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Dear business partner: For each product intended to be supplied or currently supplied to SMPF please complete the following

information by checking the Yes or No box applicable to your product. Please ensure all questinds are answered. Please attach a fimished product label to this form. On or before january 30 of the following year or if there will be any modifications in this product, you are responsible for updating your records including labels and specifications. 1. Are the listed allergens and other sensitive ingredients below and its derivatives, are present in the product as food ingredient or intentionally added to form part of the finish product? 2. are the listed allergens and other sensitive ingredients below and its derivatives, are present in the product because these were used by other products that were ran within the same equipment where the product to be supplied to SMPFC are being produced? 3. are the listed allergens and other sensitive ingredients below and its derivatives, are present within your processing plant or storage areas of your plant? Tha qu i tc kinh doanh: i vi mi sn phm c cung cp hoc hin ang cung cp cho SMPF xin vui lng hon thnh cc thng tin sau bng cch kim tra cc hp C hay khng p dng cho cc sn phm ca bn. Xin vui lng m bo tt c cc cu hi u c tr li. Xin vui lng nh km mt nhn sn phm hon tt mu n ny. Vo hay trc 30 ca thng mt nm sau, hoc nu c bt k sa i, b sung trong sn phm ny, bn c trch nhim cp nht h s ca bn bao gm c cc nhn v cc chi tit k thut. 1. Cc lit k allergens v cc thnh phn nhy cm di y v cc derivatives, c mt trong cc sn phm nh thc phm hoc cht c thm vo hnh thc mt phn ca sn phm hon thnh? 2. l nhng lit k allergens v cc thnh phn nhy cm di y v cc derivatives, ang c mt trong cc sn phm, v c s dng bi cc sn phm khc c chy trong cng mt trang thit b, ni sn phm c cung cp cho SMPFC ang c sn xut? 3. l nhng lit k allergens v cc thnh phn nhy cm di y v cc derivatives, c t trong my ca bn x l hoc lu tr cc khu vc ca cy trng?

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