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    Note: Please read the following before completing the form

    1. This form shall be completed and submitted along with the application processing fee of US$50 and any specified or supplemental information to -

      Jamaica Agricultural Commodities Regulatory Authority
      1 Willie Henry Drive, P.O. Box 508
      Kingston 13
      Jamaica, West Indies
      Telephone No. (876) 758-1259/ 758-2925
      Facsimile: (876) 758-3907

    2. In relation to a new application, the completed form shall be accompanied by –
      1. documents of incorporation;
      2. a list of names and addresses of the applicant’s suppliers and the types of regulated agricultural commodity being supplied (i.e. Jamaica Blue Mountain Coffee and / or NonBlue Mountain Coffee);
      3. a Banker’s reference;
      4. a reference from two (2) business associates;
    3. In relation to new or renewed applications, the completed form shall also be accompanied by –
      1. a sample of the packaging being used or proposed to be used; and
      2. completed Dealer’s Licence Application, Special Dealer’s Licence Application or Foreign Importer’s Application form (whichever may be applicable).
    4. The licence is granted subject to the regulations governing the use of “Jamaica Blue Mountain” Jamaica Blue Mountain Coffee and device Certification Trademarks, and “Jamaica High Mountain Supreme” Non-Blue Mountain Coffee and device Certification Trademarks filed at the relevant Intellectual Property Office.

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    Statement by Applicant

    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.