Prakas on Procedures for Issuance of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives

KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 Ministry of Agriculture, Forestry and Fisheries 3 No. 223 Pr.K.KSK PRAKAS ON PROCEDURES FOR ISSUANCE OF PERMIT AND MANAGEMENT OF TRADE, PRODUCTION AND MIXING OF ANIMAL FEEDS, RAW MATERIALS OR ADDITIVES 3 The Minister of Agriculture, Forestry and Fisheries Having seen the Constitution of the Kingdom of Cambodia; Having seen Royal Decree No. NS / RKT / 0918/925, dated 06 September 2018 on the Appointment of the Royal Government of the Kingdom of Cambodia; Having seen Royal Kram No. NS / RKT / 0618/012, dated 28 June 2018, promulgating the Law on the Organization and Functioning of the Council of Ministers; Having seen Royal Kram No. NS / RKM / 0196/13, dated 24 January 1996, promulgating the Law on the Establishment of the Ministry of Agriculture, Forestry and Fisheries; Having seen Royal Kram No. NS / RKM / 0116/003, dated 28 January 2016, promulgating the Law on Animal Health and Production; Having seen Sub-Decree No. 17 ANKr.BK, dated 7 April 2000, on the Organization and Functioning of the Ministry of Agriculture, Forestry and Fisheries; Having seen Sub-Decree No. 105 ANKr.BK dated Aug 22, 2005 on Assignment of Additional Tasks to the Ministry of Agriculture, Forestry and Fisheries and the establishment of the Department of Internal Audit, Department of Planning and Statistics, Department of International Cooperation and Center for Agriculture Information and Documents under the Ministry of Agriculture, Forestry and Fisheries; Having seen Sub-Decree No. 188 OrNorKror.BorKor dated 14 November 2008 on Transformation of the General Directorate of the Ministry to the General Secretariat, Upgrading of the Forestry Administration and Fisheries Administration to the level of General Directorate, Upgrading of the Department of Agronomy and Soil Improvements to the General Directorate of Agriculture, and Transformation of the General Directorate of Rubber Plantation to the General Directorate of Rubbers under supervision of the Ministry of Agriculture, Forestry and Fisheries; Having seen Sub-Decree No. 224 ANKr.BK, dated 28 October 2016, on the Upgrading of the Department of Production and Veterinary to the General Department of Animal Health and Production; Having seen Sub-Decree No. 81 ANKr.BK, dated 21 June 2019, on the Revision of Article 2, Article 25, Article 26 and Article 35 of Sub-Decree No. 188 ANKr.BK, dated 14 November 2008, and the new Article 17 of the Sub-Decree No. 118 ANKr.BK, dated 26 July 2017; Having Seen the Joint Prakas No. 1013 SorHorVor.BrorKor dated 28 December 2012 of the Ministry of Agriculture, Forestry and Fisheries and the Ministry of Economy and Finance on Provision of Public Services; Having seen Prakas No. 051 Pr.K, dated 16 January 2018, on Procedures and Required Standards for Registration of Animal Feeds, Raw Materials or Additives; According to the necessity of the Ministry of Agriculture, Forestry and Fisheries; Decides: CHAPTER 1 GENERAL PROVISIONS ARTICLE 1 . This Prakas aims to define the procedures for the issuance of permit and management of trade, production and mixing of all kinds of animal feeds, raw materials or additives. ARTICLE 2 . This Prakas aims to: Ensure the quality, hygiene, safety, and standards of all kinds of animal feed, raw materials or additives; Ensure the effectiveness in the management of importation, exportation, transit, production, mixing, repackaging, stockpiling, supplying, distribution, wholesaling, retailing, transportation, advertisement and professional qualification in trading all kinds of animal feeds, raw materials or additives; Protect animal and human health, and animal well-being; Protect the interests of consumers and the environment. ARTICLE 3 . This Prakas applies to all activities related to the issuance of permit and management of trade, production, and mixing of all kinds of animal feeds, raw materials or additives in the Kingdom of Cambodia. CHAPTER 2 PROCEDURES FOR THE GRANT OF PERMIT Section 1 IMPORTATION, EXPORTATION AND TRANSIT ARTICLE 4 . Natural persons or legal entities intending to import, export, or transit all kinds of animal feeds, raw materials or additives shall apply for a permit at the General Department of Animal Health and Production. Natural persons or legal entities applying for a permit for importation, exportation and transit of animal feeds, raw materials, or additives of all kinds shall complete the application form and provide a complete set of documents as required in the application form. A sample of the application form for the permit importation, exportation and transit of all kinds of animal feeds, raw materials, or additives are set out in Annex 1 of this Prakas. ARTICLE 5 . The General Department of Animal Health and Production shall review and evaluate the application form of an applicant. In case if it is found that the application dossier is correct and complete in accordance with the procedures, the General Department of Animal Health and Production shall request for the decision principle from the Ministry of Agriculture, Forestry and Fisheries. Based on the approval principle from the Ministry of Agriculture, Forestry and Fisheries, the General Department of Animal Health and Production shall issue the applicant a permit for importation, exportation and transit of all kinds animal feeds, raw materials or additives. The process for the review of an application submitted by a natural person or legal entity shall take thirty (30) days from the date of receipt of a complete and correct application. A sample of the permit for importation, exportation and transit of animal feeds, raw materials, or additives of all kinds are set out in Annex 2 of this Prakas. ARTICLE 6 . A permit for importation, exportation and transit of all kind of animal feeds, raw materials or additives shall be valid for one (1) year, unless it is revoked or suspended before the expiration date. Section 2 PRODUCTION, MIXING AND RE-PACKAGING ARTICLE 7 . Natural persons or legal entities intending to produce, mix, or repackage animal feeds, raw materials or additives of all kinds shall apply for a permit from the General Department of Animal Health and Production. Natural persons or legal entities applying for a permit to produce, mix, or repackage animal feeds, raw materials or additives of all kinds shall complete the application form and provide a complete set of documents as required in the application form. A sample of the application form for the permit for the production, mixing or re-packaging of animal feeds, raw materials or additives of all kinds are set out in Annex 3 of this Prakas. ARTICLE 8 . The General Department of Animal Health and Production shall review and evaluate the applicant's file and assign the Animal Health and Production Inspector to inspect and evaluate the location and processes of production, mixing or re-packaging. In case where the application is correct and complete in accordance with the procedures and concrete reports of the Animal Health and Production Inspector, the General Department of Animal Health and Production shall request a decision principle from the Ministry of Agriculture, Forestry and Fisheries. Based on the approval principle from the Ministry of Agriculture, Forestry and Fisheries, the General Department of Animal Health and Production shall issue the applicant the permit for production, mixing or re-packaging of animal feeds, raw materials or additives of all kinds. The process for the review of an application submitted by a natural person or legal entity shall take forty-five (45) days from the date of receipt of a complete and correct application. A sample of the permit for production, mixing or re-packaging of animal feeds, raw materials or additives of all kinds are set out in Annex 5 of this Prakas. ARTICLE 9 . A permit for production, mixing or re-packaging of animal feeds, raw materials or additives of all kinds shall be valid for five (5) years, unless it is revoked or suspended before the expiration date. Natural persons or legal entities shall apply for renewal of the permit for production, mixing or repackaging of animal feeds, raw materials or additives of all kinds not less than six (6) months before the expiration date for the General Department of Health Animals and Production to review and re-evaluate. The sample of the application form for renewal of the permit for the production, mixing or repackaging of animal feeds, raw materials or additives of all kinds are set out in Annex 4 of this Prakas. Section 3 STOCKPILLING ARTICLE 10 . Natural persons or legal entities that import, export, produce, mix, repackage and supply or distribute all kinds of animal feed, raw materials or additives in the Kingdom of Cambodia shall have warehouses. The natural persons or legal entities shall apply for a warehouse registration certificate from the General Department of Animal Health and Production. Natural persons or legal entities applying for a warehouse registration certificates for stockpiling animal feeds, raw materials or additives of all kinds shall complete the application form and provide a complete set of documents as required in the application form in accordance with the procedures for registration. The General Department of Animal Health and Production shall assign an Animal Health and Production Inspector to inspect and evaluate