Name of the fragrance supplier

Address of the fragrance supplier

IFRA STANDARDS CONFORMITY CERTIFICATE
Fragrance compound
Customer: Name of the finished product manufacturer
Product: Name of the product
We certify that the above compound is in compliance with the Standards of the INT!N"TI#N"$ F!"%!"NC
"SS#CI"TI#N &IF!"'( )) "mendment to the IF!" Code of Practice &published Month, Year'( provided it is used
in the following class&es' at a ma)imum concentration level of:
IFRA class(es) [see respective IFRA guidance for details] Level of use (%)*
Classe 4.A !"
*Actual use level or maximum use level
For other *inds of application or use at higher concentration levels( a new evaluation may be needed+ please
contact &name of the fragrance supplier',
The IF!" Standards are based on safety assessments by the Panel of )perts of the !S"!C- INSTIT.T
F#! F!"%!"NC /"T!I"$S &!IF/',
Recommendation# Information about presence and concentration of IF!" restricted0prohibited materials in the
fragrance compound &name of the product' is as follows:

IF!" !estricted materials:
Ingredien n!"e CAS Con#enr!ion ("g$%g)
trans121-e)enal 342512316 to be completed with the level of use in the compound
Citral 768219:17 to be completed with the level of use in the compound
;;;,, ;;,, to be completed with the level of use in the compound
IF!" prohibited materials:
Ingredien n!"e CAS De!ils
;;; ;;;,, ;;;,
Signature (If generated electronically, no signature) <ate
<isclaimer: This Certificate provides restrictions for use of the specified product based only on those materials restricted by
IF!" Standards for the to)icity endpoint&s' described in each Standard, This Certificate does not provide certification of a
comprehensive safety assessment of all product constituents,