Application Form For Financial Assistance for Establishment / Strengthening of Codex Cell 1. Name of the Organization Complete Address Tel. No. Fax No. 2. Type of Organization (Central/State Government Organizations, IITs, Universities, Co-op. Society/individual/NGO/others (specify). 3. Main activities of the Organization 4. Background/experience of the organization in the field of establishment Of food standards or related activities (The details of The last three years supported by documents) 5. Organizational structure giving details of the technical per-sons/ Facilities available for the same purpose. 6. Details of infrastructural facilities available such as access to Internet, etc. 7. Objective/Purpose of strengthening/establishment of Codex Cell 8. Benefits from the proposed Codex Cell. 9. Details of Project cost (Cost of equipments/......) 10. Fund requirement from MFPI 11. Implementation schedule (Bar chart/Milestone chart) 12. Previous activities conducted by the organization. Please Furnish a copy of best report with following details: Subject of Organization Year Amount Activity for which done received 53 54 13. Assistance already Component/ Amount Year Availed from MFPI activity for which (Rs.) (Give name of the assistance was Scheme) taken 14. Please indicate briefly the capabilities of the organization to con-duct The event leading to logical conclusions/recommendations For the benefit of processed food sector. Place: Authorized Signatory Date: Name (block letters) Designation (with special seal of organization/individual) Declaration 1. I/We accept the terms and conditions of the financial assistance Schemes of MFPI 2. I/we understand that it is open to MFPI to prescribe additional Terms and conditions at the time of approval of request and accept That my/our acceptance of a letter of approval explicitly Implies acceptance of such additional terms and conditions in Addition to any others that may have been agreed to the course Of correspondence. 3. I/we declare that the information given in the application is correct. I/We further declare that I/We have filled up the application Form and all necessary documents are furnished herewith For processing the financial assistance claim as per the check list Of the respective scheme. Place: Authorized Signatory Date: Name (block letters) Designation (with special seal of organization/individual) Declaration This is to certify that the (Name of the organization) has not Implemented Food Safety/Quality Management Systems such as HACCP/GMP/GHP/ISO9000 etc. before the date of submitting the Application to MFPI for financial assistance for the proposed activities. Place: Authorized Signatory Date: Name (block letters) Designation (with special seal of organization/individual) 55 56
