APPLICATION FORM FOR AYUSH PRODUCT ... - Foodcert India

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14. If testing facilities are outsourced, give the details of parameters for which testing is outsourced and the name & address of Lab: 15. Details of the raw materials/ingredients used in the production and the seasons during which these materials procured: 16.a Whether maturity period is set out has been followed: 16. Scope of the products to be covered during assessment and to be mentioned on the certificate: 17. Whether production operating facilities in existence for more than one year and since how long you are into production: 18. Whether minimum of five commercial batches of products of dosage form for which certification being sought have been manufactured during the current license period: Mention the five batch numbers and Manufacturing dates for atleast one product under each dosage form. 19. Whether Registered Exporter with any association or Government agencies, if yes please furnish the details…………………………………………………….. 20. Nature of legal entity (individual/firm/company/society etc.), & furnish the registration details (incorporation certificate in case of Pvt. Or Ltd company or partnership deed.) ……………………………..……………………………………………………….. 21. Whether certified by any other agency for any standard/scheme, if yes Registration Number, Validity period, Products covered, standard for which registered and name of the certification agency: 22. Reasons for transfer from previous agency, incase earlier registered for Ayush Certification Scheme: 23. Countries the products intended to be traded: 24. Whether any consultant is engaged or proposed to be engaged for advice or implementation of at your location. Give the name(s): 25. Whether any suspension/cancellation/withdrawal of any certification/approvals under any regulations.: 26. In case of Premium Mark whether the importing country has stipulated any regulations, if so furnish the details The applicant hereby declares that there are no judicial proceedings pending/completed relating to their operations/product/ misuse of Ayush Certification mark, any proceedings by any regulatory body or A.Y/F-01, Revision: 03, 1 st July 2010 Page 2 of 4
suspension/ cancellation/withdrawal of any certifications/approvals under any regulations or otherwise. In case of any proceeding pending/completed, furnish full details in a separate note. The undersigned applicant/authorized representative applies herewith for Ayush products certification scheme for the above-mentioned location(s) and requests FoodCert India Pvt Ltd , Quality House, H.No:8-2-601/P/6, Road.No:10, Banjara Hills, Panchavati Colony, Hyderabad-500034, India, called here after as FCI, to carry out assessment and to grant the certificate on successful completion of the assessment. The applicant hereby undertakes to comply with all the requirements as mentioned below: 1. To be responsible and authorized for the production and management of the above-mentioned products. 2. To be familiar with the certification procedures and to implement and adhere to the requirements of the scheme. 3. To refrain from any publicity to this certification application as long as the certificate has not been granted. 4. Not to file any suit or claim against FCI or its assessors/staff for any monetary recoveries or for any other damages of any nature whatsoever, which the applicant suffers as a result of not granting the certificate or as a result of the failure by FCI in dealing with this application, for the reasons beyond the control of FCI. 5. To agree that FCI shall not be liable to the applicant in any respect if it is prevented from discharging such obligations arising out of this application, as a result beyond the control of FCI. 6. To agree with the Letter of Offer made by FCI with the financials and other terms and to pay the mentioned amount within fifteen days from the date of invoice forwarded by FCI. 7. All travel expenses including boarding and lodging expenses for the assessment activity and testing charges, market samples cost shall be arranged by the applicant and shall be born by the applicant in addition to the fees charged towards application, inspection and certification. In case those expenses are incurred by FCI, then the amounts shall be paid to FCI by applicant within 15 days from the date of invoice. 8. Disputes if any arising out of this application between FCI and the applicant arising out of the terms and conditions of the application form and the letter of offer submitted by FCI shall be governed by laws of India and subject to the jurisdiction of competent courts in the city of Hyderabad for which the applicant has agreed. 9. Agree that application charges / inspection charges paid under this application shall not be refundable to the applicant and these expenses stands as forfeited. 10. To prefer the first assessment to be carried out as from week number:………….. and in any case to inform FCI 60 days in advance about the proposed date of assessment. 11. Agree that FCI can schedule assessment based on the availability of the Assessors. 12. To comply with any additional requirements as may be stipulated or required by FCI basing on the scheme requirements being assessed. 13. The applicant is responsible for the product liability, if any arises, in case of pesticide residuals exceeding MRLs or indicates forbidden chemical usage or any other factors. 14. To be familiar with and to accept that with the underwriting of this application form a mutual agreement has been entered with the FCI for a period of 3 years. 15. This is to confirm that I have not applied to any other inspection body for the scheme. A.Y/F-01, Revision: 03, 1 st July 2010 Page 3 of 4
Page 1: 1. Name of Applicant : 2. Contact p

APPLICATION FORM FOR AYUSH PRODUCT ... - Foodcert India

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