Email To: Or Fax To: (973) 201-0320

Email to: [email protected] or Fax to: (973) 201-0320

Thank you for your interest in BM TRADA Certification. Information provided in this questionnaire will be used to prepare a proposal detailing Supply Chain Certification. A BM TRADA Certification representative may contact you if further information is required. If you have any questions regarding this form or our services, please contact us.

BM TRADA Certification shall keep confidential all information relating to your organization and shall not disclose any such information to any third party except that required by law or by BM TRADA Certification’s accreditation bodies.

Company Information Company Legal Name (as it should appear on the certificate)dTrading Trading As Names (any other names company does business as, and should al so appear on the certificate)

Address (Please provide company address as you would like it to appear on your Billing Address / Contact (if different) certificate)

Check appropriate box: Individual/Sole Proprietor Corporation Partnership LLC Employee Count:

Other: Contact Person: Email: Telephone:

Fax: Position Website

In which Standards are you interested ? (please check all that apply) RSPO Supply Chain RSPO Red Certification GreenPalm

What Type of Services Can We Offer? Transfer from Change of Scope Certification New Certification another Certification (locations,standards, activities) Renewal Body

Do you want more than one site in your supply chain certification Yes No

Total number of sites to be certified

Address of the office from which your RSPO supply chain system is controlled and administered if it differs from above:

Please provide below the details for the additional sites to be included in your RSPO Certification Address and contact Site Activity Employee Count Separate Legal Entity?

Are any of the activities within your scope outsourced / subcontracted? Yes No If yes, please provide the following information:

Company Name City/State/Province Type of Service How often are they RSPO certified? (storage, packing etc.) used (weekly/monthly) Supply chain model implemented: Identity Preserved