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

Company Information

Company Name:
Main address: (contract holder / headquarters)
P.O. Box / Street:	Country:
Province / State:	VAT Reg. No. Only EU-clients
Zip Code / Town:
What activities are conducted at this address?

Contact information

Contact data of owner or legal representative (groups or legal entities)	Contact data of responsible person for correspondence + communication with Kiwa BCS
Name:	Name:
Phone:	Phone:
Mobile:	Mobile:
E-mail:	E-mail:

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).
Is the person in charge able to speak and understand English? (Not relevant for countries in Latin America)

1.2 Sites information Not relevant ☐

(Information of all sites (facilities/premises/etc..) under the management of the company even if those are not related to organic certification control)

Site (e.g., storage 1)	Location (street; province/state; zip code/town; country)	Activity (e.g., cold storage)
1
2
3
4
5
6
7
8
9
10

add more columns if necessary

Subcontractor Not relevant ☐

If you work with any external subcontracted company who carries out organic related activities on your behalf, please provide their legal name, address, a description of the activities they perform?
Is subcontracted company organic certified for scopes / activities subcontracted by you (Applicant)?	Yes ☐, it is certified by type the name of control body .
Not yet ☐, and the subcontracted company ☐ wants to be part if this certification process *(Only EU applicable!).

*NOTE: under USDA NOP each legal entity (contract holder) must hold its own organic certificate! If you request certification by Kiwa BCS for NOP in combination with any other standard (e.g., EU) we propose separated certification of the subcontracted company as contract holder.

Schemes (certification-programs) to be certified

Regulation (EU) 2018/848 (EU-Market)	USDA NOP (US-Market)	JAS (Japan Market)	OSKSA (Saudi Arabien Market)
☐	☐	☐	☐
Demeter 1)	Fair TSA 2)	Bio Suisse 3)	Naturland 4)
☐	☐	☐	☐
Other national or private standard(s):

1) For Demeter certification, please kindly contact the Demeter (Contacts - Demeter International) or directly fill in application for certification that is to be found on Demeter website (Licensee information - Demeter International). Kiwa BCS will carry out the Demeter inspection – covered by our offer but you will need to recommend with Demeter Kiwa BCS as your control body. The Demeter certification will be done by Demeter-International Certification Office (ICO)

2) Certification via Accredited Kiwa BCS Office in Türkiye.

3)	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.

4)	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 certified

Scope	Activity
Agriculture/ Crop production	☐	Individual Farmer	☐
Post-harvest handling	☐
Group of operators / Producer Group 5)	☐
Others:
Wild Collection	☐	Wild crops collection	☐
Wild collection algae	☐
Collectors Group (ICS) 5)	☐
Post-harvest handling	☐
Others:
Beekeeping	☐	Single beekeeper	☐
Group of beekeepers (ICS) 5)	☐
Post-harvest handling	☐
Others:
Aquaculture	☐	Production Harvesting (Individual productor)	☐
Group of operators / Producer Group 5)	☐
Post-harvest handling	☐
Others:
Livestock (not applicable for NOP!)	☐	Single Producer	☐
Group of livestock producer (ICS) 5)	☐
Others:
Processing/Handling/ Preparation	☐	Processor food	☐
Processor feed (only EU & NOP)	☐
Wine processor	☐
Co-packer / private labeler (*only NOP)	☐
Retail Food Establishment (*only NOP)	☐
Trader/Marketing (*only NOP)	☐
Distributor (EU)	☐
Re-Packer (**only JAS)	☐
Others:
Storage	☐
Export	☐

*Importer into the USA	☐	The operation responsible for accepting imported organic agricultural products within the United States and ensuring NOP Import Certificate data are entered into the U.S. Customs and Border Protection import system of record.

5)	Always must have an 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.

* exclusively NOP

** exclusively JAS

Agriculture	Not relevant ☐

Total number of sites:	Total size of production area (including non-organic area):	ha
Would you like to apply for retrospective approval recognition of the conversion period? 6)	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:

6) If yes, an additional procedure must be followed in order to request the retrospective recognition; please ask your closest Kiwa BCS local office.

Group of Operators / Producer Group – Farmer, Beekeeper, etc	Not relevant ☐

Total number of group members:	Total size of production area (including non-organic area):	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 non-organic:	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 non-organic 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 7)?	Yes ☐	If annual production is more than 20 t: Have you prepared an Environmental Impact Assessment 8)?	Yes ☐
No ☐	No ☐

7)	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.

8)	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 non-organic area):	ha	Total organic production area:	ha
Total size of stable area(s):	m2	Total size of free-range area(s):	m2

*Does not apply to NOP.

Processing	(it refers to food, feed and wine production)	Not relevant ☐

Which kind of products?	Number of locations (sub-units, storage facilities, etc.):
In case of FairTSA only – Total number of employees?
Do you have parallel production (conventional and organic)?	Yes ☐
No ☐

History of certification

Will this be the first organic inspection of the complete operation? If No, please provide complete information in Chapter 4.1 and/or Chapter 4.2 of this document.	Yes ☐
No ☐
This will be the first operation of the contract holder, but part of my production unit (e.g., farm) has been certified in the past/currently certified. If Yes, please provide complete information in Chapter 4.1 and/or Chapter 4.2 of this document.	Not relevant ☐
Yes ☐

Information on currently organic certified operation Not relevant ☐

Since when your operation has been organic certified?
By which certification body are you currently certified?
Under which (organic) standard?	EU8) ☐	NOP ☐	JAS ☐	Other:
What is the validity of your organic certificate (applicable only for Regulation (EU) 2018/848)?
Is ONLY9) a part of your operation (e.g., production unit, farm) currently certified organic by another control body? Who is the certificate holder? What is the validity of the certificate? Which standard (organic)? If applicable, what part of another group or project? Are you planning to remain certified by another CB and until when 9) ?	No ☐
Yes ☐	Describe:

Double certification:

9) EU Regulation 848/2018 (Article 35(4))-> An operator (legal entity) can only have one valid organic certificate for the same product category from one control body in one country.

Information on in the past/previously organic certified operation	Not relevant ☐

Regulation (EU) 2018/848	By which certification body have you been certified?
Cancelled certification (at your request)	Suspended (from – until)	Certificate withdrawn 10)
☐	☐	☐
Date	Date from - Date until	Date
If your operation is suspended or your certificate has been withdrawn, Kiwa requires the following to be submitted together with application for certification: Copies of any notifications regarding non-compliance, suspension letter Evidence of corrective measures implemented Any additional documents necessary to verify compliance

10) Bear in mind that Kiwa BCS shall not certify operators or groups of operators that have been withdrawn by their previous control authority or control body in the last 2 years.

JAS	By which certification body have you been certified?
Cancelled certification (at your request)	Suspended (from – until)	Certificate withdrawn 9)
☐	☐	☐
Date	Date from - Date until	Date
If your operation is suspended or your certificate has been withdrawn, Kiwa requires the following to be submitted together with application for certification: Copies of any notifications regarding non-compliance, suspension letter Evidence of corrective measures implemented Any additional documents necessary to verify compliance

USDA NOP	By which certification body have you been certified?
Surrendered* (at your request)	Suspended **	Revoked***
☐	☐	☐
Date	Date	Date
Before surrendering* your certification, did your operation sign a settlement agreement with the previous control body? If Yes, please include a copy of the settlement agreement with your application for certification to Kiwa BCS.	Yes ☐, the operation has signed settlement agreement with previous control body.
***Does a person1 responsibly connected 2 to another suspended/revoked operation work for your company? In case yes, please indicate name of staff, company and whether a reinstatement request already has been granted by the NOP (§205.662(f)). 1Person: An individual, partnership, corporation, association, cooperative, or other entity. 2 Responsibly connected: Any person who is a partner, officer, director, holder, manager, or owner of 10 percent or more of the voting stock of an applicant or a recipient of certification or accreditation.	If Yes ☐, please descriebe:
*Reinstatement – in case your operation is currently suspended for NOP, you can request reinstatement with Kiwa BCS according to (§205.662(f)). At this stage, Kiwa BCS requests from applicant to provide: copies of any notifications of non-compliance, revocation or suspension. evidence corrective measures implemented or any additional document necessary for verification of compliance	Yes, ☐, the operation wants to reinstate.

