APPLICATION FORM For HALAL CERTIFICATION
APPLICATION FORM For HALAL CERTIFICATION
APPLICATION FORM For HALAL CERTIFICATION
APPLICATION FORM
(Halal Certification)
NAME OF COMPANY/ESTABLISHMENT:
PROWORLD, INC.
OFFICE ADDRESS:
Partnership
Corporation *
CONTACT PERSON/AUTHORIZED DESIGNATION CONTACT NO. EMAIL ADDRESS:
REPRESENTATIVE
Sales and 0917-6974419 [email protected]
Susan D. Mamaradlo Marketing
Assistant
1. PRODUCT CERTIFICATION:
1.1. PRODUCTS TO BE CERTIFIED HALAL: (Product name on the label)
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1. CHIA 13.
2. QUINOA 14.
3. 15.
4. 16.
5. 17.
6. 18.
7. 19.
8. 20.
9. 21.
10. 22.
11. 23.
12. 24.
If more than the no. above, please make attach file page.
2. ESTABLISHMENT/ABATTOIR CERTIFICATION:
2.1. SHORT BRIEFING ON THE ESTABLISHMENT/ABATTOIR
Tolling Company
Manufacturing Company
Restaurant/Catering Company
Hotel/Resort
Logistics Company
Confectionary Company/Food Cart/Mobile Vendor/Seasonal Vendor/Special
Event Food Vendor
Farm/Dressing Plant for Chicken/Meat Shop/Butchery
Abattoir/Slaughter house (Chicken and Ruminant)
Other: *
C. COMPANY LEVEL:
Micro
Small *
Medium
Large
D. CAPITALIZATION
1.5 MILLION BELLOW
1.5 MILLION ABOVE TO 15 MILLION *
15 MILLION ABOVE TO 60 MILLION
60 MILLION ABOVE
E. NO. OF EMPLOYEES
Permanent employees 20
Contractual employees
Part time employees
Other
F. TARGET MARKET:
Local market Salad Stop, Wildflour, Bo’s Coffee, IMSPI, Zentea
International Market,
(if International Market please specify the country/ies)
a. Letter of Intent (Address to Ustadz Alee M. Sultan, President, Halal International Chamber of
Commerce and Industries of the Philippines (HICCIP))
b. SEC or DTI Registration Certificate
c. Company Profile
d. Flow Chart of Manufacturing Operation of the Product Being Applied for Halal Certification
e. FDA Certificate/Permits and Laboratory analysis if any
f. Mayors Permit
g. BIR Certificate
h. List of Ingredients, Raw Materials and suppliers or Manufacturers (Processed Products)
i. Application fee
j. Other requirements may request by the Halal Committee if necessary
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a. Letter of Intent
b. SEC or DTI Registration
c. Company Profile
d. Flow Chart of Company Operation
e. Environmental compliance Certificate (ECC) For large scale establishment
f. Establishment Lay-out
g. Mayors Permit
h. BIR Certificate
i. List and addresses of branches or franchises, if there are any
j. FDA Permits and Laboratory analysis if any
k. Application fee
l. Other requirements may request by the Halal Committee if necessary
a. Letter of Intent
b. SEC or DTI Registration
c. Mayors Permit
d. BIR Permit
e. Company Profile
f. NMIS accreditation
g. Flow Chart of Operation of the Abattoir
h. Environmental compliance Certificate (ECC)
i. Building Permit
j. Application fee
k. Other requirements may be requested by the Halal Committee if necessary
H. FIRST AUDIT/ASSESSMENT:
Activity Date
First Assessment/Audit
Final Audit
Halal Seminar/Orientation
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I. UNDERTAKING:
I.1. The applicant undertakes to provide true and honest information on this application.
I.2. The applicant undertakes to comply the HICCIP requirements for documents, processing
and HICCIP audit system and other additional requirement if any by the Halal Committee
on Certification
I.3. The applicant undertakes to pay the fees and charges before any schedule ofActivity
(3 working days before) otherwise temporary schedule if it was failed to pay.
Fees and Charges are thru Check pay to Halal International Chamber of Commerce and
Industries of the Philippines, Inc. (HICCIP) or deposit to the account no. of the
HICCIP. (if deposited to the account no. of HICCIP please keep and send to us the copy of
Deposit slip for document purposes).
I.4. HICCIP undertakes to treat said information, including those in the annexes, with utmost
confidentiality to protect the interest of the applicant.
I.5. HICCIP undertakes to process the said application thru Sharia’h compliant without delay
and extension until no valid reason from the HICCIP management.