Page 115 - Krushibhushan Magazine

b. Farm/plot location address (Survey
No/Plot No.) along with map/layout of
the plot with indication of all sides of
crop grown . (please attach)
2. Farm registration No.
3. Total Farm area (in Ha)
4. Whether farm is the Global GAP certi-
fied if yes, attach a copy

Certificate No.
Date of issus
Date of validity
Name of certification agency
5. Number of plots in the farm with area
of each plot
sl. Name fo the Crop Area Survey / Variety Date of Date (s) Esti-
No. (in Ha) Plot No sowing/ of Harve mate d
Pro-
duction

6. Name & address of pack-houses as-
sociated with
7. Registration / Renewal fee
8. Datails about previous year export
(Produce wise)
Quantity MT
Name of Exporter

Name of Pack house
9. Whether any Non-Compliance notifi-
cation has been received during previ
it is certified that the information mentioned above is correct. We hereby undertake to abide by
the guidelines/ conditions stipulated in the stamdard operating procedure (Sop) for Export Inspection
& phytosanitary Certification of Vegetable and Froits to EU countries.

Date : (Signature of the Farmer)
Place : Name of the farmer

Owb¡ - gßQ>|~a 2018 115