Sample Commitment Form on the Location of Cultivation and Harvesting of Medicinal Plants in the Local Area
Commitment Form on Local Areas for Cultivation and Harvesting of Medicinal Herbs
According to Form 7, Appendix I issued with Circular 38/2021/TT-BYT (Effective from February 15, 2022), the regulation on the commitment form regarding local areas for cultivation, harvesting, and extraction of medicinal herbs is as follows:
SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
---------------
......, ...... day ...... month ...... year ......
COMMITMENT FORM
REGARDING THE AREA FOR CULTIVATION, HARVESTING, AND EXTRACTION OF MEDICINAL HERBS
| To: | - Ministry of Health (Department of Traditional Medicine and Pharmacy Management) - Department of Health of the province/city |
This facility commits to having purchased medicinal herbs from facilities/individuals cultivating, harvesting, and extracting medicinal herbs. To be specific:
| No. | Facility/Individual cultivating, harvesting, extracting medicinal herbs | Business location/ Permanent residence | Name of medicinal herb (scientific name) | Cultivation area (m^2^) | Plantation location | Expected yield (kg) | Time of purchase |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 |
In case of discovering any falsification or inaccuracies in the committed content, the facility will take full responsibility for the origin of the medicinal herbs and will be punished according to the law regarding the business of medicinal herbs with unclear origins.
| FACILITY DIRECTOR (Signature, full name, and seal) |
Report Template on Activities of Cultivation/Harvesting/Extraction, Trading of Medicinal Herbs/Traditional Medicine Ingredients/Traditional Medicine
In Form 11, Appendix I issued with Circular 38/2021/TT-BYT (Effective from February 15, 2022), the regulation on the report template for activities of cultivation/harvesting/extraction, trading of medicinal herbs/traditional medicine ingredients/traditional medicine is as follows:
| Name of governing unit Name of reporting facility |
SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness --------------- |
| Number … | ……, …… day …… month …… year …… |
REPORT ON ACTIVITIES OF CULTIVATION/HARVESTING/EXTRACTION, TRADING OF MEDICINAL HERBS/TRADITIONAL MEDICINE INGREDIENTS/TRADITIONAL MEDICINE
To: Department of Traditional Medicine and Pharmacy Management - Ministry of Health
General information about the facility:
1.1. Facility name:
1.2. Address:
1.3. Phone number:
1.4. Legal representative:
- Report on activities of cultivation/harvesting/extraction, trading of medicinal herbs/traditional medicine ingredients/traditional medicine
2.1. Activities of cultivation/harvesting/extraction
| No. | Name of medicinal herb | Cultivation address | Total cultivation area (m^2^) | Average harvest yield (per year) (kg) | Total sales volume (per year) (kg) |
|---|---|---|---|---|---|
2.2. Trading activities
| No. | Name of medicinal herb/traditional medicine ingredient/traditional medicine | Quality standard number/Registration number | Unit (kg or smallest packaging unit) | Quantity/Weight sold (per year) |
|---|---|---|---|---|
| Recipients:- As above; - File:... |
......, ...... day ...... month ...... year ...... Representative of reporting facility (signature, seal) |
Respectfully!
