GSPP Application and Modification Form All information will be kept confidential and will not be made available to unauthorized third parties. Tariffs will be charged for the audits and travelling costs (by the audit organizations), and for the system (by the GSPP Foundation). For information on terms, definitions and standard information we refer to the GSPP website: www.gspp.eu . The company who applies for GSPP certification is a company in progress untill it is accredited; by signing this form, the company in progress is obliged to participate in a Technical Investigation Procedure (TIP) in case a confirmed Cmm infection is found. Please send the completed and signed form to [email protected]. Only duly signed forms can be processed. Cross: Indicate the use of the form: GSPP Application (Application forms will be processed for a first application of a company after payment of a deposit of € 500 to GSPP Bank account) GSPP Participant’s details modification (only fill in the information that is required to be changed and sign) GSPP Participant’s QMS or site modification GSPP Application for a renewal audit Other, namely: Date (of application or modification): 1. Company/head office (full official name Company) Cross: Type of company: Seed Producer Seed Company Plant Raiser Company Seed Technology Company Other, namely (indicate): Company information Name company: Address: Postal code: City: Country: Name contact person: Telephone number: Email address: Name person authorized for Official Signatories: GSPP Application and modification form V4.0 1 Telephone number: Email address: Chamber of commerce (official registration number): Official seat of the company: Number of sites to be assessed: Number of employees1) : 1) Fulltime equivalent of permanent employees in the concerned company and its subsidiaries, working in vegetable related activities worldwide. This means all parts of the company with capital links (shares) of more than 50% (needed for tariff GSPP system). The GSPP board decides on the classification. 2. QMS Company (location of the QMS) QMS Company information Name of the QMS location: Same address as above Address: Postal code: City: Country: Name contact person: Telephone number: Email address: Name person responsible for the QMS: Telephone number: Email address: Cross: Indicate your request for the QMS: Pre-audit Initial audit Periodical audit Renewal audit Re-entry audit Scope change Other, namely: Scopes QMS Total scope for the application/ audit for the QMS. Indicate scope numbers: GSPP Application and modification form V4.0 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 RESPONSIBLE GSPP Application and modification form V4.0 Seed Company Person responsible for the QMS Remark: Sampling and/or testing of starting material Interface (shipment of starting material) Production of plants for seed production Interface (shipment of plants) Production of seeds Interface (shipment of fruits) Extraction Interface (shipment of seeds) Seed processing Interface (shipment of seeds) Seed treatment / enhancement Interface (shipment of seeds) Sampling and/or testing of seeds Interface (shipment of seeds) Trading of seeds, issue the Collective Trademark Interface (shipment of seeds with GSPPCollective Trademark) Production of plants for fruit production Interface (shipment of plants with GSPPCollective Trademark) SCOPE # PROCESS Mark each cell with an “X” in the first row for which scope the application is intended Mark with “X”: 15 16 17 18 Plant Raiser If applicable: subcontracting of scopes Sub-contracting of scope numbers: Sub-contracting at: Name of the sub-contractor: Address: Postal code: City: Country: Name contact person: Telephone number: Email address: Signatures: Person authorized for Official Signatories 3 3. Per site (Fill in one form per site) Cross: Site below belongs to: Seed Producer Seed Company Plant Raiser Company Seed Technology Company Sub-Contractor Other, namely (indicate): Cross: Indicate your request for the site: Pre-audit Initial audit Periodical audit Renewal audit Re-entry audit Add a Site Remove a Site Scope change Other, namely: Site information: Name of the site: Address of the site: Postal code: City: Country: Name contact person site: Telephone number: Email address: Name person responsible for the site Telephone number: Email address: Other information: This site is operating under the QMS of (name/address): Preferred period in which the audit must take place: Description of site: Net house Glasshouse Other, namely: Production in: Soil Substrate Other, namely: GSPP Application and modification form V4.0 4 Area (in m2/ha): Expected kg seed (in case of seed production): Expected number of plants (in case of young plant production): Accreditation period request (temporary red lock): Yearly from to (indicate the months) Scopes Site Total scope for the application/ audit for the site. Indicate scope numbers: Mark each cell with an “X” in the first row for which scope the application is intended: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Sampling and/or testing of starting material Interface (shipment of starting material) Production of plants for seed production Interface (shipment of plants) Production of seeds Interface (shipment of fruits) Extraction Interface (shipment of seeds) Seed processing Interface (shipment of seeds) Seed treatment / enhancement Interface (shipment of seeds) Sampling and/or testing of seeds Interface (shipment of seeds) RESPONSIBLE Seed Company 15 16 17 18 Trading of seeds, issue the Collective Trademark Interface (shipment of seeds with GSPPCollective Trademark) Production of plants for fruit production Interface (shipment of plants with GSPPCollective Trademark) SCOPE # PROCESS Mark with “X” Plant Raiser If applicable: subcontracting of scopes Sub-contracting of scope numbers: Sub-contracting at: Name of the sub-contractor: Address: Postal code: City: Country: GSPP Application and modification form V4.0 5 Name contact person: Telephone number: Email address: Signatures: Person responsible for the Site Remark: GSPP Application and modification form V4.0 Person authorized for QMS 6
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