Halal Accreditation from a Credible Source
International Recognition and Accreditation | [email protected] | (02) 8377 4190 | Members Login/Signup
Date of Application Company/Business Name Company Registration No Registered Office Address No of sites for Audit Complete address of the production Site. City/Country (List all sites, if multiple sites to be audited): Total number of Outsourced products & Sub-contractor sites for Audit: Complete address of above incl. City/Country (List all sites, if multiple sites to be audited): Warehouse details (if different than Production plant) Describe a brief History of Supply Chain of Ingredients/Raw Materials: Please briefly describe the Production Process Flow OR attach Process Flow Chart:
Product and Process Details: Nature of the business (please tick): Food ManufacturerSlaughterhouseManufacturer of Raw Material/ Ingredients/Additives(Food, Beverages, Pharma, Cosmetics)RetailerImporterExporterDistributorCosmetics ManufacturerManufacturer of Pharmaceutical ProductsManufacturer of ConfectioneryManufacturer of Non-Food item Schedule for Halal production (please tick): Regular / Routine halal productionIrregular / weekly / monthly halal productionSeasonal / Occasional / Order based halal production Is Pork (or any porcine derivative/material) handled, processed or stored on site? YesNo Are Intoxicants used as an ingredient in any of the above products? YesNo
Are you willing to use ANIC Halal Authority’s Logo on Halal Certified Products, your website and Marketing materials? YesNo Have you previously been certified under any of the above standards? GSO/UAE 2055-1:2015GSO/UAE 993:2015 (Halal Slaughtering)JAKIM (Malaysia)MUI (Indonesia)PS 3733 (Pakistan)OIC-SMIICMUIS (Singapore) Have you previously been certified under any of the above standards? YesNo Has the factory obtained any other Certification? HACCPISO 22000FSSC 22000ISO 9001BRC Please state the Body that gave Halal and other Certification Halal Certification required for export purposes only? YesNo If yes, please specify the markets (or regional territories): Saudi ArabiaUAEMalaysiaIndonesia Preferred audit date The Scope to be Halal Certified Number of HACCP Studies
Total No. of Employees Number of Shifts
Total number of Muslim Slaughter men Number of Muslim Slaughtering Supervisors Halal Slaughtering Done By HandBy Mechanical Halal Slaughtering Done with Stunning? YesNo
Does your company produce other products that are not offered to us for Halal Certification? (Please list below or provide list as an attachment.)
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Statement from Applicant: I/we undertake that the information provided by us truly in the application for Halal Certification is based on real practices. All the ingredients/Raw Materials are mentioned truly in the application & annexure (being used in the formulation). Applicant Name Designation Signature Date Company Seal & Stamp
ANIC Halal Authority undertakes that it will guarantee all information supplied by or obtained from the application in respect to its processes, business secrets, prices and operations will be kept in the strictest confidence and it will not be disclosed for the benefit of any other company.
Note 1) The Annexure-I (on the following page) is a List of your Products / Brands to be Certified with the details of ingredients (raw materials, additives and processing aids) used in the product. The Annexure MUST be duly filled completely, for us to process the quotation, based on the details in the Annexure.
An incomplete list of products or incomplete ingredients detail will not be accepted. We cannot quote the Halal Certification fee without complete details.
Note 2) Application forms will only be accepted when fully completed and duly signed by the Proprietor/Director or authorized representative with the company Stamp. I Agree to the terms
