LAMPIRAN V PERATURAN MENTĒRI PERTANIAN REPUBLIK INDONESIA NOMOR : . ^ źryr. m... ġ TANGGAL - 04/P©tt»enten/PP. 540/2/2015

' 10 Ptìmiari 2015 No. Format Tentang

1. Format-1 Keterangan PSAT {prior notice Ij: for recognized country

2. Format-2 Keterangan PSAT {prior notice Щ: for registered laboratory

3. Format-3 Keterangan PSAT Transit {prior notice f or transit)

4. Format-4 Sertiflkat Hasil Uji (Certificate of Analysis)

5. Format-5 Surat permohonan pengakuan terhadap Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara ·

6. Format-6 Surat Penolakan Permohonan Pengakuan terhadap Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

7. Format-? Keputusan Pengakuan terhadap Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

8. Format-8 Surat Permohonan Registrasi Laboratorium Penguji Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

9. Format-9 Surat Penolakan Permohonan Registrasi Laboratorium Penguji Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

10. Format - 10 Keputusan Registrasi Laboratorium Penguji Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

11. Format - 11 Surat Pembekuan terhadap Pengakuan Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

12. Format - 12 Keputusan Pencabutan Pengakuan Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

13. Format -13 Surat Pencabutan Pembekuan Pengakuan Sistem Pengawasan Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

14. Format -14 Keputusan Pencabutan Registrasi Laboratorium Penguji Keamanan Pangan Segar Asai Tumbuhan Suatu Negara

MENTĒRI PERTANIAN REPUBLIK INDONESIA,

SULAIMAN

Ref. Ares(2015)2049294 - 15/05/2015

Format - l

E - PRIOR NOTICE -1 (for Recognized Country)

No. :

BARCODE

E - PRIOR NOTICE -1 (for Recognized Country)

No. :

COUNTRY OF ORIGIN/EXPORT:

Description of Exporter/

Representative

Name Company name Description of

Exporter/ Representative Address

Description of Exporter/

Representative Phone/Fax. Number

DESCRIPTION OF FFPO/CONSIGNMENT:

No Code Common Name & Variety

Botanical Name

Quantity (kg)

Production Site

Handling Site

1. (in English) [Producer's name · region)

(Company's name · region)

' 2.

3.

Means of conveyance

Voyage/Flight number

Port of loading Date of loading (dd/mm/yy)

Place of destination

Date of estimated arrival (dd/mm/yy)

EXPORT PURPOSE

• Consumption • Raw Material/Industry D Other [Please describe)į.

Additional Information:

>n Number: • Container's identifícatic >n Number:

Place: Date: (dd/mm/yy)

Applicant

Signature & seal

( )

Format - 2

BARCODE

E - PRIOR NOTICE - II ( for Registered Laboratory)

No. :

COUNTRY OF ORIGIN/EXPORT:

Description of Exporter/

Representative

Name Company name

Description of Exporter/

Representative Address Description of

Exporter/ Representative

Phone/Fax. Number

DESCRIPTION OF FFPO/CONSIGNMBNT:

No Code Common Name δε Variety

Botanical Name Quantity (kg) Packing Unit

1. (in English)

2.

3.

Means of conveyance

Voyage/Flight number

Port of loading Date of loading (dd/mm/yy)

Place of destination Date of estimated arrival {dd/mm/yy)

EXPORT PURPOSE

• Consumption • Raw Material/Industry • Other (Písase describe):

EXPORT PURPOSE

• Consumption • Raw Material/Industry • Other (Písase describe):

CERTIFICATE OF ANALYSIS (COA)

Certificate Number CERTIFICATE OF

ANALYSIS (COA) Date of Certificate (dd/mm/yy)

Additional Information:

• Container's Identification Number:

Place: Date: (dd/mm/yy)

Applicant

Signature & seal

Format - 3

BARCODE E - PRIOR NOTICE FOR TRANSIT

No. :

COUNTRY OF EXPORT: Status of Recognition for Country Food Safety Control System: YES/NO COUNTRY OF ORIGIN:

Description of Exporter/

Representative

Name Company name Description of

Exporter/ Representative

Address Description of

Exporter/ Representative

Phone/Fax. Number

DESCRIPTION OF FFPO/CONSIGNMENT:

No Code Common Name & Variety

Botanical Name Quantity (kg) Packing Unit

1. m English

2. 3.

Date of loading [dd/mm/yy)

Port of loading

Date of estimated arrival (dd/mm/yy)

Place of destination

Means of conveyance Identification number

EXPORT PURPOSE

• Consumption • Raw Material/Industry • Other (Please describe):

This is to certify that the FFPO described above was originally exported into Indonesia from and was covered by:

1. Prior Notice Number

2Ė Certificate of Analysis Number (if available)

That they are packed • re-packed • in original • new • containers. That based on prior notice and/or certificate of analysis from origin country, they are considered to conform with current Indonesia's food safety requirements. Additional Information: Container's Identification Number:

Place: Date: (dd/mm/yy)

Applicant

Signature & seal

Format - 4

LABORATORY LETTERHEAD (Laboratory's name and address)

CERTIFICATE OF ANALYSIS No. :

DESCRIPTION OF CLIENT/ EXPORTER

Name Company name

DESCRIPTION OF CLIENT/ EXPORTER

Address DESCRIPTION OF CLIENT/ EXPORTER

Phone/Fax. Number

DESCRIPTION OF SAMPLE

Sample Code

DESCRIPTION OF SAMPLE

Sampling Location Sampling date (dd/ mm/yy)

DESCRIPTION OF SAMPLE

Date registered {dd/mm/yy)

Date of analysis (dd/mm/yy)

DESCRIPTION OF CONSIGNMENT

Common Name

Botanical Name

Quantity (kg) Packing unit

Port of Loading Date of loading (dd/mm/yy)

RESULT OF ANALYSIS

No Test Parameters

Method of analysis

Indonesia's Food Safety Standards

Result of Analysis

Remarks/ Conformity

1.

