Ordinary Membership

Application Form

APPLICATION FOR ORDINARY MEMBERSHIP

1. Category (please tick ONE only)

Oil palm growers

Palm oil processors and/or traders

Consumer goods manufacturers

Retailers

Banks and investors

Environmental / nature conservation organisations (NGOs)

Social / development organisations (NGOs)

2. Identity of the Organisation

Name:

Address:

Organisation or Business Registration Reference or Number:

Name of parent or holding company and subsidiaries involved in the production or use of oil palm, if applicable:

Telephone:

Fax:

E-Mail:

Website:

3. Nomination of Representative(s) (please provide details of one or two representatives).
Application should be endorsed and signed by a senior member of the organisation who will take responsibility for ensuring the organisation conforms to the RSPO Code of Conduct.

Primary Representative / Secondary Representative
Name:
Designation / Position:
Telephone:
Fax:
E-Mail:

4. Membership Fees

Upon acceptance of your application for RSPO membership by the Executive Board, you will be invoiced for themembership fee of € 2,000 per year, for which payment must be made within 60 days.

5. Information on the Organisation

Part 1

Please attach a brief profile of your organisation (maximum 150 words). The profile should include organisational goals,mission, areas of activities, type of organisation, etc.Enter your profile here

Ordinary Membership

Application Form

(Page 2)

Part 2

Please state how your organisation intends to comply with the RSPO Code of Conduct. Specifically in the following areas:

  1. How will your organisation promote the RSPO internally and to other stakeholders?Enter here
  2. Where relevant, what processes is the organisation establishing to engage with interested parties, for example to resolve conflict or to use sustainably produced palm oil?Enter here
  3. Where relevant, how will your organisation work towards implementing the RSPO Principles and Criteria or assessing supplier performance against these criteria?Enter here
  4. Any other information that would support the application such as what your organisation hopes to gain from joining RSPO and how it would support RSPO?Enter here

If the above documents or reports are unavailable, a statement from your company with regards to its commitment to sustainability and/or sustainable palm oil will suffice.

6. Application for membership is made by:

Signature: <not required for email submission

Name:

Designation / Position:

Date:

7. Please return this form to:

RSPO Secretariat

Unit 7-03, Level 7 Menara Amcorp

Persiaran Barat

46000 Petaling Jaya

Malaysia

Should you have further enquiries, please e-mail to or call us at +6016 213 2053

FOR RSPO USE ONLY:
Date Received: ______Application Approved / Rejected Date: ______
If application is rejected, please specify reasons:
Signature:
______
RSPO President
Date: ______