APPLICATION FOR Organic Textile Certification / Master 221
REV 00
Red. RS / Ver. RAQ / Approvazione CC 13/12/2011

Organismo di certificazione delle produzioni biologiche / Certification body of organic production (D.M. 29-07-2002 n. 91822)

Application Form

GOTS § 1.2. The standard covers the processing, manufacturing, packaging, labelling, trading and distribution of all textiles made from at least 70% certified organic natural fibres. The final products may include, but are not limited to fibre products, yarns, fabrics, clothes and home textiles.

To get a first picture of your operation and to be able to offer you an appropriate and individual service, we would like to ask you for some basic data about your process and your requirements regarding your products. All requested data will be treated confidentially and are being used internally to handle the application process only.

Basic data for certification

Applicant
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
PRODUCT INFORMATION GOTS §1.4. Label grading and Labelling
Kind of products to certify - Please list the product(s), that should be under scope of this certification (e.g. cotton yarn, fabric, bed linen, T-shirts, underwear) and tick the box of interest)
GOTS Categories / Finished / Intermediate / Labelled / Amount foreseen / List of the products to certify as GOTS Products - Name of GOTS textile goods
2.2.1 GOTS 'organic' (No less than 95% of the fibre content of the products - excluding accessories - must be of certified organic origin) / ¨ / ¨ / ¨
2.2.1 GOTS 'in conversion' period (No less than 95% of the fibre content of the products - excluding accessories - must be of certified from 'in conversion' period / ¨ / ¨ / ¨
2.2.2 GOTS "made with (x %) organic materials"
No less than 70% of the fibre content of the products - excluding accessories - must be of certified organic origin / ¨ / ¨ / ¨
2.2.2 GOTS "made with (x %) organic - in conversion materials" No less than 70% of the fibre content of the products - excluding accessories - must be of certified 'in conversion' period / ¨ / ¨ / ¨
kind of request
(please tick the box of interest) / First certification / Renewal of certification / Extesion of certification
¨ / ¨ / ¨
Logo request / Yes / No
GOTS Logo / ¨ / ¨
Bioagricert Logo / ¨ / ¨

Please specify all sites involved in gots certification/

SITE under control of applicant / SITE 1
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
Pleas tick the box of interest
Mechanical textile processing and manufacturing operations and their products
¨ / Manufacturing operations and their products ¨ / Wet processing and finishing operations and their products ¨ / Packaging
¨ / Labeling
¨ / Trading operations and related products ¨ / Distribution ¨
Ginning for cotton
¨ / Retting of bast fibres
¨ / Boiling and washing cocoons for silk
¨ / Scouring for wools and other animal fibres (respective grading if this step is undertaken before scouring and not already covered by the organic farming certification) ¨
Pleas specify all activities - (e.g.: production, administration, stores; spinning, yarn dyeing, fabric dyeing, knitting / weaving, sewing, ready to wear manufacturing, exports, trade)
Other SITE under control of applicant / SITE 1 A
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
Pleas tick the box of interest
Mechanical textile processing and manufacturing operations and their products
¨ / Manufacturing operations and their products ¨ / Wet processing and finishing operations and their products ¨ / Packaging
¨ / Labeling
¨ / Trading operations and related products ¨ / Distribution ¨
Ginning for cotton
¨ / Retting of bast fibres
¨ / Boiling and washing cocoons for silk
¨ / Scouring for wools and other animal fibres (respective grading if this step is undertaken before scouring and not already covered by the organic farming certification) ¨
Pleas specify all activities - (e.g.: production, administration, stores; spinning, yarn dyeing, fabric dyeing, knitting / weaving, sewing, ready to wear manufacturing, exports, trade):