This certificate guarantees the compliance of the consignment with Indonesia's food safety requirements

Place: Date: (dd/mm/yy)

Authorized officer

Signature & seal

Format - 5

APPUCATION FOR RECOGNITION OF FPPO INA COUNTRY

To: H.E. Minister of Agriculture of the Republic of Indonesia c.q. Director General of Indonesian Agricultural Quarantine Agency (Food Safety Competent Authority at the Entry and Exit Points of Indonesia)

From: National Food Safety Competent Authority (NFSCA) of: ... (name of country)

Herewith we would like to inform the details of the food safety control systems that we apply for recognition:

1 . Name and description of Produce : (Common Name & Botanical Name of commodity., e.g. apple Name) (Pyrus malus), grapes (Vitis

vinifera), etc. 2. Detail of Production Area ·

- Total Production Area: ... (in aeree) for each commodity

- Productivity of each commodity per aeree per season

- Location of production sites (district, province, etc.)

- List of production area of product exported to Indonesia

3 Certification Bodies of Produce :

4 Testing Laboratories and Their : Competence

5. Authorized Residue Survey : Institution(s)

6 . Food safety control systems*) 6 .

a. GAP • Yes • No 6 .

b. GHP • Yes • No

6 .

c. Procedure of Monitoring and Surveillance (including sampling methods, scope, frequency, lab test methods)

• Yes • No

6 .

d. Data of Monitoring and Surveillance (at least 3 years) - pesticide residues - mycotoxins - heavy metals (Pb, Cd) - microbiological contaminant

• Yes • No • Yes • No • Yes • No Π Yes • No

e. Procedure of Inspection and : Certification (including sampling methods)

• Yes • No

7. Annex**) : a. Description of food safety control system for fresh food of plant origin in country of origin;

b. List of Food Safety Regulations (Full Text in English);

c. List of Production Sites implementing GAP;

d. List of Handling Facilities implementing GHP;

e. List of Manufacturing Facilities implementing GMP;

f. Monitoring system for chemical and biological contaminants (including sampling methods, scope, frequency, lab test methods);

g. Official monitoring's result at least the latest of 3 (three) years;

h. List of Testing Laboratories; i. List of Producers/Exporters; j. Description of Authorized

Agency (Food Safety Competent Authority, Regulatory Bodies, National Residue Survey, Certification Bodies of Produce etc.);

k. Inspection and certification system for exportation of FFPO;

1. Inspection and certification system for importation of FFPO;

m. List of Exit Points. *) put ft) on the box **) please attach the complete documents (in English)

Applicant,

signature & stamp

( Director of NFSCA )

Format - б

Our. Ref. : ... Date: 20..

[Title] [Firstname] [Lastname] [Name of National Food Safety Competent Authority (NFSCA)'s Agency] [Street Address] [Region] [Country] [Postal code]

Subject: Refusal of recognition's application for [country's name]'s food safety control system

Dear [Title] [Lastname],

Thank you for your application for recognition of [country's name]'s food safety control system. Referring to your letter Ref. ... dated ... regarding and based on the result of document assessment and/or field verification, we regret to inform you that your application for recognition of your country's food safety control system has not meet our requirements and is refused with some reasons as follows: 1

2

3

We appreciate your interest and thank you for your kind cooperation.

Sincerely yours.

[Firstname] [Lastname] On behalf of Minister of Agriculture Republic of Indonesia Director General of Agricultural Quarantine Agency

Cc.: 1. H.E. Minister of Agriculture Republic of Indonesia; 2. H.E. Ambassador of [Country's name].

Format-7

DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER:

REGARDING

RECOGNITION OF FRESH FOOD OF PLANT ORIGIN SAFETY SURVEILLANCE SYSTEM OF (COUNTRY NAME)

BY THE GRACE OF GOD THE ALMIGHTY

In view of

MINISTER OF THE AGRICULTURE,

Considering : a. that

b. that

c. that

d. that based on the consideration as referred to in letter a, letter b, and letter c, as well as according to Article.... of the Regulation of the Minister of Agriculture Number...., it is necessary to grant Recognition of Fresh Food of Plant Origin Safety Surveillance System from (country name) ;

1. Law Number 16 of 1992 regarding Animal, Fish, and Plant Quarantine (State Gazette of 1992 Number 56, Supplement Number 3482);

2. Law Number 7 of 1994 regarding Ratification of Agreement Establishing the World Trade Organization (State Gazette of 1994 Number 57, Supplement Number 3554);