the location of the requested warehouse in accordance with the procedures for registration. A sample of the application form for the warehouse registration certificate for stockpiling of animal feeds, raw materials or additives of all kinds for supply and distribution in the Kingdom of Cambodia is set out in Annex 6 of this Prakas. ARTICLE 11 . The General Department of Animal Health and Production shall review and evaluate the application form of an applicant. In case the application is correct and complete, in line with the inspection and evaluation report of the competent Animal Health and Production Inspector, in accordance with the technical standards and procedures for registration, the General Department of Animal Health and Production shall issue a warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds to the applicant. The process for the review of an application submitted by a natural person or legal entity shall take forty-five (45) days from the date of receipt of a complete and correct application. A sample of the warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds for supplys and distribution in the Kingdom of Cambodia is set out in Annex 7 of this Prakas. ARTICLE 12 . A warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds for supply and distribution in the Kingdom of Cambodia shall be valid for five (5) years, unless it is revoked or suspended before the expiration date. Natural persons or legal entities shall apply for renewal of the warehouse registration certificates for stockpiling animal feeds, raw materials or additives of all kinds at least three (3) months before the expiration dates. ARTICLE 13 . Natural persons or legal entities intending to supply- distribute animal feeds, raw materials or additives of all kinds in the municipalities/provinces shall have a warehouse. Natural persons or legal entities shall apply for the warehouse registration certificate at the Office of Animal Health and Production of the concerned Municipal/Provincial Department of Agriculture, Forestry and Fisheries. Natural persons or legal entities applying for the warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds shall complete the application form and provide a correct and complete set of documents as required in the application form. The Office of Production and Veterinary shall request its respective Municipal/Provincial Department of Agriculture, Forestry and Fisheries to assign a competent Animal Health and Production Inspector to inspect and evaluate the location of the requested warehouse in accordance with the procedures for registration. A sample of the application form for the warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds for supply-distribution in the municipalities and provinces is set out in Annex 8 of this Prakas. ARTICLE 14 . The Municipal/Provincial Office of Production and Veterinary shall review and evaluate the application filed by the applicant. In case where the application is correct and complete, in line with the warehouse location evaluation report by the competent Animal Health and Production Inspector, in accordance with the technical standards and procedures, the Municipal/Provincial Office of Production and Veterinary shall request for decision principle from its respective Municipal/Provincial Department of Agriculture, Forestry and Fisheries. Based on the approval principle of the Municipal/Provincial Department of Agriculture, Forestry and Fisheries, the relevant Municipal/Provincial Office of Production and Veterinary shall issue a warehouse registration certificate for stockpiling animal feeds, raw materials, or additives, with a serial number provided by the Municipal/Provincial Department of Agriculture, Forestry and Fisheries. The process for the review of an application submitted by a natural person or legal entity shall take forty-five (45) days from the date of receipt of a complete and correct application. The sample of the warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds for supplies and distribution in the municipal/provincial territories is set out in Annex 9 of this Prakas. ARTICLE 15 . A warehouse registration certificate for stockpiling animal feeds, raw materials or additives of all kinds for supply and distribution in the municipal/provincial territories shall be valid for five (5) years, unless it is revoked or suspended before the expiration date. Natural persons or legal entities shall apply for renewal of the warehouse registration certificates for stockpiling animal feeds, raw materials or additives of all kinds no less than three (3) months before the expiration dates. Section 4 Supply, DISTRIBUTION AND WHOLESALE/RETAIL ARTICLE 16 . Natural persons or legal entities intending to supply and distribute animal feeds, raw materials or additives of all kinds in the municipalities or provinces of the Kingdom of Cambodia shall apply for a permit for supply and distribution from the General Department of Animal Health and Production. Natural persons or legal entities applying for permit for supply and distribution of animal feeds, raw materials or additives of all kinds shall complete the application form and provide a complete set of documents as required in the application form. A sample of the application form for the permit for supply and distribution of animal feeds, raw materials or additives of all kinds is set out in Annex 10 of this Prakas. ARTICLE 17 . The General Department of Animal Health and Production shall review and evaluate the filed application of an applicant. In case where the application is correct and complete in accordance with the procedures, the General Department of Animal Health and Production shall issue a permit for supply and distribution of animal feeds, raw materials or additives of all kinds, to the applicant. The process for the review of a filed application shall take thirty (30) days from the date of receipt of a complete and correct application form. A sample of the permit for supply and distribution of animal feeds, raw materials or additives of all kinds is set out in Annex 11 of this Prakas. ARTICLE 18 . A permit for supply and distribution of animal feeds, raw materials or additives of all kinds shall be valid for one (1) year, unless it is revoked or suspended before the expiration date. ARTICLE 19 . Natural persons or legal entities intending to wholesale or retail animal feeds, raw materials or additives of all kinds in the municipalities or provinces shall apply for a permit to wholesale retail at the Office of Animal Health and Production of the concerned Municipal/Provincial Department of Agriculture, Forestry and Fisheries. Natural persons or legal entities applying for a permit to wholesale-retail animal feeds, raw materials or additives of all kinds shall complete the application form and provide a correct and complete set of documents as required in the application form. A sample of the application form for the permit to wholesale/retail of animal feeds, raw materials or additives of all kinds is set out in Annex 12 of this Prakas. ARTICLE 20 . The Office of Production and Veterinary of the Municipal/Provincial Department of Agriculture, Forestry and Fisheries shall review and evaluate a filed application of an applicant. In case where the application dossier is correct and complete in accordance with the procedures, the Office of Production and Veterinary shall make a request for a decision principle from its respective Municipal/Provincial Department of Agriculture, Forestry and Fisheries. Based on the approval principle of the Municipal /Provincial Department of Agriculture, Forestry and Fisheries, the concerned Municipal Provincial Office of Production and Veterinary shall issue a permit to wholesale-retail animal feeds, raw materials or additives of all kinds, with a serial number provided by Municipal/Provincial Department of Agriculture, Forestry and Fisheries, to the applicant. The process for the review of an application submitted by a natural person or legal entity shall take thirty (30) days from the date of receipt of a complete and correct application form. A sample of the permit to wholesale-retail animal feeds, raw materials or additives of all kinds is set out in Annex 13 of this Prakas. ARTICLE 21 . A permit to wholesale-retail animal feeds, raw materials or additives of all kinds shall be valid for one (1) year, unless it is revoked or suspended before the expiration date. CHAPTER 3 PROCEDURES FOR THE MANAGEMENT OF TRADE, PRODUCTION AND MIXING OF ANIMAL FEEDS, RAW MATERIALS OR ADDITIVES Section 1 IMPORTATION AND EXPORTATION ARTICLE 22 . Natural persons or legal entities engaged in the operation of importing or exporting animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall possess a permit to import-export; 2. Shall possess a registration certificate for of animal feed, raw materials or additives of all kinds; 3. Shall possess certificate of quality analysis from the country / factory of origin; 4. Shall possess a list of names of animal feeds, raw materials or additives of all kinds from the country / factory of origin for import and export; 5. Shall possess a warehouse registered by the General Department of Animal Health and Production for stockpiling animal feeds, raw materials or all kinds of additives; 6. Shall have technical staff with a bachelor or higher degree in animal science or equivalent recognized by the Ministry of Agriculture, Forestry and Fisheries; 7. Shall ensure safety of the transportation of animal feeds, raw materials or additives of all kinds in accordance with the requirements stated in Article 28 of this Prakas; 8. Shall have a contract on importation-exportation signed between the concerned natural person or legal entity and the General Department of Animal Health and Production. 