Application for Logo Usage Licence (OPM & SC)

Application for MSPO Logo Usage Licence

MSPO Oil Palm Management & MSPO Supply Chain
Organisation name *
Company's registration number *
Organisation’s representative *

Salutation Fullname
Position Designation *

Address - No. or PO Box, Street *

Phone Number *

Area Code Phone Number
Fax Number

Area Code Phone Number
Email *
example@example.com
Website
Applicant’s Logo User Group

Only ONE category can be marked in a single application
Group B - Oil palm management certificate holder Group C - Supply Chain certificate holder (Segregation) Group C - Supply Chain certificate holder (Mass Balance) Group C - Supply Chain certificate holder (Mass Balance & Segregation)
1. On-Product Usage (for Group C- Supply Chain Certificate Holders Only)

Please list the product(s) that will use the MSPO logo on the label:

2. Off-Product Usage (for Group B, C and D)

Please tick the relevant box and briefly describe the off-product usage:

	Category	Description of the usage (specify)
Claim in the product documentation
Claim in general documentation
claim in signage
Others (Please Specify)

3. Logo usage without licence number (for Group B, C and D)

Please specify the intended use of logo without licence number (if any):

	Item	Description of the usage	Reason for the usage without licence number
1.
2.
3.
4.

Information and Documents for Application Processing

For certification holder only
Certification Number & Expiry Date
Name of Certification Body
Copy of Certificate

Browse Files

Cancel of
Free form explanation of the intended use of logo

Browse Files

Cancel of
Self Declaration

I hereby confirm that:
- I have read and understood the requirements of the ‘Issuance of MSPO & MPOCC Logo Usage Licence’ concerning the MSPO and MPOCC logo usage and accept them;
- The data included in this application are complete and truthful
Signature *

Clear
Just to be sure *
Should be Empty:

Application for MSPO Logo Usage Licence