3. Law Number 8 of 1999 regarding Consumer Protection (State Gazette of 1999 Number 42, Supplement Number 3821);

4. Law Number 18 of 2004 regarding Plantation (State Gazette of 2004 Number 85, Supplement Number 4411);

5. Law Number 13 of 2010 regarding Horticulture (State Gazette of 2010 Number 132, Supplement Number 5170);

6. Law Number 18 of 2012 regarding Food (State Gazette of 2012 Number 227, Supplement Number 5360);

7. Law Number 20 of 2014 regarding Standardization and Conformance Assessment (State Gazette of 2014 Number 216, Supplement Number 5884);

8. Government Regulation Number 102 of 2000 regarding National Standardization (State Gazette of 2000 Number 199, Supplement Number 4020);

9. Government Regulation Number 14 of 2002 regarding Plant Quarantine (State Gazette of 2002 Number 35, Supplement Number 4196);

10. Government Regulation Number 28 of 2004 regarding Food Safety, Quality, and Nutrition (State Gazette of 2004 Number 107, Supplement Number 4424);

11. Presidential Regulation Number 47 of 2009 regarding Formation and Organization of State Ministry; as amended for several times being latest with Presidential Regulation Number 13 of 2014 regarding Fifth Amendment of Presidential Regulation Number 45 of 2009 regarding Formation and Organization of State Ministry (State Gazette of 2014 Number 24);

12. Presidential Regulation Number 24 of 2010 regarding Position, Duties and Function of State Ministries as well as Organization Structure, Duties and Function of First Echelon State Ministries; as amended for several times being the latest with Presidential Regulation Number 135 of 2014 regarding Seventh Amendment of Presidential Regulation Number 24 of 2010 regarding Position, Duties and Function of State Ministries as well as Organization Structure, Duties and Function of First Echelon State Ministries (State Gazette of 2014 Number 273);

13. Presidential Decree Number 121/P of 2014 regarding Formation of Ministry and Minister Assignation of Working Cabinet for 2014 - 2019 period;

14. Presidential Regulation Number 165 of 2014 regarding Arrangement of Duty and Function of Working Cabinet (State Gazette of 2014 Number 339);

15. Regulation of the Minister of Agriculture Number Ol/Permentan/OT.140.1.2007 regarding Restricted and Prohibited List of Pesticide Active Ingredients;

16. Regulation of the Minister of Agriculture Number 58/Permentan/OT.140/8/2007 regarding Implementation of Agricultural National Standardization System;

17. Regulation of the Minister of Agriculture Number 22/Permentan/OT.140/4/2008 regarding Organization and Working Procedures of Agricultural Quarantine Technical Implementation Unit;

18. Regulation of the Minister of Agriculture Number 35/Permentan/OT. 140/7/2008 regarding Requirements and Application of Good Manufacturing Practices of Agricultural Product of Plant Origin;

19. Regulation of the Minister of Agriculture Number 09/Permentan/OT. 140/2009 regarding Requirements and Procedures of Quarantine Measures of Importation of Plant Quarantine Pest Organism Carrying Media into the Territory of the Republic of Indonesia;

20. Regulation of the Minister of Agriculture Number 44/Permentan/OT.140/10/2009 regarding Good Post Harvest Handling Practices of Agricultural Product of Plant Origin (State Gazette of 2009 Number 399);

21. Regulation of the Minister of Agriculture Number 48/Permentan/OT. 140/10/2009 regarding Good Agriculture Practices of Fruits and Vegetables (State Gazette of 2009 Number 402);

22. Directive of the Minister of Agriculture Number 3237/Kpts/HK.060/9/2009 regarding Documents Form and Type for Plant Quarantine Measures and Safety of Fresh Food of Plant Origin;

23. Regulation of the Minister of Agriculture Number 61/Permentan/OT.140/10/2010 regarding Organization and Working Procedure within the Agricultural Ministry;

24. Regulation of the Minister of Agriculture Number 24/Permentan/SR.140/4/2011 regarding Requirements and Procedures for Pesticide Registration (State Gazette of 2011 Number 232);

25. Regulation of the Minister of Agriculture Number ' 94/Permentan/OT.140.2011 regarding Point of Entry and

Exit for Carrying Media of Animal Quarantine Disease and Pest Organism of Quarantined Plant (State Gazette of 2011 Number 7), as amended by the Regulation of the Minister of Agriculture Number 44/Permentan/OT.140/3/2014 regarding Amendment on the Regulation of the Minister of Agriculture Number 94/Permentan/OT.140.2011 regarding Point of Entry and Exit for Carrying Media of Animal Quarantine Disease and Pest Organism of Quarantined Plant (State Gazette of 2014 Number 428);

26. Regulation of the Minister of Agriculture Number 42/Permentan/OT.140/6/2012 regarding Plant Quarantine Measures for Importation of Fresh Fruits and Vegetables into the Territory of the Republic of Indonesia;

27. Regulation of the Minister of Agriculture Number 43/Permentan/OT.140/6/2012 regarding Plant Quarantine Measures for Importation of Fresh Tuber Vegetables into the Territory of the Republic of Indonesia;

28. Regulation of the Minister of Agriculture Number 38/Permentan/OT.140/3/2014 regarding Plant Quarantine Measures outside the Point of Exit and Entry;

Observing : 1. The evaluation result of application and data regarding the food safety surveillance system in (country name) ;

2. On-site Verification report against the food safety surveillance system in (country name) ;

3. Recommendation ofTeam...:

DECIDES:

To stipulate :

FIRST : To grant recognition of food safety surveillance system in (country name)

SECOND : The type of fresh food of plant origin given the recognition as referred to in the FIRST dictum enclosed in the Appendix which becomes an integral part of this Directive.