9. Shall submit a declaration to the General Department of Animal Health and Production for review by an assigned competent Animal Health and Production Inspector . Section 2 TRANSIT ARTICLE 23 . Natural persons or legal entities engaged in the operation of transiting animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall possess a permit for transit; 2. Shall possess a list of names of animal feeds, raw materials or additives of all kinds for transit from the country of origin. 3. Shall have a contract on transit of animal feeds, raw materials or additives, signed between the concerned natural person or legal entity and the General Department of Animal Health and Production. 4. Shall ensure safety of transportation of animal feeds, raw materials or additives of all kinds in accordance with the requirements as stated in 1, 2, 3, 4 and 7 of the Article 28 of this Prakas and shall ensure that the safety seal is not broken. Section 3 PRODUCTION AND MIXING ARTICLE 24 . Natural persons or legal entities engaging in the production and mixing of animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall possess a permit for production and mixing of animal feeds, raw materials or additives of all kinds; 2. Shall possess a certificate of registration of animal feeds, raw materials or additives of all kinds; 3. Shall comply with the standard requirements of the registered animal feed, raw materials or additives of all kinds; 4. Shall fully comply with technical standards, ensure the quality and safety in the production and mixing of animal feeds, raw materials or additives of all kinds; 5. Shall have a product description in Khmer, specifying the trade name, common name, registration number of the product, components and composition doses, dosage and method of use, care, storage, effects, prohibition of use, manufacturing and expiry dates of animal feeds, raw materials or additives of all kinds; 6. Shall have a trade name, common name, registration number, source or country of manufacture, lot number, date of manufacture and expiration, usage in Khmer on the packages of animal feeds, raw materials or additives of all kinds. 7. Shall have a design of the production chain and a name list of materials and equipment employed in the production and mixing of animal feeds, raw materials or additives of all kinds; 8. Shall have an organizational chart of the establishment producing or mixing of animal feeds, raw materials or additives of all kinds; 9. Shall have technical staff with a bachelor or higher degree in animal science or equivalent recognized by the Ministry of Agriculture, Forestry and Fisheries; 10. All activities of production and mixing animal feed, raw materials or additives of all kinds shall be under the supervision and responsibility of technical staff; 11. Shall have the original list, trademarks, service marks, trade names or the authorization letter of the manufacturer, if any. 12. Shall have necessary plans and measures for risk management at the place of production and mixing of animal feeds, raw materials or additives of all kinds; 13. Establishments producing or mixing animal feeds shall have operation and control systems that ensure the quality, efficiency and safety of animal feeds, raw materials or additives of all kinds; 14. Shall submit a declaration to the General Department of Animal Health and Production for assignment of a competent animal health and production inspector to review. Section 4 REPACKAGING ARTICLE 25 . Natural persons or legal entities engaging in the repackaging of animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall possess a permit for repackaging of animal feeds, raw materials or additives of all kinds; 2. Shall possess a certificate of registration of animal feeds, raw materials or additives of all kinds; 3. Shall comply with the standard requirements of the registered animal feeds, raw materials or additives of all kinds; 4. Shall fully comply with technical standards, ensure the quality and safety of the packaging and re-packaging of animal feeds, raw materials or additives of all kinds; 5. Shall have a product description in Khmer, specifying the trade name, common name, registration number, origin of the product, components and composition doses, dosage and method of use, care, storage, effects, prohibition of use, manufacturing and expiry dates of animal feeds, raw materials or additives of all kinds; 6. There shall be a trade name, common name, registration number, source or country of manufacture, lot number, date of manufacture and expiration, usage in Khmer on the packages of animal feeds, raw materials or additives of all kinds; 7. Shall have a list of names of materials, equipment employed in the re-packaging of animal feeds, raw materials or additives of all kind; 8. Shall have an organizational chart of the establishment that repackages animal feeds, raw materials or additives of all kinds; 9. Shall have technical staff holding a bachelor or higher degree in animal science or equivalent recognized by the Ministry of Agriculture, Forestry and Fisheries; 10. All activities of repackaging of animal feeds, raw materials or additives of all kinds shall be under the supervision and responsibility of technical staff; 11. Shall have the original list, trademarks, service marks, trade name or the authorization letter of the manufacturer, if any; 12. Shall have necessary plans and measures for risk management at the establishments that repackage animal feeds, raw materials or additives of all kinds; 13. Establishments that repackage animal feeds shall have operation and control systems that ensures the quality, efficiency and safety of animal feeds, raw materials or additives of all kinds; 14. Shall submit a declaration to the General Department of Animal Health and Production for it to assign a competent animal health and production inspector to undertake inspection. PART 5 STOCKPILING ARTICLE 26 . Natural persons or legal entities that stockpile animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall possess a warehouse registration certificate; 2. Shall possess a certificate of registration of animal feeds, raw materials or additives of all kinds; 3. Shall possess a permit for importation, a permit for production, mixing or repackaging of animal feeds, raw materials or additives of all kinds; 4. There shall be a safety system for stockpiling of animal feeds, raw materials or additives of all kinds, such as warehouse maintenance measures, leakage prevention measures, emergency measures; arrangements by specifications, lots, and piles; and safety measures for expired animal feeds, raw materials or additives; 5. The stock warehouses shall be separated from residential area and work office. 6. There shall be sufficient storing shelves and cooling systems to maintain the temperature in the warehouse in accordance with the technical specifications. 7. Shall have on-duty staff who are trained in animal feeds, raw materials or additives of all kinds; 8. Shall have a record book to record all operations related to animal feeds, raw materials or additives of all kinds as stated in the guidelines on the introduction and implementation of the Record Book of Veterinary Medicines and Animal Feeds of the Ministry of Agriculture, Forestry and Fisheries; 9. To submit a declaration to a specialized entity in charge of production and veterinary for assignment of a competent animal health and production inspector to review. Section 6 SUPPLY-DISTRIBUTION AND WHOLESALE-RETAIL ARTICLE 27 . Natural persons or legal entities engaged in the supply-distribution and wholesale-retail of animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1 Shall possess a license for supplies, distribution and wholesales/retails of animal feeds, raw materials or additives of all kinds; 2. Shall have a certificate of registration of animal feeds, raw materials or additives of all kinds; 3. Shall have a certificate of completion of vocational education for suppliers-distributors and wholesalers-retailers of animal feeds, raw materials or additives of all kinds; 4. shall be prohibited the supply, distribution or wholesale/retail of animal feeds, raw materials or additives of any kind, either not registered or registered without having the registration number or omission of the registration number on the information label or packaging; 5. Shall be prohibited the supply, distribution or wholesale/retail of animal feeds, raw materials or additives of any kind that are registered under the conditions or permits for usage in experiments; 6. shall be prohibited a display for sale of animal feeds, raw materials or additives of all kinds with food and other goods; 7. Shall be prohibited a sales of animal feeds, raw materials or additives of any kind that are counterfeit, ineffective, defective, or expired; 8. Shall have a place for display or storage as technically required in accordance with the information description or instructions on the display for sale of animal feeds, raw materials or additives of all kinds. Section 7 TRANSPORTATION ARTICLE 28 . Natural