Whole-Chain International Standard Certification

Section 1 — About your organization

Name of the organization applying for Whole-Chain Supply Chain Integrity Certification

Type of Organization (select most applicable)
—Please choose an option—For profitNot for profit

Role of the organization in the marketplace (select most applicable)
—Please choose an option—ProducerProcessorCo-opWholesalerDistributorRetailer

Street address line 1

Street address line 2

City

State or Province or Region

Zip or Postal Code

Country
—Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini and SwazilandEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Telephone

Website address (if available)

Social media handle (if available)

Section 2 — Contact Information
Primary contact information. The person appointed should be knowledgeable of the operations and will have authority to act on behalf of the organization, including communication.

Primary contact first name

Primary contact middle name (if applicable)

Primary contact last name

Primary contact title

Primary contact email

Primary contact telephone number

Section 3 — About your organization
Please provide us with relevant details about your organization to start processing your application.

Property size (number in acres or hectares)

Select unit of measure
AcresHectares

Number of employees and workers in your organization
—Please choose an option—1-45-1011-2021-5051-100100+

Estimated gross revenue for the previous year. Enter whole numbers only, without commas or decimals.

Estimated gross revenue unit of measure
—Please choose an option—ThousandMillion

Current registrations or certifications

Section 4 — About your products
Please provide us with relevant details about your products to start processing your application.

Is your organization a brand owner?
—Please choose an option—YesNo

List your brands

List the countries that you export your products to

List your product types (e.g. crops, stable shelf, etc.)

List your product categories (e.g. cacao, chocolate, maiz, vanilla beans V.planifolia, etc.)

Section 5 — About your Whole-Chain Supply Chain Integrity Certification Process
Please provide us with relevant details about your expectations for obtaining certification.

Approximately, what date do you expect to obtain certification status?

Is your organization working with an external consultant or advisory services?
—Please choose an option—YesNo

Is there anything else that you would like us to know? (optional)

We will review your application within 5 business days and provide you with an invoice for the cost of registration and further instructions. Once payment is received, your application will be processed in the order it was received.

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