: Recognition as referred to in the FIRST dictum shall be suspended or revoked if discrepancy occurred as regulated within the Regulation of the Minister of Agriculture Number

: National Food Safety Competent Authority of (country name).... is obliged to submit the recent monitoring data annually since this Directive comes into effect.

: In the event of outbreak or food safety case in the country of origin, the National Food Safety Competent Authority of (country name).... is obliged to immediately give the information to the Head of Agricultural Quarantine Agency.

: Recognition of FFPO safety surveillance system as referred to in the FIRST dictum is valid for the period of 3 (three) years since this Ministerial Directive is legalized and subject to extension.

: This Ministerial Directive comes into effect on the date of legislation.

Stipulated in Jakarta On THE MINISTER OF AGRICULTURE

Signed

Copy of this Directive is submitted to H.E: 1. Ambassador of (country name) in Jakarta, Indonesia; 2. Ambassador of the Republic of Indonesia in (country name); 3. Director General of Foreign Trade, Ministry of Trade; 4. Echelon I Officials within the Ministry of Agriculture; 5. Echelon II Officials within the Head Office of Agricultural Quarantine

Agency; 6. Head of Technical Implementation Unit of Agricultural Quarantine all over

Indonesia.

THIRD

FOURTH

FIFTH

SIXTH

SEVENTH

APPENDIX DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER : DATE:

TYPE OF FRESH FOOD OF PLANT ORIGIN GIVEN THE RECOGNITION

No. Indonesian Name/English Name

1

2

3

Format - 8

APPLICATION FOR REGISTRATION OF FOOD SAFETY TESTING LABORATORY IN A COUNTRY

To: H.E. Minister of Agriculture Republic of Indonesia c.q. Director General of Indonesian Agricultural Quarantine Agency (Food Safety Competent Authority at the Entry and Exit Points of Indonesia)

From: National Food Safety Competent Authority (NFSCA) of... (name of country)

Herewith we would like to inform:

I. The details of food safety testing laboratory submitted to be registered:

No. Name of Laboratory Address Scope of Accreditation 1 2 3

. . .

2. List of pesticide active ingredients used and licensed in origin country:

No. Pesticide Active Ingredients Agricultural Products 1 2 3

3. List of active ingredients of banned pesticides (including Persistetit Organic Pollutants/POPs) :

No. Pesticide Active Ingredients Year (banned) 1 2 3

4. List of regulations regarding pesticides or other agricultural chemicals (if available):

5. List of Annexes (Please provide all documents in English): a. Profile of NFSCA (Name of agency, address, organizational chart, contact

person, function and resposibilities);

b. Profile of competent agency for food safety laboratory accreditation (Name of agency, address, organizational chart, confaci person, function and resposibilities);

c. Profile of each laboratory (Name of laboratory, address, organizational chart, contact person, scope of analysis, certificate of accreditation, method of analysis, testing records (at least 2 years), ä list of major testing/analysis equipments (including the specification of testing

LAMPIRAN KEPUTUSAN MENTERI PERTANIAN REPUBLIK INDONESIA NOMOR : TANGGAL :

JENIS PANGAN SEGAR ASAL TUMBUHAN YANG DIBERIKAN PENGAKUAN

No Nama Indonesia/Nama Inggris 1 2 3

Format - 9

Our. Ref. : ... · Date: ,20..

[Title] [Firstname] [Lastname] [Name of National Food Safety Competent Authority (NFSCA)'s Agency] [Street Address] [Region] [Country] [Postal code]

Subject: Refusal of application for registration of food safety testing laboratory in [country's name]

Dear [Title] [Lastname],

Thank you for your application for registration of food safety testing laboratoiy in [country's name]. Refering to your letter Ref. ... dated ... regarding .. and based on the result of document assessment and/or laboratory verification, we regret to inform you that your application for registration of food safety testing laboratory in your country has not meet our requirements and is refused with some reasons as follows: 1

2

3

We appreciate your interest and thank you for your kind cooperation.

Sincerely yours,

[Firstname] [Lastname] On behalf of Minister of Agriculture Republic of Indonesia Director General of Agricultural Quarantine Agency

Cc.: 1. H.E. Minister of Agriculture Republic of Indonesia; 2. H.E. Ambassador of [Country's name];

equipments), lay-out of office and laboratoiy, laboratory personnel including the training period of the laboratoiy personnels, a copy of documents demonstrating evaluation of laboratory performance);

d. Name and specimen of signature of authorized officer responsible to endorse the certifícate of analysis; and

e. Mechanism of accreditation;

f. Official control of food safely laboratory by NFSCA.