persons or legal entities transporting animal feeds, raw materials or additives of all kinds shall comply with each of the following technical standard requirements: 1. Shall use transportation mean that ensure the quality and safety of animal feeds, raw materials or additives are not affected; 2. Shall have necessary measures for dealing with any incidents during transportation, and loading and unloading; 3. Shall have a report on transportation and on any irregular activities or incidents that may affect the quality, safety and public health; 4. Shall have a list of names of animal feeds, raw materials or additives of all kinds that are allowed to be transported and stored according to each category for the convenience of the officers of the competent entity in charge of production and veterinary to review; 5. Shall ensure the safety during the transfer of animal feeds, raw materials or additives of all kinds in accordance with technical standards and guidelines; 6. Shall transport animal feeds, raw materials or additives of all kinds by means that ensure that the package of the product is secure, weather-resistant, and does not result to any change in the product’s physical and chemical properties, and easy for trading and consumption; 7. Shall be prohibited any transportation of animal feeds, raw materials or all kinds of additives together with food and other goods. ARTICLE 29 . Natural persons or legal entities intending to transport or circulate animal feed, raw materials or additives of all kinds for domestic supply and distribution shall comply with the technical standards of transportation of animal feeds, raw materials or additives of all kinds and possess a permit for supplies and distribution in accordance with the procedures of the Law on Animal Health and Production and the relevant documents that define the types, quantities and sites, or establishments that accepts the supplies or distribution for a competent Animal Health And Production Inspector to review. Section 8 PUBLICATION AND ADVERTISEMENT ARTICLE 30 . Natural persons or legal entities intending to advertise or publish animal feeds, raw materials and additives of all kinds shall file application for prior approval for the publication and advertisement on animal feeds, raw materials and additives in accordance with the provisions and procedures of the Law on Animal Health and Production. Publications, printed materials, audio-visual materials, presentations, technical guidance for dissemination workshops, technical documents for demonstration experiments or other documents for advertising animal feed, raw materials and all kinds of additives shall be approved in advance by the General Department of Animal Health and Production. ARTICLE 31 . Natural persons or legal entities shall apply for approval for dissemination or advertisement of animal feeds, raw materials and additives of all kinds from the General Department of Animal Health and Production of the Ministry of Agriculture, Forestry and Fisheries at least thirty (30) days before the implementation date of such dissemination or advertisement. The application for approval for dissemination or advertisement of animal feeds, raw materials and additives of all kinds shall be accompanied by the company's annual advertisement plan, which specifies the dates and sites of the disseminations advertisements, workshops or demonstration experiments together with technical materials or documents to be used in dissemination for the General Department of Animal Health and Production to review or make necessary adjustments in accordance with the technical aspects and legal procedures in force. ARTICLE 32 . Articles advertising animal feeds, raw materials and all kinds of additives are required to consist of the followings: 1. Technical content in accordance with the guidelines as defined by the General Department of Animal Health and Production; 2. Compliance with the information or data, defined in the information label or in line with the technical documentation of animal feeds, raw materials and additives of all kinds, attached and stated at the time of registration; 3. Minimum descriptions as follows: Identity of animal feeds, raw materials and additives, including trade names, generic names, trademarks and related physical forms; Identity of company holding registration, registration number, country and company of origin of production, mixing, importation, exportation, supply, distribution or repackaging Method of use; Quality, safety and efficacy of animal feeds, raw materials and additives of all kinds Guiding customers to read the instructions on the information label in Khmer on the packaging before use. ARTICLE 33 . Upon obtention of the approval for efficacy publishing and advertising on animal feeds, raw materials and additives of all kinds, natural persons or legal entities shall have the right to advertise in the media and implement their dissemination programs or advertisements of animal feeds, raw materials and additives of all kinds in the municipalities and provinces through notification to the Department of Agriculture, Forestry and Fisheries for cooperation. Section 9 COMPLETION OF VOCATIONAL EDUCATION ARTICLE 34 . Suppliers, distributors or wholesalers-retailers of animal feeds, raw materials and additives of all kinds shall have a certificate of vocational education to meet the prerequisites for applying for a permit for supply, distribution or wholesale/retail. Suppliers/distributors of animal feeds, raw materials and additives of all kinds shall apply for the vocational education in their operations from the General Department of Animal Health and Production. Wholesalers-retailers of animal feeds, raw materials and additives of all kinds shall apply for the vocational education in their operations from the Office of Production and Veterinary of the concerned Municipal/Provincial Department of Agriculture, Forestry and Fisheries. The Office of Production and Veterinary of the concerned Municipal/Provincial Department of Agriculture, Forestry and Fisheries shall request the General Department of Animal Health and Production for collaboration in the organization of the vocational training and issuance of vocational education certificates. ARTICLE 35 . The General Department of Animal Health and Production and the Production and Veterinary Office of the Municipal/Provincial Department of Agriculture, Forestry and Fisheries are responsible for the preparation of education programs and providing services in the implementation of vocational of education programs in the trade of animal feeds, raw materials, and additives of all kinds within their respective jurisdiction. Section 10 RECOGNITION OF TECHNICAL STAFF ARTICLE 36 . On duty technical staff at establishments that import, export, produce, mix and repackage animal feeds, raw materials and additives shall meet the following criteria to be recognised by the General Department of Animal Health and Production: 1. Possess a bachelor or higher degree in animal health and production, or veterinary science, or equivalent recognized by the Ministry of Agriculture, Forestry and Fisheries; 2. Possess a certificate of completion of vocational education issued by the General Department of Animal Health and Production. In case of termination or change of technical staff, establishments that import, export, produce, mix, repackage animal feeds, raw materials and additives shall report to the General Department of Animal Health and Production to request for the recognition of new technical staff. Section 11 GENERAL RULES AND OBLIGATIONS OF LICENSE HOLDERS ARTICLE 37 . Natural persons or legal entities that hold permit or certificates for the operations related to animal feeds, raw materials and additives of all kinds shall perform the following obligations: Shall display permit or certificates for related operations in their establishments or places of business; Shall report or provide information to concerned local entity in charge of animal health and production on the harms or effects caused by animal feeds, raw materials and additives of all kinds; Shall declare the types, specifications, and quantities of animal feeds, raw materials and additives of all kinds that are traded, produced or mixed and shall keep records in the record book for all related operations; Shall maintain a hygienic condition in its production and business premises; Shall implement training programs on safety rules in all related operations and equip personal safety protection tools for the staff members directly involved with the operations; Shall define and implement technical standards for the use and maintenance of equipment employed with animal feeds, raw materials and additives of all kinds, and safety protection tools; Shall implement regular health monitoring and care programs for staff members directly involved with animal feeds, raw materials and additives of all kinds; In case of non-compliance with the defined standard requirements or technical standards or potential risks to animal and human health and environment, the animal feeds, raw materials and additives of all kinds shall be recalled and stored to control the risks as necessary, and all related expenses shall be covered by the concerned establishments; Perform other duties as stipulated in the provisions and procedures of the Law on Animal Health and Production and other applicable legal documents. ARTICLE 38 . Companies that import, export, produce, mix, repackage, stockpile or supply or distribute all kinds of animal feeds, raw materials and additives in the Kingdom of Cambodia shall display related permit or certificates in their establishments and shall keep documents or certificates specifying the registered types of the animal feeds, raw materials and additives of all kinds being traded. Wholesalers/retailers of animal feeds, raw materials and additives of all kinds in the municipalities and provinces shall display in their booths the relevant permits or certificates and shall keep the documents or certificates of registration of the animal feeds, raw materials and additives all kinds, with registration number. Section 12 RECORD BOOK ARTICLE 39 . Establishments carrying out operations related to animal feeds, raw materials and additives of all kinds shall have a record book for each operation in accordance with the guidelines for the introduction and implementation of a record book for all operations related to veterinary medicines and animal feeds of Ministry of Agriculture, Forestry and Fisheries, defined by the General Department of Animal Health and Production. CHAPTER 4 OBLIGATIONS TO PAY PUBLIC SERVICE FEES ARTICLE 40 . Natural persons or legal entities applying for permit or certificates related to importation, exportation, transit, production, mixing, repackaging, stockpiling, supply, distribution, wholesale-retail, completion of vocation education, recognition of technical staff in their establishments, publications, or advisements of animal feeds, raw materials or additives of all kinds are obliged to pay the public service fees to the National Budget in accordance with the inter-ministerial Prakas on the Provision of Public Services by the Minister of Economy and Finance and the Minister of Agriculture, Forestry and Fisheries. CHAPTER 5 FINAL PROVISIONS ARTICLE 41 . Any provisions that are contrary to this Prakas shall be considered as null and void. ARTICLE 42 . The Secretary General, the Inspector General, the Director General of the General Department of Animal Health and Production, the Director of the Department of Agricultural Legislation, the chiefs of all relevant units under the Ministry of Agriculture, Forestry and Fisheries, and the Directors of the Capital/Provincial Departments of Agriculture, Forestry and Fisheries shall be responsible for implementing this Prakas according to their respective duties from the date of signature. Day: Tuesday, Month: Chesth, Year of Pig, BC 2564 Done in Phnom Penh, 12 December 2020 Ministry of Agriculture, Forestry and Fisheries Veng Sakhon Copied to: Council of Ministers Related Ministries and Institutions Cabinet of Samdech Techo Prime Minister Cabinets of His Excellencies, Lok Chumteav, Deputy Prime Ministers Capital/Provincial Administrations As in Article 42 Civil Service Filing, Chronology Annex 1 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials and Additives APPLICATION FOR PERMIT FOR IMPORTATION, EXPORTATION AND TRANSIT 3 A. Application for Permit for Importation, Exportation and Transit Permit of Animal Feed, Feed Ingredients and Additives for Commercial Operations I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of Company: 5. Company or private legal entity: “Please tick”  Importation  Exportation  Transiting  Production  Mixing  Supply- Distribution  Packaging  Repackaging  Other private legal entity: 6. Address in Cambodia: Tel. or Fax: Email: Website: 7. Business Registration: Registration for other private legal entity: 8. Warehouse: Registration number and address: 9. Identity of origin of mixing or supply-distribution: Name and address of supplier-distributor of origin Name and address of mixer of origin II. Purpose of the request ”Please tick”  Importation  Exportation  Transiting III. Mean of transport and port, or border entry to be imported-exported transited “Please Tick” Mean of Transport  Truck  Vessel  Airplane  Other means: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry:  Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Border Point . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Airport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IV. List of Animal Feeds, Raw Ingredients and Additives requested  Attached with a soft copy on CD or a separate list “for multiple products” No. Common name Trade name Registration No. Quantity Country of origin 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .items, Quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V. List of enclosed documents 1. CV and ID / Passport of the applicant 02 copies 2. Business registration certificate, patent tax certificate, VAT (Value Added Tax) or last year’s ITR (Income Tax Return) or other documents proving the registration of the private legal entity 02 copies 3. Parental company certificate, and contract or certification on supply by company of origin 02 copies 4. Registration certificate for animal feed warehouse (by site) 02 copies 5. Animal feed registration certificate by type requested for import and export 02 copies 6. Sample of the package for the animal feeds by type with label or description in Khmer certified at registration 02 copies 7. Company’s certification on the identity of technical staff on duty with the importation-exportation entity 02 copies 8. Report of the company’s last year animal feeds importation-exportation operations before submission of the request (in case of renewal) 02 copies 9. Baseline inspection report at the request for export of animal feeds (for export) 02 copies 10. Receipt of public service payment to issue the permit to import-export or transit 02 copies 11. CD soft copy of the list of animal feeds be requested for imported-exported, sample of the package, sample of label or instructions or other relevant information. 02 copies VI. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit the application for permit to import, export or transit animal feeds, raw ingredients and Additives, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. . Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Directorate of Animal Health and Production only Change of custody documentation: No. Date of the receipt: Official in charge of registration: Signature: Request:  Importation  Exportation  Transiting Requested Quantity: Number of items: . . . . . . . . . . . . . . . . . . . . Quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . …………. Exporting Country of Origin: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mean of Transport: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . …….. Receipt of public service payment for issuance of permit No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 B. Application for Permit to Import, Export and Transit Animal Feed, Feed Ingredients or Additives for Non-commercial Purposes I. General information of the applicant 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of company: 5. Company or private legal entity: “Please tick”  Ministry, agency or state Entity  Private Person  Investing company  Livestock-raising community  Farm  Other private legal entity: 6. Address in Cambodia: Tel. or Fax: Email: Website: 7. Business Registration: Registration for other private legal entity: 8. Warehouse: Registration number and address: 9. Identity of origin of mixing or supply-distribution: Name and address of supplier-distributor of origin Name and address of mixer of origin II. Purpose of the request ”Please tick”  Testing and Field Trial  Personal use  Donation  Experimentation or research for public sector  Transiting  Other non-commercial purposes III. Transport and Port or Border Point for Import / Export “Please Tick” Mean of Transport:  Truck  Vessel  Airplane Border Entry:  Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Border Point . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Airport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  Other means: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IV. List of animal feeds, raw materials, and additives requested  Attached CD or a separate list (if multiple) No. Common name Trade name Registration No. Quantity Country of Origin 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total number of Items: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . items, Quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . …….. V. List of Enclosed Documents 1. CV and ID / Passport of applicant 02 copies 2. ID of Applicant (for Public or Private Legal Entity) 02 copies 3. Contract or certification of supply by company of origin 02 copies 4. Parental company certificate and original documents on specification of the animal feeds 02 copies 5. Registration certificate for animal feed warehouse (by site) 02 copies 6. Report on last year import operations and consumption of animal feeds before submission of the request, for renewal (for investment entity, livestock-raising community, farm or other private legal entity) 02 copies 7. Receipt of public service payment to issue the permit to import-export or transit 02 copies 8.. CD soft copy of the list of animal feeds requested for import/ export, sample of package, sample of label or instructions or other relevant information sheet 02 copies VI. