FOREST MANAGEMENT CERTIFICATION

APPLICATION

1. FOREST MANAGEMENT ENTERPRISE (FME) CONTACT INFO

Legal Name:
Date: / Jurisdiction of FME:
Type of Legal Entity:
Primary Contact: / Title:
Contract Signer*: / Title:
Mailing Address:
City: / State/ Prov: / Country:
Email(s): / Post. Code:
Tel: / Fax: / Website:

*The contract signer must have sufficient legal rights to represent the Forest Management Enterprise.

2. DESIRED SCOPE OF THE CERTIFICATE

This application
is for: / FSC FM certification / PEFC FM certification
FSC Controlled Wood certification (FSC-STD-30-010)
Type of FME: / Private landowner: / Public landowner:
Community organization: / Other: please describe
Forest management service provider: / Group of forest owners:
Number of clients if offering forest management service / Number of group members if group of forest owners
FME size: / number of employees
gross annual sales turnover / USD
Area of forests: / Total forest area ha / Productive forests ha
Processing facilities: / Describe any forest products processing facilities that are to be included in the evaluation:

3. LIST OF FOREST MANAGEMENT UNITS: (submit separate list of FMUs for larger groups)

Forest Management Unit / Location / Size (ha)
Total Area

4. OTHER FORESTRY RELATED INFORMATION

Felling volumes: / What is the maximum annual allowable cut:
What was the actual harvest during last year:
Years in operation: / Year most lands acquired:
Year timber harvesting began:
Year active management began:
Major species harvested: / Species: / Annual harvesting volume:
Species: / Annual harvesting volume:
Species: / Annual harvesting volume:
High Conservation Value Forests (HCVF) / Do the forest areas in the desired scope of certification contain attributes of HCVF, as defined by the FSC? / Yes
No
Don’t know
Excluded forest areas / Are there other forest management units owned or managed by the FME that are not included in the proposed scope of certification? / Yes
No
If yes describe in additional information below:

ADDITIONAL INFORMATION

SEND TO:

Rainforest Alliance, SmartWood Program Asia Pacific Regional Office;

Jl. Ciung Wanara No. 1X, Renon, Denpasar,

Bali 80225, Indonesia

Tel: 62-361-224-356; Fax: 62-361-235-875; email:

SmartWood FM Application April 2008 (FM-9) Page 1 of 2