production unit and its	immediate environment and likely effects of its operation.

Livestock	Not relevant

Which kind of animals?	Number of the different kinds of animals?
Total size of production area (including conventional area):	ha	Total organic production area:	ha
Total size of stable area(s):	m2	Total size of free-range area(s):	m2

Processing	Not relevant

Which kind of products?	Number of locations (sub-units, storage facilities, etc.):
Which ingredients / processing aids are used?	Are conventional products stored in the organic facilities?	Yes
No
In case of FairTSA only – Total number of employees?

History of certification

Will this be the first organic inspection?	Yes	If certified before: Since when?	Month	Year
No
Previously certified organic by
According to which (organic) standard(s)?
Outcome of certification, including – if appropriate – copies of any notifications of non-compliance or denial of certification:
If certified before: Please provide a description and evidence ( copies of letters from the ertification body, etc.) of all corrective measures implemented.
Internal Double Certification: Your production unit or part of it is currently certified within another project different from the currently applied one in Kiwa BCS, or are you planning to do so?	Yes	No
Internal Double Certification: If applicable Who is the certificate holder? - What is the validity of the certificate? - Which standard (organic)? - If applicable, what part of another group or project?
External Double Certification: Are you currently certified by a certification body other than Kiwa BCS - or are you planning to do so?	Yes	No
External Double Certification: If applicable: Which certification body? - Which (organic) standard? – What is the validity of the certificate? – If applicable: what part of another group or project?

Documentation, ( JAS) Quality Management & Qualification of Responsible Personnel

Do you have a detailed and up-to-date documentation system (e.g. field registers, processing records, etc.)?	Yes	No
Do you keep purchase (e.g. agricultural inputs, raw materials for processing, etc.) and sales/export receipts on file?	Yes	No
Do you have written Quality Management Standards or a Quality Management Handbook (QMH)?	Yes	No
Do you have written regulations concerning the handling of irregularities (e.g. contamination of organic products), recall actions and complaints?	Yes	No
Qualification and professional experience (in years) of the production manager (e.g. farmer or responsible person for processing, etc.):
Qualification and professional experience (in years) of the quality manager – if applicable:
Have the production manager and other responsible persons (e.g. for quality control) participated in an organic JAS training - conducted by a JAS accredited certification body - before?	Yes	No
If YES: Do the participants have a written evidence of this JAS training?	Yes	No

Products to be certified*

Product	Hectare (ha)	Expected amounts in tons (t)
1
2
3
4
5
6
7
8
9
10

*)	in case of more than 10 products please attach a complete product list.

Location(s) of the facility(ies)

Next (inter-)national airport / railway station:
Estimated distances and travel times between airport / railway station and main project (in km and hours):
Accessibility, distances and travel times between all included/involved facilities or sub-units:

I, the applicant for the above-mentioned facility(ies),

declare to be legally entitled to request for an organic certification of products according to the scope of certification as indicated in item 2. of this application.

confirm that all above mentioned information fully and accurately represents the operation.

understand and accept that my above stated information will be treated confidentially by Kiwa BCS.

Place / Date	Signature of Owner / Responsible Person

The part below is for Kiwa BCS internal use only!

Based on the information provided by the data of the application, the operations´ complexity is estimated to be

Regular	Large	Complex

Based on the information provided by the application the estimated inspection time is estimated to be:

Hours for preparation of the inspection
Hours for onsite inspection
Hours for finalization of inspection/assessment report
Hours for follow up – if applicable
Hours total as detailed above

The above determined parameters serve as a first appreciation for further planning and will be aligned during the review and certification process, based on the results of the onsite inspection.

Application reviewed - the application of the operator/project is approved:

Yes	No
Yes – under certain conditions Please specify

Nuremberg, 26.09.2022

Name	Signature Reviewer/Certifier