Section 1 All applicants wanting to extend sites to be audited

must complete this section.

Enquiry forCertification ofScope Extension against the

IFFO Global Standard for Responsible Supply(IFFO RS)

Dear Applicant,

Thank you for your continued interest in the IFFO Global Standard for Responsible Supply (IFFO RS). In order to assist the Certification Body of your choice, and to help reduce the time taken to update any changes you may apply to your company we require some information about your chosen scope extension.

Please be assured all such information is treated in a confidential manner.

Please complete and return this application form attaching all the required evidence to IFFO RS Limited via

If you have any questions at any time during the certification processes, please do not hesitate to contact IFFO RS Ltd.

Instructions for completion of this application.

All Applicants must complete thefields indicated by an asterisk (*).

Please include only information that is to be used for the desired scope extension.

Only applicants wanting to extend sites to be audited must complete Section 1.

Only applicants wanting to extend raw materials sourced from Fisheries (whole fish) must complete Section 2.

Only applicants wanting to extend raw materials sourced from By Products must complete Section 3.

All applicants must complete Section 4.*

Company Details*

Company Name*
Address*
City/state*
Province/country*
Postal code* / Phone*
E-mail*
Company Legal Entity* / e.g. INC, PLC, Sole Trader, Producer Group

Contact person details*

Title*
First Name*
Last Name*
Position/Role*
Address*
City/State*
Province/Country*
Postal Code* / Phone*
E-mail*

Preferred Inspection/Certification Body?

SAI Global (Ireland) / SGS (Peru)
Production Facility Details
Total Number of Marine Ingredients Producing Sites the Company/Group own:
Number of further sites you wish to be audited:
Please list the further sites to be audited in the table below:
Site Name / Site Address / Key Contact Details
Name / Tel No / Email Address

Note: Where an applicant’s total number of sites is greater than the number of sites to be assessed under the application a Head Office assessment may be required to establish the traceability and integrity of the company wide process.

Key Standard Criteria
Please confirm all details of externally validated certifications held by each production facility included in this application.
Site Name / Certification Held / Certification Body / Certificate Reference Number / Certificate Expiry Date

Please include with this application copies of all Third Party Certificates (IFIS or equivalent)

Form 1 IFFO RS SX Page 1 of 7 Issue 1: Rev 0: January 2016

Section 2 Applicants wanting to extend raw materials sourced from Fisheries (whole fish)

must complete this section.

Fisheries Information

Please list the additionalfisheries from which you intend to source from over the next 12 months.

No / Fish Species (Common & Latin Name) / Geographical Location of Fishery / Catching Method / Name of Nominated Sites Sourcing form the Fishery / % of Total Turnover / Own or Sub-contracted Fleet / Certifications held (If any)
1.
2.
3.
4.
5.

Please note that you will be required during the assessment process to demonstrate that the supplying fisheries listed above meet the requirements of the IFFO Global Standard for Responsible Supply.

Form 1 IFFO RS SX Page 1 of 7 Issue 1: Rev 0: January 2016

Section 3 Applicants wanting to extend raw materials sourced from Fish By Products

must complete this section.

Fish By Product Information

Please list the additional By-Product Fisheries from which you intend to source from over the next 12 months.

No / Fish Species (Common & Latin Name) / Wild caught or farmed species? / Geographical Location of By Product Source ( e.g. fishery location or country of origin if it is from aquaculture) / Name of Nominated Sites Sourcing form this By product / % of Total Turnover
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Please note that you will be required during the assessment process to demonstrate that the supplying by product fisheries listed above meet the requirements of the IFFO Global Standard for Responsible Supply. In case of utilising more than 10 species of fish by-products for the requested scope extension, add to this application an extra page listing the remaining species together with all the information required in this table.

Form 1 IFFO RS SX Page 1 of 7 Issue 1: Rev 0: January 2016

Section 4 All Applicants must complete this section.*

IFFO RS Statistical Information
Please provide us with the estimated quantity of marine ingredients produced from the raw material species included in this application that you would like to approve under the IFFO RS Standard in the last 3 years.
Type of Marine Ingredient Produced / Year - 3 / Year - 2 / Year -1
Fishmeal
Fish oil
*
Total

*If marine ingredient produced is not fishmeal or fish oil,please specify.

Please note that all the information provided in this section is for statistical purposes and will be treated as strictly confidential and will not be shared with other parties or made public.

Please list the items that you have submitted in support of your Application

Commitment and Signature

I understand the requirements of the IFFO Global Standard for Responsible Supply (IFFO RS) and that the information supplied in this Application form will be used by the IFFO RS secretariat and any of the approved Certification Bodies to determine the full assessment requirements for the applicant and associated costs.
I agree to comply with the relevant current standard and any future issues or revisions.
I agree to disclose all relevant information to the Certification Body to allow them to carry out a full and thorough assessment and inspection. I agree to instruct the chosen Inspection Body to release all documentation relevant to this application to the approved Certification Body.
I confirm that all information and answers I have supplied are true and complete to the best of my knowledge at the time of application.
I understand that false or misleadinginformation in my application may result in the full assessment requirements and costs being increased.
I confirm that there are no legal proceedings against the company that could bring the IFFO RS standardinto disrepute.
I accept to payIFFO RS secretariat the annual application fee of £2,000 per company registration + £200 per site registration and the agreed fees for fishery assessments.
I accept and agree that it is my responsibility to provide all information required by the Fisheries Assessment Body and Certification Body about the raw material I use for the fisheries assessments.
I accept and agree that the appointed Certification Body will provide to the IFFO RS secretariat a copy of the final report and non-conformances for monitoring of consistency and interpretation.
I understand that information about the amount of marine ingredients produced by the company may be necessary by the IFFO RS approved Certification Bodies and the IFFO RS Secretariat for auditing and statistical purposes and that this information is strictly confidential and will not be shared with other parties.
I understand that there will be an additional fee charged for each site audit as agreed with the approved Certification Body of choice.
I agree to provide site access during normal working hours to authorised auditors of the approved Certification Body of choice for the purpose of carrying out inspections of product and premises in order to establish compliance to the IFFO RS standard.
I acknowledge that failure to comply with the requirements of the standard will result in withdrawal of certification and all entitlements and references to the IFFO RS certified claim.
I accept that this application form lasts for 3 years from the date of submission and that any changes after the initial submission will need to be added to this same application form and re-submitted to the IFFO RS secretariat for its process.
I understand that the completion and submission of this application formulates a contract to abide by the requirements of the program.
Signature / Date
Name and Position

Form 1 IFFO RS SX Page 1 of 7 Issue 1: Rev 0: January 2016