Mountain Partnership Products Initiative

Application form

About the producer:

Name of the producer (individual or organization): Bio-KG

Country: Kyrgyzstan

Mountain area where the product comes from: Kara-Bak, Batken region

Name of the person submitting the application:

Email:

Telephone:

What type of producer are you (you can select more than one option):

Independent producer

Cooperative

Community

Family farmer

Producers organization

Women association

Other:

Do you belong to the category of smallholders described below?

YES	NO

Smallholders are small-scale farmers, pastoralists, forest keepers, fishers who manage areas varying from less than one hectare to 10 hectares.

If you are not an independent producer, what is the size of your company?

1-10 people

11-20 people

21-50 people

>50 people

Where do you sell your product?

Direct sale

Export

Intermediary

Local market

Online

Retailer

Other:

In which phase of the production cycle would you need support to improve your product the most?

Production process

Transformation

Storage

Marketing

Distribution

Other:

About the product:

What is your product? What is its name?

Can you describe it?

What makes it special?

Which are the main ingredient(s)/materials characterizing your product? Are they all from mountain areas?

Is your product entirely produced and transformed in mountain areas? Where? At which altitude? Please explain.

Is your product linked to the local culture/know how?

Is your product or production technique at risk of disappearing?

Is your production process respectful of the environment?

Is the product or the production process either traditional or innovative?

Can you describe the transformation process, if any?

Date	Signature