1. Date of Application*
2. Company/Business Name*

3. Company Registration No*

4. Registered Office Address*

4a). Telephone

4b). Email*

4c). Fax

4d). Website*

5. No of sites for Audit*

6. Complete address of the Production Site. City/Country* (List all sites, if multiple sites to be audited):

7. Total number of Outsourced Products & Sub-Contractor Sites for Audit*:

8. Complete Address of above incl. City/Country (List all sites, if multiple sites to be audited):
9. Warehouse details (if different than Production plant)
9a). Contact Person*

9b). Designation*

9c). Telephone

9d). Cell

9e). Fax

9f). Email*

9g). Address*

10. Describe a brief History of Supply Chain of Ingredients/Raw Materials:

11. Please briefly describe the Production Process Flow OR attach Process Flow Chart:

12. Product and Process Details: Nature of the business* (please tick):
Processed Food ManufacturerSlaughterhouseManufacturer of Raw Material/ Ingredients/Additives(Food, Beverages, Pharma, Cosmetics)RetailerImporterExporterDistributorCosmetics & Personal Care Products ManufacturerManufacturer of Pharmaceutical ProductsManufacturer of Non-Food itemOthers

13. Schedule for Halal production* (please tick):
Regular / Routine halal productionIrregular / weekly / monthly halal productionSeasonal / Occasional / Order based halal production

14. Is Pork (or any porcine derivative/material) handled, processed or stored on site?
YesNo

15. Are Intoxicants used as an ingredient in any of the above products?
YesNo
Please provide details of segregation:

16. Are you willing to use IHCP Logo on Halal Certified Products, your website and Marketing materials?
YesNo

17. Which halal standard do you want to be certified under?*
GSO/UAE 2055-1 (Halal Food Standard)GSO/UAE 993 (Halal Slaughtering Standard)GSO/UAE 2055-4 (Halal Cosmetics & Personal Care Standard)MS 1500 (JAKIM Malaysian Halal Standard)PS 3733 (Pakistan Halal Food Standard)OIC-SMIIC Halal StandardMUIS (Singapore Halal Standard)PS 5319 (Pakistan Halal Cosmetics & Personal Care Standard)

18. Have you previously been certified under any of the above standards?
YesNo
(IF YES, Please specify):

19. Has the factory obtained any other Certification?
HACCPISO 22000FSSC 22000ISO 9001BRCOther
(IF Others, Please specify):

20. Please state the Body that gave Halal and other Certifications:

21. Halal Certification required for export purposes only?
YesNo

22. If yes, please specify the markets (or regional territories):
Saudi ArabiaUAEMalaysiaIndonesiaOthers
(Please specify):

23. Preferred audit date:
24. The Scope to be Halal Certified:

25. Number of HACCP Studies:

26. Total No. of Employees:
Technical Sharia Experts

27. Number of Shifts:

28. This Question Only for Slaughterhouses:
A. Total number of Muslim Slaughterman:

B. Number of Muslim Slaughtering Supervisor:

C. Halal Slaughtering Done:
By Hand

By Mechanical

D. Halal Slaughtering Done with Stunning?
YesNo
If yes, then Please Specify the type of stunning :

29. Does your company produce other products that are not offered to us for Halal Certification?
(Please list below or provide list as an attachment.)
A. Product Name

Using the same production line with products offered for Halal Certification?
YesNo
B. Product Name

Using the same production line with products offered for Halal Certification?
YesNo
C. Product Name

Using the same production line with products offered for Halal Certification?
YesNo
D. Product Name

Using the same production line with products offered for Halal Certification?
YesNo
E. Product Name

Using the same production line with products offered for Halal Certification?
YesNo

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:

Confidentiality Statement:
International Halal Certification, 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.

The information given above is accurate and complete to the best of my knowledge and belief. I understand that any misstatement/misrepresentation or concealment of accurate information regarding the processes and products of the above named organisation may result in withdrawal/suspension of IHCP halal certification of the said organisation.

