Climatarian Dish
Verification Form

    Restaurant and Contact Information

    Contact person (Confidential, used for communication for the verification process)


    Climatarian Dish

    All ingredients used for the Climatarian dish must comply with the following 5 rules.

    1. Plant-based (No use of animal-derived ingredients),

    2. Locally sourced where possible (No use of imported ingredients),

    3. Unprocessed or minimally processed,

    4. Minimally packaged,

    5. Organic (At least 80% of total ingredients by weight must be produced without the use of synthetic chemicals, and 100% without genetically modified components)

    Please list the ingredients in order of weight, beginning with the ingredient that weighs the most and ending with the ingredient that weighs the least.

    *The supplier's contact is not needed but please provide the information that indicates the ingredient is of local origin, not imported.


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