Date/ Month/Year

Applicant,

signature & stamp

( Director of NFSCA )

Format-10

DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER:

REGARDING

REGISTRATION OF FRESH FOOD OF PLANT ORIGIN SAFETY TESTING LABORATORY OF (COUNTRY NAME)

BY THE GRACE OF GOD THE ALMIGHTY

Considering

In view of

MINISTER OF THE AGRICULTURE,

a. that

b. that

c. that

d. that based on the consideration as referred to in letter a, letter b, and letter c, an as referred by Article.... of the Regulation of the Minister of Agriculture Number...., it is necessary to grant Registration for food safety testing laboratory of (country name) ;

1. Law Number 16 of 1992 regarding Animal, Fish, and Plant Quarantine (State Gazette of 1992 Number 56, Supplement Number 3482);

2. Law Number 7 of 1994 regarding Ratification of Agreement Establishing the World Trade Organization (State Gazette of 1994 Number 57, Supplement Number 3554);

3. Law Number 8 of 1999 regarding Consumer Protection (State Gazette of 1999 Number 42, Supplement Number 3821);

4. Law Number 18 of 2004 regarding Plantation (State Gazette of 2004 Number 85, Supplement Number 4411);

5. Law Number 13 of 2010 regarding Horticulture (State Gazette of 2010 Number 132, Supplement Number 5170);

6. Law Number 18 of 2012 regarding Food (State Gazette of 2012 Number 227, Supplement Number 5360);

7. Law Number 20 of 2014 regarding Standardization and Conformance Assessment (State Gazette of 2014 Number 216, Supplement Number 5884);

8. Government Regulation Number 102 of 2000 regarding National Standardization (State Gazette of 2000 Number 199, Supplement Number 4020);

9. Government Regulation Number 14 of 2002 regarding Plant Quarantine (State Gazette of 2002 Number 35, Supplement Number 4196);

10. Government Regulation Number 28 of 2004 regarding Food Safety, Quality, and Nutrition (State Gazette of 2004 Number 107, Supplement Number 4424);

11. Presidential Regulation Number 47 of 2009 regarding Formation and Organization of State Ministry; as amended for several times being latest with Presidential Regulation Number 13 of 2014 regarding Fifth Amendment of Presidential Regulation Number 45 of 2009 regarding Formation and Organization of State Ministry (State Gazette of 2014 Number 24);

12. Presidential Regulation Number 24 of 2010 regarding Position, Duties and Function of State Ministries as well as Organization Structure, Duties and Function of First Echelon State Ministries; as amended for several times being the latest with Presidential Regulation Number 135 of 2014 regarding Seventh Amendment of Presidential Regulation Number 24 of 2010 regarding Position, Duties and Function of State Ministries as well as Organization Structure, Duties and Function of First Echelon State Ministries (State Gazette of 2014 Number 273);

13. Presidential Decree Number 121/P of 2014 regarding Formation of Ministry and Minister Assignation of Working Cabinet for 2014 - 2019 period;

14. Presidential Regulation Number 165 of 2014 regarding Arrangement of Duty and Function of Working Cabinet (State Gazette of 2014 Number 339);

15. Regulation of the Minister of Agriculture Number 01/Permentan/OT.140.1.2007 regarding Restricted and Prohibited List of Pesticide Active Ingredients;

16. Regulation of the Minister of Agriculture Number 58/Permentan/OT.140/8/2007 regarding Implementation of Agricultural National Standardization System;

17. Regulation of the Minister of Agriculture Number 22/Permentan/OT.140/4/2008 regarding Organization and Working Procedures of Agricultural Quarantine Technical Implementation Unit;

18. Regulation of the Minister of Agriculture Number 35/Permentan/OT.140/7/2008 regarding Requirements and Application of Good Manufacturing Practices of Agricultural Product of Plant Origin;

19. Regulation of the Minister of Agriculture Number 09/Permentan/OT.140/2009 regarding Requirements and Procedures of Quarantine Measures of Importation of Plant Quarantine Pest Organism Carrying Media into the Territory of the Republic of Indonesia;

20. Regulation of the Minister of Agriculture Number 44/Permentan/OT. 140/10/2009 regarding Good Post Harvest Handling Practices of Agricultural Product of Plant Origin (State Gazette of 2009 Number 399);

21. Regulation of the Minister of Agriculture Number 48/Permentan/OT.140/10/2009 regarding Good Agriculture Practices of Fruits and Vegetables (State Gazette of 2009 Number 402);

22. Directive of the Minister of Agriculture Number 3237/Kpts/HK.060/9/2009 regarding Documents Form and Type for Plant Quarantine Measures and Safety of Fresh Food of Plant Origin;

23. Regulation of the Minister of Agriculture Number 61/ Permentan / ОТ. 140/10/2010 regarding Organization and Working Procedure within the Agricultural Ministry;

24. Regulation of the Minister of Agriculture Number 24/Permentan/SR. 140/4/2011 regarding Requirements and Procedures for Pesticide Registration (State Gazette of 2011 Number 232);

