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:

    Applicant Name:

    Designation:

    Confidentiality Statement:



      Company Details

      Please tell us about your business





      Are any changes to be declared in accordance with IHCP certification agreement in:


      YesNo

      YesNo

      YesNo
      Preferred renewal audit date:











        Company Details















        KitchenRestaurantRoomsSpaOthers





























        Accommodation Details











        HotelMotelInnsHostelRest HouseBoarding houseHomestayLodgingHouseAccommodation

        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

        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

        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





        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

        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


        CasinoGambling tablesSlot MachinesNight clubBarsDiscothequeAdult channels on TVAny non-Halal activitiesAny practices considered non-ethical in Islam

        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

        RestaurantsFood sale counterFood sale shopsFood service outletsOthers

        Women Salon & Clothes Shop



        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