/ APPLICATION FORM TO GROWER GROUP / Doc No: 01 / Template No: 00
Sub: Certification
templates / Ref : NOP §205.201 / Rev no:00 / Page 1 of 7

Application no:

S.No / PARTICULARS
1. / Name of the Group :
2. / Name of the applicant :
Designation in the group :
3. / Legal status of the group :
4. / Address for communication :
5. / Telephone no :
Alternative contact no:
Fax no :
7. / Name of the Internal Quality Manager:
Telephone no:
6. / Have you applied for NPOP certification: Yes□ No□
If yes, what is your organic status:______
NOTE: To obtain NOP certificate you should have been NPOP certified
7. / Are you aware of NOP guidelines for organic production :
Yes□ No□
If yes, when have you started practicing them : ______
8. / Previous certifications:
Have you previously been registered with any other certification body
Yes No
If yes, Name of the Certification Body :______
Date of cancellation :______
Submit all photocopies of the documents received from your previous CB
Do you have any noncompliance in the previous certification process: Yes□No□
If yes, enclose the notification of noncompliance, details of corrective actions taken with evidence.
9 / Number of members in the group :
10 / Total area involved in the group :
11.INFORMATION ABOUT ICS:
Do you have proper infrastructure to establish an office: Yes□ No□
How many employees have been working in ICS:
Did you train all the employees in ICS about NOP: Yes□ No□
Do you have internal quality manual: Yes□ No□
Do you have internal organic standards: Yes□ No□
Are you maintaining complete documentation Yes□ No□
regarding every step in your ICS :
All the farmers following common organic system plan in ICS: Yes□ No□
12. / Are soil test reports available : Yes□ No □
If yes, enclose copies of test reports.
13.INFORMATION ABOUT WATER SOURCE AND IRRIGATION:
13.1 / water source :
  • Bore well □
  • Reservoir □
  • Rainfed □

13.2 / Provide irrigation type employed:
  • Flood irrigation □
  • Drip irrigation □
  • Sprinklers □
  • other □

14. / Substances used to clean the irrigation system :
15. / Are water test reports available : Yes□ No□
If yes, enclose copies of test reports.
16. / What type of preventive steps you have been taking to control runoff from adjacent farms:
17.INFORMATION ABOUT SEEDS, PLANTING STOCK AND CROP SYSTEM:
17.1 / what is your general type of crop system:
perennial □
annual □
seasonal □
intercropping □
17.2 / What is your source of seeds or planting stock :
Organic □ nonorganic □
In case of nonorganic source give reasons:
17.3 / Do you treat the seed and planting stock? Yes□ No □
If yes mention the materials you are using for treatment.
18.INFORMATION ABOUT MAINTENANCE OF SOIL FERTILITY AND CROP NUTRIENT
LEVELS:
18.1 / Are crop nutrients and soil fertility managed through :
Crop rotation: Yes□ No □
Cover cropping: Yes □ No □
18.2 / Tick the manure being used:
Raw animal manure □ Composted animal manure□
Raw plant manure□ Composted plant manure □
18.3 / Is Sewage sludge being used. Yes□ No □
18.4 / Is Burning being used as means of disposal for crop residues?
Yes□ No □
18.5 / In case of any other materials used to maintain soil fertility and crop nutrition, give the following details:
Name of the compound / Source / Synthetic or nonsynthetic
19.INFORMATION ABOUT PEST AND WEED MANAGEMENT SYSTEM:
19.1 / Is buffer zone maintained? Yes □ No □
If yes, what is the distance maintained :
19.2 / Are GM crops cultivated by neighbor farmers? Yes □ No□
19.3 / Mark the pest management methods being fallowed:
Crop rotation□ Mechanical traps □ Neem oil □ Intercropping□ Other□
If you marked other describe the method:
19.4 / Mark the weed management methods being fallowed:
Hand weeding □ Mulching □ Slash weeding □ Tilling □
Burning □ Livestock grazing □ Other□
If you marked other describe the method:
20.HARVESTING AND POST HARVESTING DETAILS:
20.1. / Mode of harvesting? Manually □ mechanically□
20.2 / Storage of harvested produce :
Jute sacks Plastic bags Cardboard boxes Plastic cases Plastic barrels
Other:
20.3 / Average Yield during the Last 3 Years:
CROP / YIELD(MT/Ha)
20.4 / Do you have separate storage facilities for organic products and non-organic products?
Yes No
20.5 / Each farm produce is maintaining with unique lot number:
Yes □ No□
20.6 / How is the storage area cleaned? What substances are used for cleaning?
20.7 / How the storage area is kept free of pests (e.g. rodents, insects etc)?
20.8 / Location of the storage facilities :
outside of the farm / unit □
inside the farm/unit □
21 / Where do you market your produce
(a) Local
(b) National
(c) International
22 / Do you train your labor? Yes □ No □
23 / Name the various equipments being used during crop production?
24 / What is your motivation?

Declaration by the Operator: I confirm that all information given in this form is true

I shall provide VOCA with any required information or products at any time so as to check compliance with the required standards.

Date: Signature of the ICS Manager

Registration Form to Grower Group / 00 / 0 / Quality Manager / Managing Director
Certification Templates / Revision / Date / Issued / Approved