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APPLICATION FORM FOR GRANT OF HALAL CERTIFICATION
AND USE OF HALAL MARK

The information filled hereunder shall be treated as confidential and shall not be divulged for the benefit of any other person or entity.

FORM ID: 2026030308285

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1 Company & Contact
2 Product Details
3 Personnel & Materials
4 Documents & Submit
Section 1: Company & Contact Information
1. Company Information
Name of Establishment / Company/ Organisation/ Business in full
Trading name (If different from the above)
Business Registration number
Nature of the entity (Partnership/Ltd)
2. Contact Information
Physical Location
Postal Address
Fax
Company Telephone
Company Official Email address
Name and Role of the contact person
Telephone Contact
Contact Email
Section 2: Product Details
3. Products/Services
Name and Description of Product(s)/service(s)
4. Ingredients Information
Please provide a complete list of ingredients per product, together with supplier / manufacturer details. Please state origin of ingredient i.e. animal, vegetable, synthetic etc.
5. Outsourced Processes
Are there any out-sourced processes that may affect conformity?
6. Food Safety Management System
To which level have you implemented the Food Safety Management System?
Section 3: Technical Personnel & Raw Materials
7. Details of Technical Personnel
No. Names Qualification and Training Responsibilities Action
1 delete
8. Declaration of Raw Materials
Name of Product Ingredients and raw materials/ processing aids Origin of ingredient (plant, animal or synthetic) indicate A,P or S Supplier or Manufacturer's Name and Contact Indicate whether certificates are available (attach if available) Action
delete
Section 4: Documents & Final Submission
9. Additional Information and Documents
warning File Upload Guidelines: Maximum file size: 2MB per file. Total maximum upload: 20MB.
Allowed formats: PDF, JPG, JPEG, PNG, DOC, DOCX.
Total selected: 0 MB / 20 MB
business Certificate of registration of business Max 2MB
assignment Trading license
Max 2MB
account_box Organisational structure
Max 2MB
archive Copies of labels and Packagings
Max 2MB each
device_hub Process flow diagrams
Max 2MB each
healing Medical examination certificates for food handlers
Max 2MB each
verified_user Halal certificates for raw materials
Max 2MB each
science External laboratory tests for Product analysis
Max 2MB each
description Material safety data sheet
Max 2MB each
build Calibration certificates of all equipment used
Max 2MB each
info Required Documents: Certificate of registration, Trading license, and Organisational structure are mandatory.
All other documents are optional but recommended for faster processing.

Declaration: I hereby declare that the information provided in this application is true and correct to the best of my knowledge.