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Type of Enity
CONTACT DETAILS
PRODUCTION DETAILS
Estimated 2023/24
Estimated 2022/23
Actual 2021/22
Actual 2020/21
Actual 2019/20
FARM DETAILS
Farm 1
Type of Shed
Your Own Vat
Your Own Vat
Type of Shed
Farm 2
Your Own Vat
Type of Shed
Farm 3
FARM EFFLUENT DETAILS
SUPPORTING INFORMATION (Please upload or attach the following):
Select File
Select File
Select File

COLLECTION AND USE OF INFORMATION

The Applicant authorizes the Company to collect, retain

and use anny information about the Applicant for the

purposes of assessing the Applicant’s suitability to

supply milk to Miraka Ltd.

The Applicant authorizes the Company to disclose any

information obtained, to any person for the purposes set

out in above clause. Where the Customer is a natural

person the authorities under the above paragraphs are

authorities or consents under the Privacy Act 1993.

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REGISTRATION OF INTEREST FORM
NEW MILK SUPPLIER 

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