Halal Certification Services
Halalzertifizierungsdienste
Services certification Halal
Document #
Revision date
Date
HSD 10 – 002
15 / 07 / 09
Page 1 of 2
26 / 07 / 10
APPLICATION FOR
HALAL PRODUCT CERTIFICATION
Submitted to
Application Fee
Dr. Mohammad Tufail, Certification Manager, HCS ([email protected])
Every Application shall be submitted with a non-refundable fee over $ 50.(UBS AG, 4410 Liestal, Switzerland; BIC: UBSWCHZH80A, IBAN:
CH040024524562888401J).
Application Date
Authorized
Person
Applicant
Name of the Firm
Applicant’s Address /
Phone / Fax / Email
Applicant’s Intention
Instructions
Please provide complete and accurate information as outlined underneath
Primary facts on the product to be certified
Brand name
Product category
Location of production
Intended target area /countries for the
product
Intended usage
LIST OF INGREDIENTS
Please provide the following
details:
- on each ingredient used;
- their specifications;
- their quantity
- their suppliers
- details on relevant
processes and procedures
if applicable (process flow
chart and their procedure
plans should be submitted)
- halal certificates of
ingredients (if available)
Additional comments
! NOTE !
All the information revealed here will be handled confidential and will only be used
for evaluating this product for certification.
I hereby certify that the information given by me in this application is true to the best of my knowledge
and belief.
Signature: ______________________________ Date: ___________________________________
Halal Certification Services
Halalzertifizierungsdienste
Services certification Halal
Document #
Revision date
Date
HSD 10 – 002
15 / 07 / 09
Page 2 of 2
26 / 07 / 10
The application shall be processed only after all necessary information for the approval are received
and verified underneath.
Application received – by: __________________________Date:______________________
The application shall be archived after approval from the Certification Manager.
Application archived – Date: __________________________ Client #:______________________