Milling License

SRA application form for Milling license

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Date:
SUGAR REGULATORY ADMINISTRATION
Sugar Center Building
North Avenue, Diliman
Quezon City 1101 Philippines
Gentlemen:
Pursuant to SRA Sugar Order No. 8, dated 23 July 1992, series of 1991-1992, I HEREBY
APPLY for the issuance of license to manufacture centrifugal sugar for the Crop Year
. For this purpose, I hereby set forth the following information:
1. Mill Company Name:
2. President:
3. Millsite Address:
Fax Number:
Telephone Number:
4. Metro Manila Office Address:
Fax Number:
Telephone Number:
5. We are owners/not owners (circle one) of the mill we operate. (If not owners,
submit documents pertinent to right or authority from owner to operate sugar mill).
a. MOA/Contract of Lease
b. Surety/Cash Bond
6. Enclosed herewith are latest copies of each of the mill company's business papers:
Number and Date
a. Mayor's Permit (Millsite)
b. DTI Registration
c. SEC Registration
( Enclosed latest copy of Articles of Incorporation)
d. CDA Registration for Cooperative
e. Tax Payer Identification Number (TIN)
f. Email Address
I HEREBY CERTIFY that the above-information are correct, and I AGREE that the
same be examined and verified by SRA whenever necessary, and to submit reports
regularly, as maybe required by the SRA.
Further, I understand that SRA may cause the suspension, cancellation or
revocation of the MILLING LICENSE or the imposition of a fine, or both, for nonobservance or violation of the conditions imposed by SRA Sugar Order No. 8 dated 23
July 1992, Series of 1991-1992 and pertinent SRA rules and regulations.

President
( Signature over Printed Name)
SUBSCRIBED AND SWORN to before me this
day of
affiant exhibited to me his/her Community Tax Certificate No.
at

Doc. No.
Page No.
Book No.
Series of

issued on

MILLING LICENSE QUESTIONNAIRE
CROP YEAR 2018-2019
A. Production (2017-2018)
1. Cane Milled Gross
2. Average Daily Grinding
3. Sugar Due Cane
4. Actual Sugar Manufactured
5. Average Daily Production
6. Average Pol of Raw Sugar
7. Total Time Elapsed
8. Total Purchased Power

TC
TC
LKg.
LKg.
LKg.
Hrs.
Kw/Hr.

9. Bunker Fuel Consumption
10. Area Harvested
a. Plant Cane Area
b. Ratoon Cane Area

Li

11. Area Irrigated

Has.
M.T.

12. Molasses Production
13. End-of-Year Sugar Stock
B. Production Estimates (2018-2019)
1. Total Area Planted
Plant Cane Area
a.
Ratoon Cane Area
b.
2. Estimated Cane Tonnage
3. Estimated Sugar Production
4. Estimated Molasses Production
5. Rated Capacity
6. Start of Milling
7. Estimated End of Milling
8. Milling Participation
a. Planter's Share
b. Mill share
C. Technical Information
1. Work Force
a. Permanent
b. Seasonal
2. Warehouse Capacity
a. Millsite
b. Subsidiary
WH#1
WH#2
3. Molasses Tank Capacity
4. Number of Boilers
5. Total Capacity of Boilers
6. Average Operating Pressure of Boilers
7. No. of Turbo-Generators (TG)
8. Total Capacity of TG
9. Description of Air Pollution Control
Device
10. Capacity and Description of Waste
Water Treatment Facility

Has.
Has.

LKg.

Has.
Has.
TC
Lkg.
M.T.
TC/D

LKg.
LKg.
LKg.
M.T.
T/Hr.
Kg/Cm.
KW.

11. ISO or Related Certifications
12. Factory Manager
13. Chief Chemist/Head, QA
14. Pollution Control Officer
15. Safety Officer
Prepared by: Mill Company
Resident Manager
Date
FM-REG-LMD-006 Rev.00
Effectivity Date:March 12, 2015

CROP ESTIMATE
CY 2018-2019
1.

Preliminary Crop Estimate
All mill companies shall submit not later than 31st day of July 2018 their
Preliminary Crop Estimate for Crop Year 2018-2019, stating therein the reasons for
the expected increase or decrease in comparison with the previous crop year.
Name of Mill Company:
Date of Crop Estimate :
Date Expected to Start Milling:
Date expected to Finish Milling:
Total Estimate:
Tons Cane

M. T.

Raw Sugar

M. T.
LKg.

Area Planted, For CY 2017-2018 (Present Crop Year)
Plant Cane
Ratoon Cane
2.

Has.
Has.

Final Crop Estimate
The Final Crop Estimate shall be submitted to the SRA, North Avenue,
Diliman, Quezon City, not later than 30th day of September 2018 and shall show
therein reasons for the increase or decrease from the Preliminary Estimate.
I hereby certify that the above Crop Estimate is based on historical records or
sound projection based on available data/records duly verified and that any willful
and deliberate misrepresentation of entries, herein stated shall constitute a ground
for the suspension, cancellation, or revocation of the Milling/Refining License or
imposition of a fine, or both, by SRA.

SUBSCRIBED AND SWORN to before me this
day of
exhibited to me his/her Community Tax Certificate No.
at

Doc. No.
Page No.
Book No.
Series of
By:
Printed Name & Signature

Position/Designation

; affiant
issued on

UNDERTAKING

KNOW ALL MEN BY THESE PRESENTS:

(Name of Company/Corporation/Cooperative)

with office address and principal place of business at

hereby undertakes to faithfully abide and comply with all the Sugar Orders/ Circulars/
Rules and Regulations and other issuances of the Sugar Regulatory Administration; to allow
SRA authorized representative's to inspect my/our warehouse's anytime of the day; and
that I/We shall be held administratively liable for any violation thereof. This is without
prejudice to criminal or civil liability, if any, under existing laws.
Furthermore, SRA may, for just cause suspend/ cancel/ revoke/ terminate at anytime
my/our license or impose a fine, or both, for violation of pertinent SRA rules and
regulations.
day of

IN WITNESS WHEREOF, I have hereunto set my hand this
, Philippines.
, at

(Name of Company/ Corporation /Cooperative)

By:
(Name/Signature /Position)
(Signature over Printed Name or person duly authorized for this purpose)

SUBSCRIBED AND SWORN to before me this
day of
exhibited to me his/her Community Tax Certificate No.
at

; affiant
issued on

Doc. No.
Page No.
Book No.
Series of

FM-REG-LMD-005 Rev.00
Effectivity Date:March 12, 2015