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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:-
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
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:
* 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):
Total Turnover ₹
Total Production/Year MT
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
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