Processing

Confidential Distributor Declaration

Please fill in this declaration as accurately as you can while keeping the information confidential...

Declaration

Representative
Company
Sales Agents
Excel Document

  • our company has elected to join the CropLife SA 'Producer Responsible Organisation' programme for empty pesticide container management as per the Extended Producer Responsibility regulation for our industry.
  • I understand and accept that said participation attracts a levy of 0.075% of the below-mentioned turnover for 2024 in South Africa ONLY in order to fund the PRO.
  • I accept that the PRO levy amount will be included on the membership fee invoice issued by CropLife SA.
  • Until such time as the PRO levy has been paid, my company will not be allowed to participate in the CropLife SA PRO.
  • The company I represent acknowledges that it will not be able to participate in the CropLife SA PRO programme in any form whatsoever.

According to the Protection of Personal Information Act (“POPIA”; Act 4 of 2013), Agri-Intel requires consent to publish information regarding product registrations. By checking this box, you acknowledge that, should your company hold local registrations under Act No. 36 of 1947 containing an L or M registration number:

  • You are aware that submitting ALL details of your local registrations to Agri-Intel is a condition of CropLife South Africa membership;
  • Basic information pertaining to all your registrations, as per your registration certificate (i.e. tradename, registration number, active ingredient, registration holder name) will be made public as per Section 39 of the “Regulations relating to agricultural remedy” of August 2023;
  • Further, by submitting all your details as stipulated in number 1 above, you are providing consent to having your commercial label, SDS and product information published on the Agri-Intel website. Where information (other than that stipulated under point 2) may not be published on the website, this should be clearly communicated to the Agri-Intel team. In the absence of a clear objection to uploading the information onto the website, your consent is tacitly accepted.

OR


Name
Email Address

Name
Surname