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OCA-115 C (19/11/18) OneCert International

OneCert Initial Application Form (Processing & Trading)


1. Contact Information
Name of the authorized person completing the application:
     

Note:- Authorization letter will be required if forms are not being filled by company owner.
Position:
Owner Partner Officer Director QA Manager Facility Manager Other:      

Type of business:
Sole Proprietor Partnership Corporation LLC Cooperative Other:      
*Partnership, Corporation, association, cooperative, or other entities must submit documentation verifying your official registration as a
legal entity.
Name Of Owner/Company (As per PAN Card) :- Pan Card No:-

IEC code No*:-


*Ensure that your Bussiness address must be same as IEC code

FSSAI Licence No:- Validity:-


Business Name:
     
Address

*Ensure that your Bussiness address must be same as Legal Identity

Mailing Address: City:


           

State/Province: Zip/Postal code: Country:


                 

Phone: Cell: Fax:


                 
Communication Mobile Number:
     
Email: Website:
           
Communication Email ID:
     

 If communication email id and contact no.


changes, please inform to OneCert.
Address of Inspection /Factory/Storage LOCItion Same as mailing address
(street/road address)
     

OneCert International Pvt. Ltd. H-08, Mansarovar Industrial Area, Mansarovar, Jaipur-302020 (Raj.) India
Phone– 0141 2395481, 9414046706 Email: info@onecert..net , Website: onecertinternational.com
Head Office: OneCert Inc. Lincoln, NE 68503 ●USA Phone: (402) 420-6080, Fax (775) 416-9855 ● Email: sam@onecert.com ●Website: www.onecert.com
Approved By: Sandeep Bhargava Page 1 of 4
Your One Stop for Certification Services OneCert = Value
OCA-115 C (19/11/18) OneCert International

OneCert Initial Application Form (Processing & Trading)


City: State/Province: Zip/Postal Code: Country:
                       

If the business has more than one proprietor (owner), list the name and contact information of the person authorized to act on the
applicant’s behalf.
Name: Email:
           

Address: Same as mailing address


      Same as address of inspection
Phone: Cell: Fax:
                 

2. Type of Product You Wish to Certify/Verify:


Manufacture of Processed Product
Trader
Livestock/poultry product processing
Manufacture input
Aquaculture product processing
Aquatic plants/ Seaweed processing

3. Certification/Verification Program(s) Requested:


NPOP EEC 834/2007 (Category A & F) * USDA-NOP

* For processed Food category as per EU please contact OneCert International office. For export of processed food
to EU you need extra certificate from CB approved for category D (i.e. OneCert Inc.) The following program may
be added to your certification for additional fees. OneCert International Organic Standards (EU Equivalent).
Note:- A & F are for unprocessed category.
*For Livestock, Aquaculture and Seaweed : Only NPOP standard will be applicable.

The following program may be added to your certification for additional fees. Documentation and training are required:

JAS (Japan)

4. Previous Certification(s):

Are you currently certified? Yes No


If yes, submit a copy of your current certificate(s) and certification letter(s).
Did you receive a notice of noncompliance? Yes No N/A
OneCert International Pvt. Ltd. H-08, Mansarovar Industrial Area, Mansarovar, Jaipur-302020 (Raj.) India
Phone– 0141 2395481, 9414046706 Email: info@onecert..net , Website: onecertinternational.com
Head Office: OneCert Inc. Lincoln, NE 68503 ●USA Phone: (402) 420-6080, Fax (775) 416-9855 ● Email: sam@onecert.com ●Website: www.onecert.com
Approved By: Sandeep Bhargava Page 2 of 4
Your One Stop for Certification Services OneCert = Value
OCA-115 C (19/11/18) OneCert International

OneCert Initial Application Form (Processing & Trading)


If yes, submit a copy of the notice and describe actions you took to correct
the noncompliance(s), including evidence of such correction.
Are you switching your certification to OneCert?
Yes No N/A
If not, will you be dual certified? Yes No
Please list your current certifier below:
Name of Certifying Agent Year(s) of Certification
           
Date of Initial Certification Expiry Date of current certificate:-

If you are not currently certified:


Have you been previously certified for any of the programs you are Yes No
requesting in Question 3?
If yes, submit a copy of your most recent certificate, certification letter and
notice of noncompliance (if issued).
Have you previously applied for certification and received a notification
Yes No
of denial of certification? If yes, submit a copy of the notification.
5. Application of fumigants during handling of organic products
Is any fumigant applied during any stage of handling? Yes No

Total Turnover ₹
Total Production/Year MT

Documents Required for Initial Application for Certification


S. Send us the duly signed & dated copy of last year’s OSP along with the For OneCert use
No. below mentioned documents. only
Mandatory attachment Comments by
Initial Reviewer
1. OCI_115 (c) Initial Application (Processing & Trading)
2. OCI_124 Organic System Plan
3. OCI_159 Contract for Inspection and Certification
4. OCI_128aHandler,Processor,Trader Inventory List
5. OCI_094 Product information sheet-handler
6. OCI_095 Equipment Information Sheet
7. OCI_097 Product flow Information sheet
8. Finished Product Label (Retail /Bulk )

OneCert International Pvt. Ltd. H-08, Mansarovar Industrial Area, Mansarovar, Jaipur-302020 (Raj.) India
Phone– 0141 2395481, 9414046706 Email: info@onecert..net , Website: onecertinternational.com
Head Office: OneCert Inc. Lincoln, NE 68503 ●USA Phone: (402) 420-6080, Fax (775) 416-9855 ● Email: sam@onecert.com ●Website: www.onecert.com
Approved By: Sandeep Bhargava Page 3 of 4
Your One Stop for Certification Services OneCert = Value
OCA-115 C (19/11/18) OneCert International

OneCert Initial Application Form (Processing & Trading)


9. Facility map- Well identified & clear
 Organic Raw and FG storage with their dimensions and capacity in MT ,
 Mention machinery/ equipment lOCItion in map
10. Pest control map with pest control measures and identification
Collect pest control agreement and used area if have outsourced pest
control agency
11. Water test Report (if water used as Ingredients, processing aid, In
machinery /equipment cleaning, Organic produce washing)
12. Certified Operator Complaint Log
S. Optional Attachments For OneCert use
No. only Comments
by Initial
Reviewer

1. OCI_121_Organic Product Profile (In Yes No NA


Case of Multi ingredient Products)
Refer to OPP instruction for details
OCI_201_Flavor questionnaire Yes No NA
OCI_097 Private label Questionnaire
Yes No NA

7. Affirmation and Authorization


 I affirm that the information on this form is complete and accurate to the best of my knowledge.
 I authorized any certifier listed above to release information to OneCert International Agri Certification Pvt. Ltd.
 On behalf of this information , I affirm that I(We) will provide complete and accurate information on all
questionnaire and other application materials representing y/our operation

     
Name

           
Signature (typed electronic signature accepted) Date

OneCert International Pvt. Ltd. H-08, Mansarovar Industrial Area, Mansarovar, Jaipur-302020 (Raj.) India
Phone– 0141 2395481, 9414046706 Email: info@onecert..net , Website: onecertinternational.com
Head Office: OneCert Inc. Lincoln, NE 68503 ●USA Phone: (402) 420-6080, Fax (775) 416-9855 ● Email: sam@onecert.com ●Website: www.onecert.com
Approved By: Sandeep Bhargava Page 4 of 4

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