Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Indicate the name reflected to the Security and Exchange Commission (SEC) and/or Department of Trade and Industry (DTI) Business Permit.
If cooperative, indicate the name as provided for in the registration with the Cooperative Development Authority (CDA).
3 Correspondence Address
Specify the exact address where correspondence regarding the certification will be sent to.
Street and No.: P.O. Box:
Subdivision: Province :
City: Postal Code:
Phone: Fax: Email:
4 Address and Farm size
For farm applicants with multiple production site, indicate the address (specify the barangay and town)
and size for each site (use additional sheet if necessary).
Address for Farm 1 :
Size of Farm 1 :
Address for Farm 2 :
Size of Farm 2 :
Address for Farm 3 :
Size of Farm 3:
5 Types of Crops Grown
Only crops grown and made for sale should be indicated. Approximate quantity harvested per year must be expressed in amount of produced per
unit of the area planted (use additional sheet if necessary).
The farm management is committed to good farming practices and to the safety of its
produce for supply to consumers, and in maintaining a high standard of quality in its
production. All measures were taken to fully implement the farm in Philippine Good
Agricultural Practices (PhilGAP) program. I hereby support to adopting and implementing the
PhilGAP standards.
I hereby consent to all the requirements as needed by the inspection body. All
information shall remain confidential at all times, unless prohibited by law. The information
above and those that are seen in the succeeding attachments are hereby certified true and
correct.
Date : __________________________________