Application for derogation to use non-organic starting material

Application for derogation to use non-organic starting materialSolicitud para permiso de uso de material inicial no orgnicoClient name Nombre de la empresa

Client number Cdigo de clienteCode of form:Cdigo de formulario:

I would like to ask the approval of Control Union Certifications to use the following starting materials:Deseo solicitar la aprobacin de Control Union Certifications para usar los siguientes materiales iniciales:CropCultivoVarietyVariedadQuantity(kg/piece)Cantidad(Kg/unidad)Date of sowing/plantingFecha de siembraField/unit numberUnidad de campoSupplierProveedor

Treatments El material ha sido tratado?Yes/NoSI/NO

Details/ Explique

Non-GMO documentation availableDocumentacinque indique Libre de Modificacin Gentica disponible Yes/NoSI/NOAttachedAdjuntarYes/NoSI/NO

REASONS FOR ASKING DEROGATION:Razones por las que solicita permiso

Organic starting material for the crop is not availableEl material orgncio no est disponible Yes/NoSI/NO

Explanation (What efforts have been made to obtain organic? Which database/supplier was checked? Include contact details of suppliers)Explique (Qu esfuerzos se han hecho para obtener semilla orgnica? Qu base de datos/proveedores revis y busc? Incluir informacin para contactar a los proveedores)

Organic starting material is available, but varieties not suitableEl material orgnico es disponible, pero las variedades no son adecuadas.Yes/NoSI/NO

Explanation (Why the organic varieties are not suitable?):Explique (Por qu las variedades no son adecuadas?

No supplier is able to deliver the starting material before sowing or planting Ningn proveedor es capaz de entregar el material antes de sembrar o plantar

Yes/NoSI/NO

Explanation (When was ordered? Which suppliers were asked?): Explique (cundo fue pedido el material? Qu proveedores se contactaron?

It is for use in research, test in small-scale field trials or for variety conservation purposesEs para usar en investigacin, pruebas en pequea escala, ensayos de campo o para propsitos de conservacin de la variedad.

Yes/NoSI/NO

Details:Explique:

Other:Otro:

I declare that this form is filled in truthfully and that I will notify Control Union Certifications in due time if any changes occur in the issues described in this form.Declaro que la informacin escrita en este formulario es verdica y que notificar en un tiempo prudencial a Control Union Certifications de cualquier modificacin a lo declarado en este formulario.

Representative of client:Nombre del representante:

Signature:Firma: Date:Fecha:

CU OFFICE USE ONLY Slo para uso official de CU

Approved/not approved by:Aprobado / No aprobado por:Date:Fecha:

Reasons/Conditions:Razones/Condiciones:Signature:Firma:

PLEASE READ THE FOLLOWINGSPOR FAVOR LEER LO SIGUIENTE:As a result of the current EU regulation derogation should be obtained from the certification body before any non-organic starting material is sowed/ planted. Como resultado de la regulacin EU vigente, debe solicitarse un permiso a la certificadora antes de sembrar o plantar cualquier material inicial no orgnico.To obtain derogation, please fill out this form and send to your Control Union Branch Office before purchasing the starting material (grey areas to be filled in by Control Union Certifications).Para obtener el permiso por favor llene el siguiente formulario y envelo a nuestra oficina Control Union local antes de comprar el material inicial (las reas en gris sern llenadas por Control Union Certifications).Use of non-organic starting material is only allowed, when Control Union Certifications gives its approval on this form.El uso de material inicial no orgnico slo se permite, cuando Control Union Certifications da la aprobacin de este formulario.Please make sure that you send this form in reasonable time to your Control Union Certifications Branch Office.Por favor asegrese de enviar este formulario en un tiempo razonable a nuestra Oficina Control Union Certifications local.The derogation must be granted by Control Union Certifications before the sowing/planting of the crop.The derogation can be granted only to individual users.The derogation can be granted only for one season at a time.El permiso deber ser dado por Control Union Certifications antes de sembrar o plantar el cultivo.El permiso puede ser dado solo a los usuarios individuales.El permiso se emite solo por una campaa.Sowing/planting non-organic starting material without having an approved derogation may result in decertification of the crop involved.Sembrar/plantar un material inicial no orgnico sin tener un permiso aprobado puede resultar en la cancelacin de la certificacin del cultivo comprometido.Please also check our website at www.controlunion.com/certification for further amendments of the regulation.Por favor revisar nuestra pgina web en www.controlunion.com/certification para futuros cambios en la regulacin.Additional for Serbian organic: if derogation requested, because: a) the organic propagation material of that variety of that crop is not available or b) for use in research, the approval of the Serbian Ministry is needed.Polish organic: derogation can only be accepted by the Polish Ministry.Adicional para Orgnico en Servia: si el pedido de derogacin es debido a: a) el material de propagacin o la variedad del cultivo no est disponible o b) para uso en investigacin, se necesita la aprobacin del Ministerio Serbio.Orgnico en Polonia: la derogacin solo puede ser aceptada por el Ministerio Polaco.ORGAPPDER.F01 (05) 1/2