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Application for Meat Product Accreditation
NMIS application form for meat product registration
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Department of Agriculture
NATIONAL MEAT INSPECTION
Visayas Avenue, Diliman, Quezon City
APPLICATION FOR MEAT PRODUCT REGISTRATION
I. TYPE OF APPLICATION
A. Initial
B. Local
Renewal CPR No. ____________
Imported
Re‐application
Number of Validity years applied for 2 years
5 years
II. COMPANY PROFILE
Company Name: _______________________________________________________
Address :
_______________________________________________________
_______________________________________________________
Contact Person/Position: _________________________________________________
Telephone / Fax No:
_________________________________________________
Accredited as:
Accreditation No.
Expiration Date:
Meat Establishment ________________
_________________________
Importer
________________
_________________________
Distributor
________________
_________________________
Wholesaler
________________
_________________________
III. PRODUCT INFORMATION
Brand Name and Product Name : ___________________________________________
___________________________________________
___________________________________________
Name of Manufacturer: _________________________________________________
Name of Repacker:
_________________________________________________
Name of Importer:
_________________________________________________
Name of Distributor:
_________________________________________________
IV. DATE OF APPLICATION : ________________________
V. DATE RECEIVED : ______________________________
Submitted by:
Signature over Printed Name
(Authorized representative of company)
Received by:
Signature over Printed Name
(NMIS)