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit an application for permit to import, export or transit animal feeds, raw ingredients, or additives for non-commercial operations, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Directorate of Animal Health and Production only Change of custody documentation: No. Date of the receipt: Official in charge of registration: Signature: Request:  Importation  Exportation  Transiting Requested Quantity: Number of items: . . . . . . . . . . . . . . . . . . . . Quantity: . . . . . . . . . . . . . . . . . . . . . . . . . …………. Exporting Country of Origin: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mean of Transport: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …… Receipt of public service payment for issuance of permit No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 2 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives PERMIT TO IMPORT, EXPORT AND TRANSIT ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 A. Permit to Import Animal Feeds, Raw Ingredients or Additives B. Permit to Export Animal Feeds, Raw Ingredients or Additives C. Permit to Transit Animal Feeds, Raw Ingredients or Additives KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES THE GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … SorPhoSor. NorChorChor Phnom Penh Date: … … … … … … … … PERMIT TO IMPORT ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Permits Mr./ Ms.:(in Khmer). . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (in Latin). . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To import animal feeds, raw ingredients or additives in the quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( attached list dated: . . . . . . . . . . . . . . . . . . . . . . . . . . )  For commercial operations  For non-commercial operations Common Name Trade name Registration No. Quantity Country of Origin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Destination: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ….. Registration Number and Warehouse Location:……………………………………………………. …………………………………………………………………………………………………………… Validity: The permit is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with one (01) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES THE GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … … … SorPhor. NorChorChor Phnom Penh Date: … … … … … … … … … … PERMIT TO EXPORT ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Permits Mr./ Ms.:(in Khmer) . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (in Latin) . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To export animal feeds, raw ingredients or additives in the quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( attached list dated: . . . . . . . . . . . . . . . . . . . . . . . . . .)  For commercial operations  For non-commercial operations Common Name Trade name Registration No. Quantity Country of Origin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Destination: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ….. Registration Number and Warehouse Location:……………………………………………………. …………………………………………………………………………………………………………… Validity: The permit is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with one (01) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES THE GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … … … SorPhorSor. NorChhorChor Phnom Penh Date: … … … … … … … … … … PERMIT TO TRANSIT ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Permits Mr./ Ms.:(in Khmer) . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (in Latin) . . . . . . . . . . . . . . . . . . . . . . . Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To transit animal feeds, raw ingredients or additives in the quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( attached list dated: . . . . . . . . . . . . . . . . . . . . . . . . . . )  For commercial operations  For non-commercial operations Common Name Trade name Registration No. Quantity Country of Origin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Destination: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Border Entry: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ….. Validity: The permit is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with one (01) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production Annex 3 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR PERMIT TO PRODUCE, MIX OR REPACKAGE ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 I. General information of the applicant 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of company: 5. Company or private legal entity: “Please tick”  Ministry, agency or state Entity  Private Person  Investing company  Livestock-raising community  Farm  Other private legal entity: 6. Address in Cambodia: Tel. or Fax: Email: Website: 7. Business Registration: Registration for other private legal entity: 8. Warehouse: Registration number and address: 9. Identity of origin of mixing or supply-distribution: Name and address of producer-mixer Permit to produce, mix, or repackage II. Purpose of the request ”Please tick”  Production  Mixing  Repackaging  Others:……………………………………… IV. List of animal feeds, raw materials, and additives requested  Attached CD or a separate list (if multiple) No. Common name Trade name Registration No. Quantity Country of Origin 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total number of Items: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .items, Quantity: . . . . . . . . . . . . . . . . . . . . . . . . . . . IV. List of enclosed documents 1. CV and ID / Passport of the applicant 02 copies 2. Business registration certificate, patent tax certificate, VAT (Value Added Tax) or last year’s ITR (Income Tax Return) or other documents proving the registration of the private legal entity 02 copies 3. Prakas or license authorizing the creation of factory/ workshop of production, mixing or repackaging issued by the Ministry of Industry and Handicraft 02 copies 4. Registration certificate by type of each animal feed for production, mixing, or repackaging 02 copies 5. Sample of the package for the animal feed by type with label or description in Khmer certified at registration 02 copies 6. Warehouse registration certificate for stockpiling animal feed (by site) 02 copies 7. Company’s certification on the identity of on technical staff on duty at the production, mixing, or repackaging entity 02 copies 8. Report reviewing the production, mixing, or repackaging process by Animal Health and Production Inspectors before the issuance of permit to produce, mix, or repackage 02 copies 9. Report on the company’s production, mixing or repackage capability for last year before the submission for application 02 copies 10. Receipt of public service payment for issuance of permit 02 copies 11. CD soft copy of the list of animal feeds requested for produced mixed, or repackaged, a sample of the package, sample of label or instructions or other relevant information. 02 copies VI. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit an application for permit to produce, mix, or repackage animal feeds, raw ingredients or additives, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Directorate of Animal Health and Production only Change of custody documentation: No. Date of the receipt: Official in charge of registration: Signature: Request:  Production operation  Mixing  Repackaging Types of animal feeds requested: . . . . . . . . . . . . . . . . . . …………………………………………………………. Capacity for annual production, mixing or repackaging: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………… Receipt of public service payment for issuance of permit No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 4 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR RENEWAL OF PERMIT TO PRODUCE, MIX OR REPACKAGING ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of entity: 5. Address in Cambodia: Tel. or Fax: Email: Website: 6. Registration number of permit to produce, mix, or repackage 7. Business Registration: Other private legal entity registration: II. Purpose of the request ”Please tick”  Continuance of production  Continuance of mixing  Continuance of repackaging  Others III. List of enclosed documents 1. Permit to produce, mix, or repackaging animal feeds, raw ingredients and additives 02 copies 2. Registration certificate for animal feeds by type to be produced, mixed, or repackaged 02 copies 3. Registration certificate by the company of the identify of its technical staff on duty in charge of production, mixing, or repackaging of animal feed 02 copies 4. Report of inspection of the company’s animal feed operation by Animal Health and Production Inspectors before the permit to produce, mix, or repackage was issued 02 copies 5. Last year’s report of animal feed production mixing or repackaging operation capacity by the company before the permit was requested 02 copies 6. Receipt of public service payment for issuance permit 02 copies VI. Request I, (designation)… … … … … … … … … … … … … … … … … …, would like to submit the application for renewal of the permit to manufacture, mix, or repackage animal feeds, raw ingredients or additives having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Directorate of Animal Health and Production only Change of custody documentation: No. Date of the receipt: Official in charge of registration: Signature: Request for:  Production operation  Mixing  Repackaging Types of animal feed requested: … … … … … … … … … … … … … … … … … … … … … … … … … … Annual capacity for production, mixing, or repackaging: … … … … … … … … … … … … … … … … Receipt of public service payment for issuance of permit No.