Sites SUB-CONTRACTORS

Site of sub-contractors / SITE 2
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
Pleas tick the box of interest
Mechanical textile processing and manufacturing operations and their products
¨ / Manufacturing operations and their products ¨ / Wet processing and finishing operations and their products ¨ / Packaging
¨ / Labeling
¨
Etichettatura / Trading operations and related products ¨ / Distribution ¨
Ginning for cotton
¨ / Retting of bast fibres
¨ / Boiling and washing cocoons for silk
¨ / Scouring for wools and other animal fibres (respective grading if this step is undertaken before scouring and not already covered by the organic farming certification) ¨
Pleas specify all activities - (e.g.: production, administration, stores; spinning, yarn dyeing, fabric dyeing, knitting / weaving, sewing, ready to wear manufacturing, exports, trade):
Site of sub-contractors / SITE 3
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
Pleas tick the box of interest
Mechanical textile processing and manufacturing operations and their products
¨ / Manufacturing operations and their products ¨ / Wet processing and finishing operations and their products ¨ / Packaging
¨ / Labeling
¨
Etichettatura / Trading operations and related products ¨ / Distribution ¨
Ginning for cotton
¨ / Retting of bast fibres
¨
Pleas specify all activities - (e.g.: production, administration, stores; spinning, yarn dyeing, fabric dyeing, knitting / weaving, sewing, ready to wear manufacturing, exports, trade):
Site of sub-contractors / SITE 4
Name of company
VAT number/fiscal code
Contact Person (position)
GOTS Responsible
Address (Street; City; postal code; Prov)
Tel. / Fax
Mail and www
N° of employs
N° of lines
Site surface
Other certifications (e.g. ISO 9001; Iso 14000/Emas; GOTS; Oeko-tex)
Company certified also by other Certification Bodies within the same scope?
Pleas tick the box of interest
Mechanical textile processing and manufacturing operations and their products
¨ / Manufacturing operations and their products ¨ / Wet processing and finishing operations and their products ¨ / Packaging
¨ / Labeling
¨ / Trading operations and related products ¨ / Distribution ¨
Ginning for cotton
¨ / Retting of bast fibres
¨
Pleas specify all activities - (e.g.: production, administration, stores; spinning, yarn dyeing, fabric dyeing, knitting / weaving, sewing, ready to wear manufacturing, exports, trade):

INFORMATIONS ABOUT THE PREVIOUS gots Certification

Applicant:
Name of the previous CB / Year of entrance: / Year of exit:
NC description / Description of the corrective actions taken
Documents that underline such corrective actions / Other information of interest

Scheduling of the activities

Request of preliminary visit? Yes / Sì ¨ NO ¨ / If yes, indicate the period foreseen :
Request of initial visit? Yes /Sì ¨ NO ¨ / If yes, indicate the period foreseen:
Language required

Documents to be sent after the signing of the quotation for the certification (Offer for certification)

Technical Report / M 222
Product Composition – Formulation / M 223
Chemical Input List / M 224
Supplier List For Organic Fibre And Fibres From Conversion
/ M 225
Additional Materials And Accessories List / M 226
Social Criteria Management / M 227
Sub Contractor List / M 228
Environmental Management / M 229
Working Conditions / M 230

COMPANY'S COMMITMENT

Herewith it is declared to have received copy of:

Ø  Global Organic Textile Standard (GOTS) Version 3.0 - 01 March 2011

Ø  Licensing and labelling guide – June 2009

Ø  Manual for the implementation of the Global Organic Textile Standard Issue of 01 March 2011

Ø  Bioagricert Regulation and specific documents for GOTS certification (listed above)

The Company agrees to respect the The Global Organic Textile Standard (GOTS) and related document

The Company agrees to respect the Bioagricert Regulation and specific documents for GOTS certification

The Company agrees to provide to both Bioagricert and the Responsible authorities the right of access to all appropriate facilities, including to non -organic production in the unit or related units, and all relevant documentation and records, including financial records.

The Company agrees, in case of non conformity, to accept the sanctions established in Bioagricert regualtion

The Company agrees to pay the specific fees for the GOTS certification

The Company also agrees to inform Bioagricert in a timely manner on any changes in the product, process or management system which may modify the conformity. Bioagricert will value if a further inspection or other tests are necessary to check if the conformity is maintained. The licensee should not issue any declaration about modified products until BAC gives its approval;

Inizio modulo

Sign and print of the applicant requiring the certification
Responsible signature:

In faith

______Date ______

Please send the present form to +39 (0)51 564294

Pag. 2 of 8

Bioagricert srl via dei Macabraccia, 8 – 40033

Casalecchio di Reno (BO) Tel 051/562158 Fax 051/564294 www.bioagricert.org