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 Form PS I COMPANY PRODUCTION SCHEMES (COMPANY OWNED FARM)

Company name: Physical business location: Certification Status (body) GGN Number: Address: P.O. Box: E-mail: Phone No. Date:

farm (s) details Crop Production details Crop farm reference Area (acre) (provide Production (MT) N Farm County Location information farm name o Traceability Code for each crop)

Name:………………………………………. 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: [email protected] / Website: www.hcda.or.ke

Form PS II SPONSORED PRODUCTION SCHEMES SMALLHOLDER FARM(S)

Exporter / Agent’s name(Tick appropriate ly): Physical business location: Address: P.O. Box: E-mail: Phone No. Date:

Farmer’s farm (s) details details crop production details Crops Name of (provide farmer Farmer Production No Trace code Mobile No. County Location information Area (acre) group(If Name (MT) Certification Status applicable) for each crop)

NOTE: KINDLY ATTACH DULY SIGNED CONTRACTS FOR EACH OF FARMER INDICATED ABOVE