Contact – Halal Cc LTD

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SECTION A: COMPANY DETAILS

Name of the establishment:

VAT number:

Company head office address:

Number of years in business / production:

Trading name (If different):

Website address:

Email address:

PRODUCTION SITE DETAILS

Site/Factory address:

Operating hours / Shift Pattern:

Number of employees:

Are you manufacturer of halal products?

Yes No

MANUFACTURER (IF DIFFERENT FROM ABOVE)

Name of Establishment:

VAT No

Address:

Numbers of years in the business/production:

Trading Name (if different):

Website Address:

Email:

Operating Hours / Shift Pattern:

No. of Employees:

SECTION B: OFFICIAL CONTACT DETAILS

Primary contact name:

Work telephone:

Mobile telephone:

Email address:

Technical Person contact name:

Work telephone:

Mobile phone:

Email address:

SECTION C: PROCESS/PRODUCT DETAILS

Nature of the business (please select):

Others (please specify):

Non - Food Manufacturers (please select):

Others (please specify):

Nature of Business

Others (please specify):

SECTION D: CERTIFICATION REQUIREMENTS

Certification required for export purposes only?

Have you made an application for a halal certificate in the past?

Have you previously been refused certification that was made as per above?

Product Description /Type/Category:

Brand name (if any)

Number of product processed / manufactured on site:

Number of products to be approved for halal status

Schedule for Halal production:

Is pork (or any porcine derivative/material) handled, processed or stored on site:

Are Intoxicants used as an ingredient in any of the above?

Are you willing to depict HCC Halal logo on approved products?

How did you hear about us?:

Your Name

Position

Date

Any other information.