Products to be certified*

Product	Hectare (ha)	Product	Hectare (ha)
1	9
2	10
3	11
4	12
5	13
6	14
7	15
8	16

in case of more than 16 products please attach a complete product list.

If one of the following products have been listed in the table above, please select it.

Yeasts used as food or feed	☐	Natural gums and resins	☐	Cotton, not carded or combed	☐
Mate, sweetcorn, vine leaves, palm hearts, hop shoots, and other similar edible parts of plants and products produced therefrom	☐	beeswax	☐	wool, not carded or combed	☐
Sea salt and other salts for food and feed	☐	Essential oils	☐	Raw hides and untreated skins	☐
Silkworm cocoon suitable for reeling	☐	Cork stoppers of natural cork, not agglomerated, and without any binding substances	☐	Plant-based traditional herbal preparations	☐

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:

Information about Novel foods (relevant under EU regulation)

Novel food is defined as food that has not been consumed to any significant degree in the EU before 15 May 1997 (when the first novel food legislation entered into force). This can be newly developed, innovative food or food produced using new technologies and production processes, as well as food traditionally eaten outside of the EU.

Use the following link to identify if some or part of the products you wish be certified is considered as novel food: https://ec.europa.eu/food/food-feed-portal/screen/novel-food-catalogue/search

☐ We do not have any organic products/ingredients that are considered as novel foods.

☐ We have novel foods and these are listed in the Regulation (EU) 2017/2470 (if not, organic certification is not possible).

Completion of the application

I would like to start certification process by Kiwa BCS. Please note that Kiwa BCS should carry out the on-site inspection during a period when organic activities are taking place and can be observed.	☐ As early as possible
☐ Earliest from choose the date

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.

accept that if a product(s) listed in point 6 is novel food, it will be evaluated under the EU Reg 2018/848. However, it will clearly mention that although it complies with the organic regulation it cannot be placed as food on the EU market unless I present a pre-market authorisation in accordance with Regulation (EU) 2015/2283.

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!

A) This part is to be filled in by the Local Office (49703) or Sales & Marketing Team (49702)

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

☐	Small	☐	Regular	☐	Large	☐	Complex	☐	Giant

*Accredited office (AO) keeps the rights to modify complexity during review of the project, in case where assigned category is incorrect or project structure has been changed compared to the application stage.

Based on the information provided, it has been *verified that there is:

Assessor(s)/Inspector(s)	☐	approved for scheme and scope required in this application as per D-DE_04-050_List of Kiwa BCS staff.
☐	available capacity to conduct the inspection.

*At this stage, it is necessary to verify whether Kiwa BCS (local offices or the 49702 Sales & Marketing Team) has the required technical expertise among its assessors/inspectors. In addition, Kiwa BCS (local offices or the 49702 Sales & Marketing Team) must verify and confirm the availability and capacity of assessors/ inspectors before sending application for approval to responsible Technical person (part B)) in AO (Accredited office) or ALO (Accredited Local Office) this application.

Name of person completing Part A)

B) This part is to be filled in and signed ONLY by the responsible Technical person (Technical Reviewer; Scheme Manager; Technical Manager) approved by Accredited Office (AO).

Based on the information provided by the applicant this application has been:

☐	Approved
☐	Denied	Please specify:
☐	Approved-under conditions	Please specify:

*Technical person is not held responsible to verify plausibility of part A) but shall refuse approval if part A) is incomplete.

NOTE: This decision does not refer to retrospective recognition approval!!

Date:
Signature of Kiwa BCS responsible person (Part B): (Note: If it is signed by hand then enter your name in block letters)