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BAI-AFSD Form 4

Republic of the Philippines


Department of Agriculture

BUREAU OF ANIMAL INDUSTRY


Visayas Avenue, Diliman, Quezon City
TIN: 300000746316

APPLICATION FOR FEED


PRODUCT REGISTRATION
Date

Name of Company :
Office Address :
Plant/Warehouse Address :
Name of Manager :
Feed Establishment Registration No. :
Animal Nutritionist/Veterinary Consultant :
Quality Control Chemist :
Brand Name:

Tel. No.:
Tel. No.:
Nature of Business:
PRC ID No. :

Validity :

PRC ID No. :

Validity :

Classification:
(Mixed Feed/Feed Ingredient/Additive/Supplement)

Product Lines: (State specific product name and form. If imported, include name and address of manufacturer/
supplier)

Printed Name and Signature of Applicant

Designation

SUBSCRIBED AND SWORN to before me this __________ day of __________________________ 20 _________.


The Affiant exhibited to me his/her Community Tax Certificate No. __________________ issued at _____________________
on _________________, 20 _______.
Doc No.
Page No.
Book No.
Series of

Documentary
Stamp
Notary Public

RECOMMENDING APPROVAL:
(To be filled-up by BAI-AFSD)

Registration Certificate No. ____________________


Date Issued ________________________________
Fee ______________________________________
Official Receipt No. __________________________
Date Issued ________________________________
Remarks:

APPROVED:
New

Renewal

Amendment

Checklist of Requirements for the Registration


of Imported Feed Products
1. Brand Name Clearance (for branded products)
2. Certificate of Free Sale from country of origin
3. Certificate of Good Manufacturing Practice from country of origin
(if applicable)
4. Authentication issued by the Philippine Embassy or Consular Office at the
country of origin (Nos. 2 & 3)
5. Government Veterinary Health/Phytosanitary Certificate from country of origin
6. Distribution Agreement between the importer and foreign manufacturer/supplier
(for branded products)
7. Technical description of the product
8. Process Flow/Manufacturing Procedure
9. Certificate of Analysis
10. Facsimile or draft of the proposed tag or label for each type of product
11. Sample of not less than 250 grams of each product

Checklist of Requirements for the Registration of Locally


Manufactured Feed Products
1. Brand Name Clearance
2. Technical description of the product
3. Process Flow/Manufacturing Procedure
4. Certificate of Analysis
5. Facsimile or draft of the proposed tag or label of each type of feed product
6. Sample of not less than 250 grams per product
7. Affidavit of Animal Nutritionist/Veterinary Consultant
8. Affidavit of Quality Control Chemist