Information on the Applicant

Company Name:

Street:

Zip Code, City:	,

Province/State:

Country:

VAT Number.:

Name, first name of responsible person:	,

Phone:	Mobile:

E-mail:

Company and Activity Profile

Please describe your company in keywords:

Please describe in keywords your trade activities relevant for GOTS:

Annual turnover with GOTS certified products: €

Pease note:	As a Registered Retailer (B2B) your annual turnover with GOTS products may not exceed

€ 20,000.00! If you exceed the turnover limit, you must carry out your own certification	according to the GOTS standard.

own GOTS certification is aspired

own GOTS certification is not aspired

,	____________________________________________

Place,	Date	Signature

To be completed by Kiwa BCS

Application reviewed and approved.

________________________ _______________________	Nuremberg, _________________

Name Signature	Date