Page 2 - MYGAP RASA FARM 2020
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FARM PROFILE



                                                                                            AP/DVS/myGAP NO.1
                                       PERMOHONAN SKIM PENSIJILAN DVS
                                           Amalan Perladangan Baik Malaysia
                                      APPLICATION FOR DVS CERTIFICATION SCHEME
                                                 Malaysian Good Agricultural Practices

                                        DEPARTMENT OF VETERINARY SERVICES
                               MINISTRY OF AGRICULTURE AND AGRO-BASED INDUSTRY
                                                          MALAYSIA
                                               Wisma Tani, Podium Block 1A, Lot 4G1,
                                         Precinct 4, Federal Government Administrative Centre,
                                                     62630 Putrajaya, Malaysia

                                                Tel: 603-88702022  Fax: 603-88885755

                               MALAYSIAN GOOD AGRICULTURAL PRACTICES (myGAP)

             Sila Lengkapkan Maklumat Berikut:
             (Please fill in the required information)



                1.  Nama Pemohon:                                                              2.  Tarikh:
                 Applicant’s Name :   TAY KONG HOWE                                                Date :  7/01/19

               3.  E-mail (jika ada): drbahsha@gmail.com

               4.  Nama dan alamat Syarikat :                                   5.  No. Telefon:
                   Company Name and Address                                        Telephone No. : 03-79808086
                   LEONG HUP AGROBUSINESS SDN BHD
                   3rd FLOOR, WISMA WESTCOURT,                                  6.  No. Fax:
                   NO.126, JALAN KLANG LAMA, 58000, KUALA LUMPUR                   Fax No. : 03-79826000

               7.  Nama dan Alamat Premis /  Ladang (jika berlainan):
                   Premise Name and Address (if different:                      8.  No. Kod Ladang (Jika Ada):
                EMR 2632 LOT 1203, EMR 2525 LOT 475, MUKIM BATANG                    Farm code No (if available):
                 KALI , SELANGOR                                                     BHSAD002

                 9.  Jenis operasi ladang(Sila tandakan / & bulatkan maklumat yang   10.  No Lesen Premis/ladang
                                                                                    (dari DVS/ Majlis Tempatan, jika
                   berkaitan):
                   Type of Farm Operation (Please tick / &  circle the relate infomation) :   ada):
              71100 Seremban                                                       Premis/farm Licence No
                   1.  □  Premis Perladangan Ayam (Poultry Farming):
                      /
                   Negeri Sembilan                                                 (from DVS/Local Authority, if

                                    (Baka (GPS/PS)/Pedaging/Penelur/Pusat Penetasan)
                                          (Breeder    (GPS/PS)/Broiler/Layer/Hatchery)   available):
                   2.  □  Premis perladangan Itik (Duck Farming)
                                    (Baka (GPS/PS)/Pedaging/Penelur/Pusat Penetasan)
                                          (Breeder    (GPS/PS)/Broiler/Layer/Hatchery)
                   3.  □  Premis Perladangan  Lembu (Pedaging/ Tenusu/ Fidlot/ Baka)
                                                 (Beef/ Dairy/Feedlot /Breeder)
                   4.  □  Premis Perladangan Kambing ( Pedaging/ Tenusu/Baka)
                                                  (Goat/Dairy/Fidlot /Breeder)
                   5.  □  Premis perladangan Babi (Pig Farm)
                   6.   □  Premis Perladangan Walit (Edible-nest Swiftlet Ranching Premises)
                   7.  □  Premis perladangan integrasi (Integration farming)
                   8.  □  Lain-lain (Others) Sila nyatakan (Please state)...........................

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