25. Regulation of the Minister of Agriculture Number 94/Permentan/OT.140.2011 regarding Point of Entry and

Exit for Carrying Media of Animal Quarantine Disease and Pest Organism of Quarantined Plant (State Gazette of 2011 Number 7), as amended by the Regulation of the Minister of Agriculture Number 44/Permentan/OT.140/3/2014 regarding Amendment on the Regulation of the Minister of Agriculture Number 94/Permentan/OT. 140.2011 regarding Point of Entry and Exit for Carrying Media of Animal Quarantine Disease and Pest Organism of Quarantined Plant (State Gazette of 2014 Number 428);

26. Regulation of the Minister of Agriculture Number 42/Permentan/OT.140/6/2012 regarding Plant Quarantine Measures for Importation of Fresh Fruits and Vegetables into the Territory of the Republic of Indonesia;

27. Regulation of the Minister of Agriculture Number 43/Permentan/OT.140/6/2012 regarding Plant Quarantine Measures for Importation of Fresh Tuber Vegetables into the Territory of the Republic of Indonesia;

28. Regulation of the Minister of Agriculture Number 38/Permentan/OT.140/3/2014 regarding Plant Quarantine Measures outside the Point of Exit and Entry;

Observing : 1. The evaluation result of application and data regarding the competency of FFPO safety testing laboratory in (country name) ;

2. On-site Verification report against the competency of FFPO safety testing laboratory in (country name) ;

3. Recommendation of Team... :

DECIDES:

To stipulate :

FIRST : To register fresh food of plant origin (FFPO) safety testing laboratory in (country name) as FFPO safety testing laboratory authorized to issue Certificate of Analysis for FFPO originated from (country name) ... which will be shipped into the territory of the Republic of Indonesia.

SECOND : The list of FFPO safety testing laboratory as referred to in the FIRST dictum are enclosed in the Appendix I which becomes an integral part of this Directive.

: The type of contaminants obliged to be tested for imported FFPO form (country name).... by the FFPO safety testing laboratory as referred to in the FIRST dictum are enclosed in the Appendix II which becomes an integral part of this Directive.

: Registration of FFPO safety testing laboratory as referred to in the FIRST dictum shall be suspended or revoked if discrepancy occurred as regulated within the Regulation of the Minister of Agriculture Number

: In the event of outbreak or food safety case in the country of origin, the National Food Safety Competent Authority of (country name).... is obliged to immediately give the information to the Head of Agricultural Quarantine Agency.

: Registration of FFPO safety testing laboratory as referred to in the FIRST dictum is valid for the period of 3 (three) years since this Ministerial Directive is legalized and subject to extension.

: This Ministerial Directive comes into effect on the date of legislation.

Stipulated in Jakarta On On behalf of THE MINISTER OF AGRICULTURE HEAD OF THE AGRICULTURAL QUARANTINE AGENCY

Signed

NIP

Copy of this Directive is submitted to H.E: 1. Ambassador of (country name) in Jakarta, Indonesia; 2. Ambassador of Indonesia in (country name); 3. Director General of Foreign Trade, Ministry of Trade; 4. Echelon I Officials within the Ministry of Agriculture; 5. Echelon II Officials within the Head Office of Agricultural Quarantine

Agency; 6. Head of Technical Implementation Unit of Agricultural Quarantine all over

Indonesia.

THIRD

FOURTH

FIFTH

SIXTH

SEVENTH

APPENDIX I DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER : DATE :

LIST OF REGISTERED FRESH FOOD OF PLANT ORIGIN SAFETY TESTING LABORATORY OF (COUNTRY NAME)

No. Registration Number

Laboratory Name

Analysis Scope Address

Authorized personnel to sign the Certificate of

Analysis

1 . . . .

2 . . . .

3 . . . .

On behalf of THE MINISTER OF AGRICULTURE THE REPUBLIC OF INDONESIA

THE HEAD OF AGRICULTURAL QUARANTINE AGENCY

Signed

NIP

APPENDIX II DIRECTIVE OF THE MINISTER OF AGRICULTURE

NUMBER : DATE :

THE TYPE OF CONTAMINANTS OBLIGED TO BE TESTED FOR FRESH FOOD OF PLANT ORIGIN BEING IMPORTED FROM (COUNTRY NAME)

1. Analysis for chemical contaminant: a. Pesticide Residue:

No Pesticide Active Ingredients 1 • · · ·

2 3 • · · «

b. Heavy Metal Contaminant:

As regulated by Appendix I of the Regulation of the Minister of Agriculture Number regarding Food Safety Surveillance on the Importation and Exportation of Fresh Food of Plant Origin

c. Mycotoxin contaminant:

As regulated by the Appendix I of the Regulation of the Minister of Agriculture Number regarding Food Safety Surveillance on the Importation and Exportation of Fresh Food of Plant Origin

2. Analysis for biological contaminant:

As regulated by the Appendix I of the Regulation of the Minister of Agriculture Number regarding Food Safety Surveillance on the Importation and Exportation of Fresh Food of Plant Origin

On behalf of THE MINISTER OF AGRICULTURE THE REPUBLIC OF INDONESIA

THE HEAD OF AGRICULTURAL QUARANTINE AGENCY

Signed

NIP

Format -11

Our. Ref. : ... Date: , 20..

