Instructions
Note: Please read the following before completing the below form.
The grant of this licence is subject to the execution of a user Licence Agreement with Coffee
Marks limited, a wholly owned subsidiary of the Jamaica Agricultural Commodities
Regulatory Authority.
In relation to a new application, the completed form shall be accompanied by –
documents of incorporation;
the business concept;
Banker’s reference;
a reference from two business associates;
a list of the names and qualifications of key personnel of the business (including the CEO/Manager and the Marketing Manager); and
such other document(s) that may be required by the Authority.
In relation to the renewal of an application, the completed form shall be accompanied by a list of the names and qualifications of key personnel of the business (including the CEO/Manager and the Marketing Manager).
Applicants must exhibit a farm or production capacity of at least 6,000 boxes of cherry coffee (evidenced by records or reports of the last three (3) years).
A response from the Authority shall be sent to each applicant within seven (7) days of receipt of an application. An incomplete application shall not be logged and/or processed.
This application form must be completed in full in order to avoid delays in its processing.
Where attached sheets and other technical documents are utilized in lieu of the space provided, indicate appropriate cross-references. Paragraphs that are not applicable to your application should be marked as “N/A”.
If you are in doubt as to any provision of this application form, please consult with a member of the Legal Department of the Authority at telephone Nos. (876)785-1259/758-3903 before completing it.
NOTE:
Coffee processors are the processors of coffee berries.
Coffee manufacturers manufacture green beans into roasted coffee and coffee products.
Company Information
Name of owner or name of Company, if different from Applicant:
Registration No. of Company:
Address of Owner or Registered Office of Company:
Name of Directors:
Name of Chief Executive Office:
Year Business Commenced:
Declarations
If the Applicant is an individual, have you been convicted of an offence involving fraud, dishonesty or moral turpitude or an offence under the Dangerous Drugs Act (other than an offence which attracts a sentence of imprisonment of not more than five (5) years) during the period of three (3) years immediately preceding this application OR any offence under the Jamaica Agricultural Commodities Regulatory Authority (JACRA) Act or Regulations under the JACRA Act?
No Yes
If the applicant is an individual, state whether you are an undischarged bankrupt?
No Yes
If the applicant is a body corporate, has any of its directors, managers, secretaries or such other officers been convicted of an offence involving fraud, dishonesty or moral turpitude or an offence under the Dangerous Drugs Act (other than an offence which attracts a sentence of imprisonment of not more than five (5) years) during the period of three (3) years immediately preceding this application OR any offence under the JACRA Act or Regulations under the JACRA Act?
No Yes
If the applicant is a body corporate, state whether any resolution has been passed for the voluntary winding up of the company or an order for the winding up of the company made by a Court?
No Yes
If the applicant is a body corporate, state whether a receiver or trustee has been appointed to manage the affairs of the assets of the company.
No Yes
If the applicant is a body corporate, state whether the company has notified JACRA of the readiness and suitability of its premises or business in relation to this application.
No Yes
List of documents attached in support of this application:
Statement by Applicant
I accept the Terms in the Statement below. I/We hereby certify that the information contained in this application and any document submitted to the Authority, are true and completed to the best of my/our knowledge and belief.
I/We understand that any misrepresentation contained in the form shall lead to discontinuation of the processing of the application and the revocation of any licence granted and may also lead to prosecution. I/We further understand that the licence, if granted, may be suspended or revoked for breach of any of the terms or conditions stipulated therein.