Company Details

Company Name: *

Company Status: *

Company Head Office Address: *

Registration No: *

Registered by: *

Halal Certification required for: * (please tick):
KitchenRestaurantRoomsSpaOthers
Registered Hotel Address: *

Telephone: *

Email: *

Website: *

Registered Company Address: *

Kitchen address: *

Telephone: *

Focal Person: *

Designation: *

Address: *

Telephone: *

Fax: *

Mobile: *

Email: *

Accommodation Details

Number of Rooms in the hotel: *

Number of Floors: *

Number of staff: *

Number of Restaurants: *

Nature or type of Accommodation: *
HotelMotelInnsHostelRest HouseBoarding houseHomestayLodgingHouseAccommodation
Food offered in the Hotel: *
Serving FoodBeverageRestaurants served only by a Halal certified kitchenKitchen managed by Muslim staffAll meat used from Halal certified suppliersServesnon-Halal meat (beef, mutton, chicken etc.)Halal meals on MenuHalal food available in room service menu
Living Rooms: *
Qibla direction pasted in every living room CeilingQibla direction is Visible with an Arrow and the word “Qibla”Prayers Mats available in all RoomAlcohol in the guest room refrigerator or in the mini barPictures / Paintings of Human beings hanged on the living room wallsThe bathroom equipped with Bidetor Hand showeror Water hose
Saalat (Prayers) facilities available in hotel: *
Prayer matsQIBLA direction markedQuran available on demandWudu facility (ritual washing for prayers)Separate Prayers room available for MenSeparate Prayers room available for LadiesUpdated Prayer timings available in prayer room
Number of prayer rooms: *

Capacity: *

What services/ facilitation offered by hotel during Ramadan (fasting)? Does the hotel offer : *
Basic necessities for Sahur in the room in Ramadan (dates & water)Iftar to break the fastSahur & Iftar buffetHalal restaurants listing in the vicinity offering IftarTransport to local mosques
Health & WELLNESS - Spa facilities offered: *
SWIMMING POOL: Separate ladies poolSame pool with separate timings for ladiesJACUZI: Separate ladies JACUZISame JACUZI with separate timings for ladiesSUANA: Separate ladies SUANASame SUANA with separate timings for ladiesMASSAGE: Massage facilities in ParlorMassage service in guest roomMassage offered by same genderMassage offered by opposite genderFull body massageGYMNASIUM: Separate ladies GYMSame GYM with separate timings for ladiesAbove facilities for Ladies & Men are SeparateCombine

Recreational and Leisure Facilities offered: *
CasinoGambling tablesSlot MachinesNight clubBarsDiscothequeAdult channels on TVAny non-Halal activitiesAny practices considered non-ethical in Islam
Non- Halal Food & Beverages offered: *
Alcohol in the restaurantAlcohol in the barAlcohol in the guest room refrigerator or in the mini barPork dishes in the restaurantPork dishes in the room service menu
Outsourced services available in hotel: *
RestaurantsFood sale counterFood sale shopsFood service outletsOthers

Women Salon & Clothes Shop

General Facilitation / Services offered: *
Information on nearby Halal food restaurantsInformation on Masjids (Mosque) in the vicinityInformation on touristic/ sightseeing destinationsIslamic clothing for hotel Staff (head, body, arms, legs covered)Female doctors/nurses availability for female patients requiring privacyOption for Females patients to wear appropriate Islamic clothingHalal medications used
I/we undertake that the information provided by us for Halal Certification is based on real practices and all information mentioned truly in the application.We also undertake that we will inform the International Halal Certification if any changes occur in our services hereafter. We allow International Halal Certification to post our name & logo on their website & social media as well as for any other means that is used for marketing & promotion of Halal.
Confidentiality Statement:
[checkbox* checkbox-771 use_label_element International Halal Certification undertakes that it will guarantee all information supplied by or obtained from the application in respect to its processes, business secrets, prices and operations in the strictest confidence and it will not disclose such information for the benefit of any other person or company."]

Applicant Name: *

Company/ Hotel: *

Designation: *

Date: *