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Halal certification Application form

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Company name *Required
Company registration No.
Name of president *Required
Name of Halal Mgr *Required
Address (HQ) -
*Required
TEL *Required
FAX
Address (Factory)
*Fill bellow, If It's not same as Address of Company.
Address (Factory) -
Line Name
TEL
FAX
 
Nearest station to the factory Line
Station
E-Mail
Website http://
No. of staff
Nature of business
Do you have Halal plan?  Yes No
Halal Applicative business  
Continuation of the production
Product distribution. If overseas, specify the country.  Japan Overseas
Production size
Tick the when your products include these  ┗
If you check "other meat", Specify the meat.
Do you have any alternative source of above items you ticked?  Yes No
Number of items which you want to be Halal.
Name and specification of the products: This information will be used on the certificate.
*Required
Do you prefer to disclose your company name after receiving Halal certificate?  Yes No *Required

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〒547-0035
大阪市平野区西脇1丁目1番2号
ミヤコ三愛ビル
FAX:06-6704-7081
Mail:info@jhalal.com

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