[Title] [Firstname] [Lastname] [Name of National Food Safety Competent Authority (NFSCA)'s Agency] [Street Address] [Region] [Country] [Postal code]

Subject: Suspension of recognition of [country's namej's food safety control system

Dear [Title] [Lastname],

With reference to the recognition of [country's name]'s food safely control system that has been stipulated by the Decree of Minister of Agriculture Number .... on [date of minister's decree] for period of 3 (three) years, we would like to inform you as follows: 1. As regulated on the Regulation of Minister of Agriculture Number .... of ....

that importation from recognized country shall be monitored occasionally and randomly to ensure the continuity of its compliance with Indonesia's food safely requirements for importation of fresh food of plant origin (FFPO), Indonesian Agricultural Quarantine Agency (IAQA) has been conducting monitoring program for FFPO's importation from (country's name].

2. Based on the monitoring results, we found 3 (three) times of non-compliances/non-conformities on exportation of fresh food of plant origin (FFPO) from your country to Indonesia.

3. We already sent the notification of non-compliances (NNC) to government of [country's name] and requested that corrective actions to be applied promptly to ensure the issues has been solved and the food safety control system in [countiy's name] is working properly.

4. Related to those findings, we deeply regret to inform you that until the corrective actions have been proved to be applied effectively and in order to prevent further similar issues, starting from [date of suspension], we are suspending the recognition of [country's namej's food safety control system.

5. The suspension may be revoked after the re-verification to verify the effectiveness of the corrective actions has been conducted and the re-verification's result comply with our requirements.

We appreciate {country's namej's continuous efforts to guarantee that FFPO exported to Indonesia are safe and fit for Indonesia's people and we will be waiting for your cooperation to resolve this issue.

Thank you for your kind attention and we are looking forward to continue the valuable cooperation on food safety establishment between the Government of [country's name] and The Government of Republic of Indonesia.

Sincerely yours,

[Firstname] [Lastname] On behalf of Minister of Agriculture Republic of Indonesia Director General of Agricultural Quarantine Agency Ministry of Agriculture, Republic of Indonesia

Cc.: 1. H.E. Minister of Agriculture Republic of Indonesia; 2. H.E. Ambassador of [Country's name].

Format-12

DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER:

REGARDING

RECOGNITION REVOCATION OF FRESH FOOD OF PLANT ORIGIN SAFETY SURVEILLANCE SYSTEM OF (COUNTRY NAME)

BY THE GRACE OF GOD THE ALMIGHTY

In view of

MINISTER OF THE AGRICULTURE,

Considering : a. that

b. that

c. that

d. that based on the provision of Article of the Regulation of the Minister of Agriculture Number...., the Minister of Agriculture has the authorization to revoke the recognition of a country's fresh food of plant origin safety surveillance system based on monitoring result which indicates 3 (three) discrepancies;

e. that based on the consideration as referred to in letter a, letter b, and letter c, as well as according to Article.... of the Regulation of the Minister of Agriculture Number...., it is necessary to stipulate Recognition Revocation of Fresh Food of Plant Origin Safety Surveillance System from (country name) ;

1. Law Number 16 of 1992 regarding Animal, Fish, and Plant Quarantine (State Gazette of 1992 Number 56, Supplement Number 3482);

2. Law Number 7 of 1994 regarding Ratification of Agreement Establishing the World Trade Organization (State Gazette of 1994 Number 57, Supplement Number 3554);

3. Law Number 8 of 1999 regarding Consumer Protection (State Gazette of 1999 Number 42, Supplement Number 3821);

4. Law Number 18 of 2012 regarding Food (State Gazette of 2012 Number 227, Supplement Number 5360);

Observing

5. Government Regulation Number 28 of 2004 regarding Food Safety, Quality, and Nutrition (State Gazette of 2004 Number 107, Supplement Number 4424);

6. Regulation of the Minister of Agriculture Number regarding Food Safety Surveillance on Importation and Exportation of Fresh Food of Plant Origin;

1. Corrective action report in (country name) ;

2. Re-verification report against the corrective action conducted by (country name) ;

To stipulate

FIRST

SECOND

THIRD

DECIDES:

To revoke the Directive of the Minister of Agriculture Number Regarding Recognition of Fresh Food of Plant Origin

Safety Surveillance System of (Country Name)

By the stipulation of this Directive, the recognition of Fresh Food Safety Surveillance System of (Country name) is revoked and no longer valid.

This Ministerial Directive comes into effect on the date of legislation.

Stipulated in Jakarta On THE MINISTER OF AGRICULTURE

Signed

Copy of this Directive is submitted to H.E: 1. Ambassador of (country name) in Jakarta, Indonesia; 2. Ambassador of the Republic of Indonesia in (country name); 3. Director General of Foreign Trade, Ministry of Trade; 4. Echelon I Officials within the Ministry of Agriculture; 5. Echelon II Officials within the Head Office of Agricultural Quarantine

Agency; 6. Head of Technical Implementation Unit of Agricultural Quarantine all over

Indonesia.

Format - 13

Our. Ref, : ... Date: 20..

