Application with a view to Registration or Approval under the EC Feed Hygiene Regulation (183/2005)

To: West Yorkshire Trading Standards Service, PO Box 5 Nepshaw Lane South LS27 0QP

I am applying for the following premises to be registered/approved under the above legislation. Name or Business Name:

Address and associated details of the premises where the activity requiring registration or approval is or will be undertaken:

Telephone No:		Fax No:

E-mail:

Activity / activities carried out on the premises (please use the code and activity descriptions shown in attached Annex D
Code(s):		Activity: for code/activity click here


Applicant details: Name:

Address (only complete if different to the address indicated in above):


Are the premises currently Approved or Registered under the Feeding Stuffs (Establishments and Intermediaries) Regulations 1999?
Approved (Check as appropriate)		Yes No
Registered (Check as appropriate)		Yes No
Approval/Registration No. (if available):
CPH Number (if available):
Signature of Applicant:		Date: