APPLICATION FORM FOR APPLICANTS FOR THE GFSI TECHNICAL EQUIVALENCE PROCESS BASED ON GFSI TECHNICAL EQUIVALENCE REQUIREMENTS VERSION 7.

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1 APPLICATION FORM FOR APPLICANTS FOR THE GFSI TECHNICAL EQUIVALENCE PROCESS BASED ON GFSI TECHNICAL EQUIVALENCE REQUIREMENTS VERSION 7.2

2 Application Form The GFSI Benchmarking Requirements REQUIREMENT GUIDANCE ANSWER APPLICANT 1. What is the name of the regulation / law and codes of practice that will be assessed against the GFSI Technical Equivalence Requirements V7.2? 2. Please select the scope(s) of the regulation / law and codes of practice which need to be assessed against the GFSI Technical Equivalence Requirements V Technical Equivalence Requirements You can select more than one scope by putting an (X) next to the scope mentioned in the adjacent table. For more details regarding these scopes, please check the GFSI Technical Equivalence Requirements Part I. AI Farming of Animals for Meat / Milk / Eggs / Honey AII Farming of Fish and Seafood BI Farming of Plants (other than Grains and Pulses) BII Farming of Grains and Pulses C Animal Conversion D Pre-process Handling of Plant Products, Nuts and Grain EI Processing of Perishable Animal Products EII Processing of Plant Perishable Products EIII Processing of Animal and Plant Perishable Products (Mixed Products) EIV Processing of Ambient Stable Products FI Production of Feed G Catering / Food Service H Retail / Wholesale I Provision of Food Safety Services J Provision of Storage and Distribution Services Food and Feed K Manufacture of Food Processing Equipment L Production of (Bio) Chemicals (Additives, Vitamins, Minerals, Bio-cultures, Flavourings, Enzymes and Processing aids) M Production of Food Packaging N Food Broker / Agent

3 The GFSI Benchmarking Requirements Application Form 3. What is the name(s) of the applying organisation that will be responsible for executing the regulation / law and codes of practice? Please clarify the structure of this entity in terms of responsibilities and its reporting mechanism with regard to the aforementioned regulation / law and codes of practice. GFSI needs objective evidence that the governmental department or authority truly exists and is responsible for the execution of the regulation / law and codes of practice. Please clearly indicate which ministry or government is ultimately responsible for this regulation / law and codes of practice. The provision of constitutional documents, links to official websites and / or an organisational chart as well as a recent annual report can serve as objective evidence materials. This objective evidence can be sent to GFSI as an annex. Please clearly indicate which annex relates to this question. 4. What is the applicant s registered address? Please enter your address in the following box: 5. What is the applicant s operational address? (If different from the address above). 6. What is the name of the authorising officer who will sign the technical equivalence application? 7. What is the position of this authorising officer in relation to the applicant? GFSI needs to be fully aware of the position of the person who will be signing the application and who will be formally responsible for any official agreements concluded between the applicant and GFSI. Technical Equivalence Requirements 3

4 Application Form The GFSI Benchmarking Requirements 8. What is the name of the applicant s GFSI needs to have a main point of contact for all operational questions. 9. What is the address / location of the applicant s 10. What is the business telephone number of the applicant s GFSI application liaison contact? 11. What is the mobile telephone number of the applicant s GFSI application liaison contact? 12. What is the address of the applicant s 13. Date of GFSI application submission. Date upon which the application was sent to GFSI. 14. Please clearly specify the geographical location(s) where the inspections will be conducted in relation to the aforementioned regulation / law and codes of practice. Please provide a list of regions / provinces / countries / states where the applicant performs and / or will perform inspections according to the regulation / law and codes of practice. 15. Please specify the number of experts employed to apply this regulation / law and codes of practice, and where relevant, their specialism or scope. 4 Technical Equivalence Requirements

5 The GFSI Benchmarking Requirements Application Form 16. Please provide 10 inspection results in the same format that they were issued by the applying organisation (certificates / audit reports) during a 12-month period prior to the date of application. Please provide certificates, audit or inspection reports with the dates of inspection, the names of the person who carried out the audit or inspection, and the scope of inspection. Additional questions for applicants that seek an extension of scopes Please specify the number of experts employed to apply the regulation / law and codes of practice affected by the scope extension and where relevant, their specialism or scope Please provide 10 inspection results in the same format that they were issued by the applying organisation (certificates / audit reports) during a 12-month period prior to the date of application. Technical Equivalence Requirements 5