[Title] [Firstname] [Lastname] [Name of National Food Safety Competent Authority (NFSCAj's Agency] [Street Address] [Region] [Country] [Postal code]

Subject: Revocation of suspension (re-stipulation) of recognition of [country's namej's food safety control system

Dear [Title] [Lastname],

Referring to our letter [reference number] dated on .... regarding suspension of recognition of [country's namej's food safety control system, we are pleased to inform you that based on the assessment and/or re-verification's results, we had confirm the corrective actions conducted by the Government of [country's name] were effective in preventing the non-compliance from re-occurring. Therefore, the suspension of the recognition of [country's namej's food safety control system is revoked starting from [date of revocation] and the Decree of Minister of Agriculture Number .... regarding Recognition of [country's namej's food safety system is re-stipulated. Thank you for your kind cooperation. Hopefully, the implementation of the recognition of [country's name]'s safety control system will develop a valuable cooperation on food safety establishment between the Government of [country's name] and The Government of Republic of Indonesia.

Sincerely yours,

[Firstname] [Lastname] On behalf of Minister of Agriculture Republic of Indonesia Director General of Agricultural Quarantine Agency Ministry of Agriculture, Republic of Indonesia

Cc.: 1. Minister of Agriculture Republic of Indonesia; 2. H.E. Ambassador of [Country's name].

Format-14

DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER:

REGARDING

AMENDMENT OF DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER REGARDING REGISTRATION OF FRESH FOOD OF PLANT ORIGIN

SAFETY LABORATORY TESTING OF (COUNTRY NAME)

BY THE GRACE OF GOD THE ALMIGHTY

In view of

MINISTER OF THE AGRICULTURE,

Considering : a. that

b. that

c. that

d. that based on the provision of Article of the Regulation of the Minister of Agriculture Number...., the Minister of Agriculture has the authorization to revoke the registration of a country's fresh food of plant origin safety testing laboratory that is proven to issue 3 (three) Certificate of Analysis which do not conform to the safety provision of FFPO during its registration period;

e. that based on the consideration as referred to in letter a, letter b, and letter c, as well as according to Article.... of the Regulation of the Minister of Agriculture Number...., it is necessary to amend Appendix I of the Directive of the Minister of Agriculture Number .... Regarding Registration of Fresh Food of Plant Origin Safety Laboratory Testing of

(country name.);

1. Law Number 16 of 1992 regarding Animal, Fish, and Plant Quarantine (State Gazette of 1992 Number 56, Supplement Number 3482);

2. Law Number 7 of 1994 regarding Ratification of Agreement Establishing the World Trade Organization (State Gazette of 1994 Number 57, Supplement Number 3554);

3. Law Number 8 of 1999 regarding Consumer Protection (State Gazette of 1999 Number 42, Supplement Number 3821);

4. Law Number 18 of 2012 regarding Food (State Gazette of 2012 Number 227, Supplement Number 5360);

5. Government Regulation Number 28 of 2004 regarding Food Safety, Quality, and Nutrition (State Gazette of 2004 Number 107, Supplement Number 4424);

6. Regulation of the Minister of Agriculture Number regarding Food Safety Surveillance on Importation and Exportation of Fresh Food of Plant Origin;

DECIDES:

To stipulate : DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER ... REGARDING AMENDMENT OF DIRECTIVE OF THE MINISTER OF AGRICULTURE NUMBER REGARDING REGISTRATION OF FRESH FOOD OF PLANT ORIGIN SAFETY LABORATORY TESTING OF (COUNTRY NAME)

FIRST : To amend Appendix I of the Directive of the Minister of Agriculture Number Regarding Registration of Fresh Food of Plant Origin Safety Laboratory Testing of (country name)

SECOND : Amendment of Appendix I of the Directive of the Minister of Agriculture Number Regarding Registration of Fresh Food of Plant Origin Safety Laboratory Testing of (country name) as referred to in FIRST dictum is enclosed on the appendix.

THIRD : By the stipulation of this Directive, the Registration of ... (Laboratory Name) with Registration Number .... is revoked and no longer valid.

FOURTH : This Ministerial Directive comes into effect on the date of legislation.

Stipulated in Jakarta On

On behalf of MINISTER OF AGRICULTURE HEAD OF AGRICULTURAL QUARANTINE AGENCY

Signed

NIP

Copy of this Directive is submitted to H.E: 1. Ambassador of (country name) in Jakarta, Indonesia; 2. Ambassador of the Republic of Indonesia in (country name); 3. Director General of Foreign Trade, Ministry of Trade; 4. Echelon I Officials within the Ministry of Agriculture; 5. Echelon H Officials within the Head Office of Agricultural Quarantine

Agency; 6. Head of Technical Implementation Unit of Agricultural Quarantine all over

Indonesia.

APPENDIX DIRECTIVE OF THE MINISTER OF AGRICULTURE OF THE REPUBLIC OF INDONESIA NUMBER : DATE :

LIST OF REGISTERED FRESH FOOD OF PLANT ORIGIN SAFETY TESTING LABORATORY OF .... (COUNTRY NAME)

No. Registration

Number Laboratory

Name Analysis

Scope Address

Authorized personnel to sign the Certificate of

Analysis

1 . . . .

2 . . . .

3 . . . .

On behalf of THE MINISTER OF AGRICULTURE THE REPUBLIC OF INDONESIA

THE HEAD OF AGRICULTURAL QUARANTINE AGENCY

Signed

NIP