Company Name*

Name of the contact person*

Prefix: Mr.Mrs.Miss.Ms.Dr.Prof.Rev.

First Name*

Middle Name

Last Name*

E-mail of the contact person*

Telephone number*

Website

Chamber of Commerce number*

Legal entity number

Company address*

Street Address

Address Line 2

City

ZIP / Postal Code

Country

Please provide the address of the facility which needs to be audited.

Category*
Please select a categoryC - Processing 1 (Meat, Poultry, Fish, and Dairy Production)E - Processing 3 (Canned Products, Non-Meat Snacks, Oils, and BeveragesL - Chemical and Biochemical Manufacturing (Food Additives, Supplements, Pharmaceutical, Cleaning Agents etc.)A - Farming 1 (Animal Keeping, Fish Aquariums, Eggs Production)B - Farming 2 (Plants, Fruits, Grains, Vegetables)D - Processing 2 (Plant/Vegetable based products, Pizza, Sandwiches, Lasagna)F - Animal Feed ProductionG - Catering ServiceJ - Transport and Storage (non-producers)K - EquipmentM - Packaging and Wrapping Materials
Category of your Scope of Application

Please select the country / continent the company mainly works with

Area of Export*
European UnionUnited Kingdom(UK)Middle EastNorth AfricaSouth-East AsiaUnited Arab EmiratesGulf StatesNorth-AmericaOthers

Product description*

Please describe the type of product which needs Halal Certification (briefly)

Company Size*

Employees available within your company

Production Hours*

Daily production hours (including Halal production)

Have you been or are you currently Halal Certified?*
YesNo

Have you ever been refused Halal Certification?*
YesNoI have not been certified before

Reason for denial Halal Certification

Please state why your company has ben denied Halal Certification before (if any)

Comments

How did you hear about us?
Seminars or Business EventsGoogleWord of MouthB2BCharity Programs

How many product/materials are you willing to include in your scope?*