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26.01.2023

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N 68

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28 2023 . N 363/39419

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  2 2023 N 302

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26 2023 N 68


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26 2023 N 68


Certificate
of compliance of a Product with specification

, ___________________________________________________________________
                                                                                                       ( )

, , .

This Certificate issued by __________________________________________________________________
                                                                                                                       (Control body name)

hereby confirms that the below mentioned Product has been certified in accordance with the requirements of the legislation of Ukraine in the field of geographical indications and traditional specialities guaranteed.

1. :
Information about the control body:

:
Full name:

__________________________________________________
__________________________________________________

*:
Identification code of the legal entity:

__________________________________________________
__________________________________________________

̳:
Location (address):

__________________________________________________
__________________________________________________

2. :
Information about the operator:

/ , ' ( ):
Full name / surname, name and second name (if available)

__________________________________________________
__________________________________________________
 
__________________________________________________
__________________________________________________

*     ( ) **
Identification code of the legal entity or registration number or series (if available) and number of the passport

__________________________________________________
__________________________________________________
 
 
__________________________________________________
__________________________________________________

̳ / :
Location (address):

__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

:
Address of production units:

__________________________________________________
__________________________________________________

3. :
Information on the products with geographical indication or traditional speciality guaranteed:

:
Type of the product:

:
Quality scheme:

 
 

Registered geographical indication or traditional speciality guaranteed

,
Requisites of the published specification and source of publication

_________________________________________________
_________________________________________________

    / Geographical indication
    / Designation of origin
    / Traditional speciality guaranteed

 
_________________________________________________

 
_________________________________________________

 
_________________________________________________

 
_________________________________________________

3. ³ :
Inspection dates:


Primary inspection


Periodic inspection

 

 

 

____________
- , - .

**  ,     .

 


Date of issue
____________

䳿
Valid till
____________

, '

____________________________________

Position, name and surname of the control body
authorized person
___________________________________

 
ϳ
____________________

Signature
___________________

 



 

 

 


 


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