VALENCENE NATURAL 80% MIN. (MN3443)

Raw Material Name: VALENCENE NATURAL 80% min. Raw Material Code: MN3443 Allergens Contained Y/N Please specify Cereals containing Gluten & derivatives (Wheat, Spelt, Kamut, Oats, Barley, Rye , Triticale) N Shellfish & Crustaceans N Egg & derivatives N Fish & derivatives N Milk & Dairy products & derivatives including Lactose N Nuts & derivatives (Almond, Hazelnut, Walnut, Cashew, Pecan , Brazil, Pistachio, Macadamia & Queensland ) N Peanuts & derivatives N Sesame seeds and derivatives N Soya and derivatives N Sulphur dioxide & Sulphites >10 ppm N Celery & derivatives N Mustard & derivatives N Molluscs and products thereof N Others N DECLARATION I confirm that all details provided are true and correct. I agree to immediately inform you prior to delivery of any modification in terms of the presence of allergens or any other data given in any of the sections of this questionnaire.

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