… … … … … … … … … … … … … … …. Remarks: … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … 3 Annex 5 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … … SorPhorSor. PhorLorVorChor Phnom Penh Date: … … … … … … … … … … … … … PERMIT TO PRODUCE, MIX, OR REPACKAGING ANIMAL FEEDS, RAW INGREDIENTS, OR ADDITIVES References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Review and assessment report dated…………………………….by Animal Health and Production Inspectors Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Permits Mr. / Ms. : … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … …… Designation: … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … Permanent address: … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … To carry operations in: … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … Annual capacity: … … … … … … … … … … … … … … … … … … … … … … Metric Ton/ Year ( Attached list dated: … … … … … … … … … … … … … … …...) Name and location of the enterprise: … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … …. Registration Number: … … … … … … … … … … … … … … … … NorPhorBorNor dated: … … … … … … … … … … … … … … … … … … … … … … … … … … … Validity: The permit to produce, mix, or repackage is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with five (05) year validity from the date: … … … … … … … … … … … … … … … … to … … … … … … … … … … … … … … … … … except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate In Charge of General Directorate of Animal Health and Production Annex 6 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR REGISTRATION CERTIFICATE FOR WAREHOUSE FOR STOCKPILING ANIMAL FEEDS, FEED INGREDIENTS OR ADDITIVES TO SUPPLY / DISTRIBUTE IN THE KINGDOM OF CAMBODIA 3 I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of Entity: 5. Private Entity or Natural Person: Please tick:  Importation-Exportation  Supply-Distribution Production  Mixing  Repackaging  Other private legal entity (Indicate): 6. Address in Cambodia: Tel or Fax: Website 7. Business registration: Other legal entity registration: II. Purpose of the request ”Please tick”  Stockpiling for importation-exportation  Stockpiling for production or mixing  Stockpiling for repackaging  Stockpiling for supply-distribution  Other purposes: … … … … … … III. Name, location and capacity of facility No. Name of facility Address Area and capacity of the facility 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total number of warehouse(s): … … … … … … … … … … … … IV. List of enclosed documents 1. CV and ID / Passport of the applicant 02 copies 2. Business registration certificate, patent tax certificate, VAT (Value Added Tax) or last year’s ITR (Income Tax Return) or other documents proving the registration of the private legal entity 02 copies 3. Valid permit for:  Importation - Exportation;  Mixing or Repackaging;  Supply- Distribution issued by the Ministry of Animal Health and Production 02 copies 4. Registration certificate for animal feeds by type requested to be stockpiled at the warehouse 02 copies 5. Review and assessment report of the warehouse by Animal Health and Production Inspectors before registration 02 copies 6. Report of the company’s stockpiling operations for animal feed for the last year before submission of request (in case of request for renewal) 02 copies 7. Receipt of public service payment for registering the warehouse 02 copies VI. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit an application for warehouse registration certificate for animal feeds, raw ingredients, or additives, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Directorate of Animal Health and Production only Change of custody documentation: No. Date of receipt: Official in charge of registration: Signature: Request for registering warehouse for:  Supply- Distribution  Production- Mixing  Repackaging Number of warehouse(s) requested: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …….. Annual capacity for annual stockpiling: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Receipt of public service payment for registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 7 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … SorPhorSor.KhorChor Phnom Penh Date: … … … … … … … … … … … … … REGISTRATION CERTIFICATE FOR WAREHOUSE FOR STOCKPILING ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Review and assessment report dated…………………………….by Animal Health and Production Inspectors Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Certifies that Name and location of warehouse: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration Number: .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annual Stockpiling capacity: . . . . . . . . . . . . . . . . . . . . . . . . . . . metric tons; Storage Area: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m2 is registered as warehouse for stockpiling animal feeds to Mr/Ms.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Designation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …. …………. Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Validity: The certificate is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with five (05) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production Annex 8 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR REGISTRATION CERTIFICATE FOR WAREHOUSE FOR STOCKPILING ANIMAL FEED, FEED INGREDIENTS OR ADDITIVES TO SUPPLY-DISTRIBUTE IN MUNICIPALITIES AND PROVINCES 3 I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Wholesaling-retailing entity or the branch of the original import-export, production, mixing, repackaging, supply- distribution company: Name of branch of original company: Name of Entity: Address: Tel or Fax: 5. Warehouse: Registration Number and address: II. Purpose of the request ”Please tick”  Stockpiling for supply- distribution within the municipalities and provinces  Other purposes: … … … … … … III. Name, location and capacity of warehouse No. Name of warehouse Address Area and capacity of the warehouse 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total Number of Warehouse(s): … … … … … … … … … … … … … … IV. List of enclosed documents 1. CV and ID of the applicant 02 copies 2. Business registration certificate, patent tax certificate, VAT (Value Added Tax) or last year’s ITR (Income Tax Return) or other documents proving the registration of the private legal entity 02 copies 3. Valid permit:  Permit for wholesaling-retailing 02 copies 4. Review and assessment report of the warehouse by Animal Health and Production Inspectors before registration 02 copies 5. Report of stockpiling operations by the entity for the last year before submission of request for permit (in case of request for renewal) 02 copies 6. Receipt of public service payment for registration of the warehouse 02 copies V. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit an application for warehouse registration certificate animal feed, feed ingredients or additives, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by Municipal/Provincial Department of Agriculture, Forestry and Fisheries only Change of custody documentation: No. Date of receipt: Official in charge of registration: Signature: Request for:…………………………………………………………………………………………… Number of warehouse requested for registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annual capacity for stockpiling: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Receipt of public service payment for registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 9 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives KINGDOM OF CAMBODIA NATION - RELIGION – KING 3 THE PROVINCIAL DEPARTMENT OF AGRICULTURE, FORESTRY AND FISHERIES OF…………………. OFFICE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … MorKorSoRKor.KhorChor Phnom Penh Date: … … … … … … … … … … … … … … REGISTRATION CERTIFICATE FOR WAREHOUSE FOR STOCKPILING ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Review and assessment report dated…………………………….by Animal Health and Production Inspectors Approval No.: . . . . . . . . . . . . . . . dated . . . . . . . . . . .. by the Ministry of Agriculture, Forestry and Fisheries Certifies that Name and location of warehouse: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration Number: .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... Annual stockpiling capacity: . . . . . . . . . . . . . . . . . . . . . . . . . . Metric tons; Storage Area: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m2 is registered as warehouse for stockpiling animal feeds to Mr/Ms.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………….. . Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Validity: The certificate is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with five (05) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except where for it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production Annex 10 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR PERMIT TO SUPPLY-DISTRIBUTE ANIMAL FEEDS, RAW INGREDIENTS, OR ADDITIVES 3 I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID or Passport No.: Valid until: 4. Name of Company: 5. Company or private legal person: “Please tick the box”  Importation - Exportation  Repackaging  Mixing  Supply-Distribution  Livestock-raising community  Other private legal entity (indicate): 6. Address in Cambodia: Tel or Fax: Website: 7. Business registration Registration for private legal entity: 8. Warehouse: Registration Number and address: 9. Identity of origin of mixing or supply-distribution: Name and address of original company supplying-distributing animal feeds (for import) Name and address of mixer of animal feeds (for domestic production) II. Purpose of the request ”Please tick”  Supply- distribution  Other purposes:……………………………. III. List of Animal Feed, Feed Ingredients or Additives subject to the request  Attached CD or a separate list (if multiple) No. Common name Trade Name Registration NO. Annual Quantity to be distributed Destinations for distribution 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total number: . . . . . . . . . . . . . . . . . . . . . . . . .items, Quantity: . . . . . . . . . . . . . . . . . . . . . . . . IV. List of enclosed documents 1. CV and ID / Passport of the applicant 02 copies 2. Business registration certificate, patent tax certificate, VAT (Value Added Tax) or last year’s ITR (Income Tax Return) or other documents proving the registration of the private legal entity 02 copies 3.  Permit to import  Permit to produce, mix, or repackage of original company that supplies-distributes directly or for its distributors; 02 copies 4. Supply contract of the original company for the request for subsequent distribution; 02 copies 5. Provisional invoice listing the prices by type of the animal feeds requested for distribution; 02 copies 6. Registration certificate of animal feeds by type to be requested for distribution; 02 copies 7. Package for each type of animal feed with label or instructions in Khmer approved at registration; 02 copies 8. Applicant’s report of its supply- distribution operation of animal feed for last year before submission of application (in case of request for renewal) 02 copies 9. List of the name, ID, and address of the branch, wholesale- retail entity or farm in each municipality-province contracted by the company to distribute-supply animal feeds on its behalf 02 copies 10. Registration certificate for warehouse for stockpiling animal feed (at each site) 02 copies 11. Certificate of completion of vocational education, organized by the General Directorate of Animal Health and Production 02 copies 12. Receipt of public service payment for permit 02 copies 13. Soft copy on CD of list of animal feeds requested for supply-distribution; sample of package, sample of label, product description or other relevant information sheets. 02 copies VI. Request I, (designation). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , would like to submit an application for permit to stockpile animal feeds, raw ingredients, or additives, having filled in the information and attaching the necessary documents above. I request HE. Government Delegate in charge of General Directorate of Animal Health and Production for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the General Department of Animal Health and Production only Change of custody documentation: No. Date of receipt: Official in charge of registration: Signature: Animal feed requested for distribution: Annual quantity requested: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Receipt of public service payment for registration: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 11 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives KINGDOM OF CAMBODIA NATION - RELIGION - KING 3 MINISTRY OF AGRICULTURE, FORESTRY AND FISHERIES GENERAL DIRECTORATE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … … … … SorPhorSor. PhorChorBor Phnom Penh Date: … … … … … … … … PERMIT TO SUPPLY-DISTRIBUTE ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Permits Mr./ Ms.:(in Khmer) . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (in Latin) . . . . . . . . . . . . . . . . . . . . . . . Designation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To supply-distribute animal feeds, raw ingredients, or additives……………………items, in the quantity: . . . . . …………………………………………………………………. . . …….( attached list dated: . . . . . . . . . …. .) Destination: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Validity: The permit is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with one (01) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except for where it is revoked by Ministry of Agriculture, Forestry and Fisheries before its expiration. Government Delegate in Charge of General Directorate of Animal Health and Production Annex 12 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives APPLICATION FOR PERMIT TO WHOLESALE-RETAIL ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES 3 I. General information of the applicant: 1. Name in Khmer: Name in Latin: 2. Nationality: Age: Gender: 3. ID No.: Valid until: 4. Wholesaling-retailing entity or the branch of the original importation-exportation, production, mixing, repackaging, supply-distribution company: Name of Branch of Original Company: Name of the Entity: Address: Tel or Fax: 5. Warehouse Registration Number and Address: II. Purpose of the request ”Please tick”  Wholesale- Retail  Other purposes:…………………………. III. List of animal feeds, raw ingredients, or additives requested  Attached CD or a separate list (if multiple) No. Common name Trade Name Registration No. Annual quantity to be sold Supplying Distributing company of origin 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total: . . . . . . . . . . . . . . . . . . . . . . . . .items Quantity: . . . . . . . . . . . . . . . . . . . . . . . . IV. List of enclosed documents 1. CV and ID of the applicant 02 copies 2. Patent tax certificate, VAT (Value Added Tax) or Certificate of ITR (Income Tax Return) for last year 02 copies 3. Certificate of completion of vocational education by organized by relevant Municipal/Provincial Department of Agriculture, Forestry and Fisheries 02 copies 4. List of names, ID and address of company of origin supplying- distributing animal feed, raw ingredients, or additives to the wholesaling-retailing entity 02 copies 5. Certification of veterinary qualification of owner or his/ her technical staff 02 copies 6. Warehouse Registration certificate for stockpiling animal feeds 02 copies 7. Receipt of public service payment for the issuance permit to wholesale-retail 02 copies VI. Request I, the owner of the entity wholesaling-ret animal feed, feed ingredients or additives, would like to submit an application for permit to wholesale-retail animal feed, feed ingredients or additives, attached with information and documents above. I request the Chief of Office of Animal Health and Production of the Municipal/Provincial Department of Agriculture, Forestry and Fisheries for his/her kind review and approval. Date: . . . . . . . . . . . . . . . . . . . . . . . . Done at…………on (date)……………. Applicant Signature, Name and Seal For use by the Municipal/Provincial Department of Agriculture, Forestry and Fisheries only Change of custody documentation: No. Date of receipt: Official in charge of registration: Signature: Type of animal feed requested: Quantity requested:. . . . . . . . . . . . . . . . . . . . . . . . . items, Annual quantity: . . . . . . . . . . . . . . . . . . . . . …………………... Receipt of public service payment for issuance of permit: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Annex 13 to Prakas No. 223 Pr.K.KSK dated 02 June 2020 On the Procedures on Issuances of Permit and Management of Trade, Production and Mixing of Animal Feeds, Raw Materials or Additives KINGDOM OF CAMBODIA NATION - RELIGION – KING 3 THE PROVINCIAL DEPARTMENT OF AGRICULTURE, FORESTRY AND FISHERIES OF…………………. OFFICE OF ANIMAL HEALTH AND PRODUCTION No.: … … … … MorKorSorKor.LoRDorRorChor Phnom Penh, Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMIT TO WHOLESALE-RETAIL ANIMAL FEEDS, RAW INGREDIENTS OR ADDITIVES References: -Royal Kram No. NorSor/RorKorMor/0116/003 dated 28 January 2016 promulgating the Law on Animal Health and Production; Prakas No. . . . . . . . . . . . . . . . . . ProrKor. KorSorKor dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the Procedures for Issuance of Permit and Requirements for Management of Trade, Production, and Mixing of Animal Feeds, Raw Ingredients or Additives Application for . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . by Company: . . . . . . . . . . . . . . . . Permits Name: . . . . . . . . . . . . . . . . . . . . Gender: . .. . . . . . ……………. DOB: . . . . . . . . . . . . . . . . . . . . . . . . . .Nationality: . . . . . . . . . . . Branch of a Company: . . . . . . . . . . . . . …………………………………………………………………………… ……………………. Permanent Address: .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To wholesale-retail of animal feeds, raw ingredients, or additives. .……..items and quantity: . . . . . . . . . . . . . . . . . . . . . . . . . ………… . . / year ( Attached with registration dated: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .) Name and location of the wholesale-retail entity: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………………………………………………………………………. Validity: The permit is issued to the applicant for use in accordance with the Law on Animal Health and Production in force with one (1) year validity from the date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . except where for it is revoked by the Municipal/ Provincial Department of Agriculture, Forestry and Fisheries before its expiration. Chief Office of Animal Health and Production Director Provincial Department of Agriculture, Forestry and Fisheries