Application form for horticulture produces marketing agent registration

AGRICULTURE, FISHERIES AND FOOD AUTHORITY
HORTICULTURAL CROPS DIRECTORATE
Nairobi Horticultural Centre next to JKIA, P.O. Box 42601 – 00100 Nairobi, Telephone: 020-2088469, 020-2131560 Email:
[email protected] / Website: www.agricultureauthority.go.ke
Attach
Two (2)
Coloured
Photos
Application form for horticulture produces marketing agent registration
(middlemen/brokers)
A contract to supply produce to a registered exporter, processor, shipchandler or a retail outlet
(attach a certified copy)
1. Company/Own farm(s)name….……………………..……………………………………………………………..
2. Physical business location……………………………………………………………….…………………………….
3. Postal address…………………………………………………………………………………………………….…………
4. Telephone mobile No……………………………………………………………………………………….……………
5. P.I.N No ……………………………………………………………………………………………….(attach copy)
6. I.D No……………………………………………………………………………………………………(attach copy)
7. E-mail address………………………………………………………………………………………………………
8. Certificate of good conduct from Kenya Police (attach a certified copy)
9. Basic knowledge on Good Agricultural Practices and produce post harvest handling practices
(attach a certified copies of relevant certificates)
10. Source of produce
a) Company / Own farm[s] (To be filled in PS1)
b) Production Scheme(s) /Individual farmer(s) (To be filled in PS2).
Kindly attach the following:
i.
Name of Exporter/Processor/Hotels:……………………………………………………….. ……………………………
ii.
Farming Contracts per Scheme or per the individual farmerwhere produce is sourced from
farmers
iii.
Copy of GAP Certificate(s)
iv.
Copy of Production Schedule
v.
Copy of Receipt for seed acquisition
11. Access to horticulture produce handling facilities and appropriate transport
i.
Pack house or packing shade
ii. Crates designated for produce
iii. Transport appropriate for produce
CONDITIONS
1.
A marketing agent shall use transport and crates labeled as per the Authorityguidelines
2.
A marketing agent shall only pick produce from sources declared in section (5) above
3.
A marketing agent shall not return produce collected from the farmers contrary to the
contract.
4.
A marketing agent shall observe the opening and closing dates for harvesting of crops as
published by the Authority from time to time
5.
A marketing agent shall display identification tag to HCD inspectors whenever requested
6.
A marketing agent shall be contracted with a registered dealer (exporter, importer,
processor, shipchandler or a retail outlet) and shall be confined to a single dealer per
contract period.
7.
A marketing agent shall fully comply with HCDA Legal Notice No. 190 of 2011.
I hereby declare that the particulars provided are true and accurate to the best of my
knowledge.
Name of applicant……………………………………………………………………………………………………………
Signature………………………………………………………Date: ……………………………………………………….
AGRICULTURE, FISHERIES AND FOOD AUTHORITY
HORTICULTURAL CROPS DIRECTORATE
Nairobi Horticultural Centre next to JKIA, P.O. Box 42601 – 00100 Nairobi, Telephone: 020-2088469, 020-2131560 Email:
[email protected] / Website: www.hcda.or.ke
HORTICULTURE PRODUCERS MARKETING AGENT REGISTRATION
(MIDDLEMEN/BROKERS)
REQUIREMENTS
1. Identification Card (ID copy)
2. Two (2) coloured passport size photos
3. P.I.N (copy)
4. Certificate of Good Conduct from Kenya Police (attach a certified copy)
5. Certified Copies of Relevant Certificates on Good Agricultural Practices and Produce Post
Harvest Handling
6. Copy of Production Schedule
7. Copy of Receipt for seed acquisition for vegetables
8. Access to horticulture produce handling facilities and appropriate transport
9. A contract to supply produce to a registered exporter, processor, shipchandler or a retail
outlet (attach a certified copy)
10. Farmer/s information (PS 1 and PS 2) attached
11. Copy of ID/s of farmer/s
12. KShs:5,000/= registration fee and KShs:500/= for the agent badge
AGRICULTURE, FISHERIES AND FOOD AUTHORITY
HORTICULTURAL CROPS DIRECTORATE
Nairobi Horticultural Centre next to JKIA, P.O. Box 42601 – 00100 Nairobi, Telephone: 020-2088469, 020-2131560 Email:
[email protected] / Website: www.hcda.or.ke
COMPANY PRODUCTION SCHEMES (COMPANY OWNED FARM)
me:
tatus (body)
Physical business location:
GGN Number:
Box:
ame
E-mail:
Date:
farm (s) details
Crop Production details
farm reference
Farm
Traceability Code
County
Location
Crop
(provide information for
each crop)
Area (acre)
Production (MT)
……………………………….Signature:……………………………………… Stamp ________________
AGRICULTURE, FISHERIES AND FOOD AUTHORITY
HORTICULTURAL CROPS DIRECTORATE
Nairobi Horticultural Centre next to JKIA, P.O. Box 42601 – 00100 Nairobi, Telephone: 020-2088469, 020-2131560 Email: md.hc
Form PSII
SPONSORED PRODUCTION SCHEMES SMALLHOLDER FARM(S)
Exporter / Agent’s name(Tick appropriately):
Physical business
Address: P.O. Box:
E-mail:
Phone No.
Date:
Farmer’s details
farm (s) details
Crops
No
Name of farmer
group(If applicable)
NOTE:
Farmer
Name
Trace code
Mobile No.
County
Location
(provide
information for
each crop)
KINDLY ATTACH DULY SIGNED CONTRACTS FOR EACH OF FARMER INDICATED ABOVE
HORTICULTURAL CROPS DIRECTORATE
KAJIADO
8/01/2016
To: The Head of Directorate,
From: Horticultural Crops Directorate Kajiado
Dear Sir,
RE: KAJIADO 4TH QUARTELY REPORT
Attached, please find 4th quarter 2015 (Oct Nov& Dec) report for the Kajiado station for
your perusal and recommendation.
Irene Munyoki
Kajiado Station