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NOTES Complete this form if you are applying for a Children’s Food (CF) classification. Food and beverage products to be advertised during children's programming must meet minimum nutritional standards. Return the completed form to [email protected]. We will notify you by email of the progress of this application. There is no charge for this assessment. If this application is successful you still need to submit the finished commercial for final approval. DATE YOUR CONTACT DETAILS Name: Phone number: Email address: Company name: PRODUCT DETAILS Name of food or beverage to be advertised: Snack, part meal, full meal or other: Principal component (primary food base): Please complete nutrient profile table: If you are applying for a combined product, for example, a restaurant meal, please list the nutrient profile of each component in separate tables (see page 2 for duplicates). Component: Serving Size: Per 100g Energy Saturated Fat Total Fat Sugar Salt Fibre Protein Fruit % (concentrate / non-concentrate) Vegetable % (concentrate / non concentrate) Nuts % Please return the completed form to [email protected]. Per Serving DUPLICATE NUTRIENT PROFILE TABLES Component: Serving Size: Per 100g Per Serving Serving Size: Per 100g Per Serving Energy Saturated Fat Total Fat Sugar Salt Fibre Protein Fruit % (concentrate / non-concentrate) Vegetable % (concentrate / non concentrate) Nuts % Component: Energy Saturated Fat Total Fat Sugar Salt Fibre Protein Fruit % (concentrate / non-concentrate) Vegetable % (concentrate / non concentrate) Nuts %