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General Consumer Industrial 		Halal Certification Application
This application form is also available for download:
- Acrobat Reader (73 KB)

Please note all fields are required unless marked as [Optional].
Application authorized by
Mr  Mrs  Ms
Full Name

Date authorized


Company Name

Company address
City State Zip Code
Country


Phone Number

Fax Number

Email address

Website URL [Optional]


Company product or brand name

Geographic areas where product will be marketed

Location of manufacturing plant(s)

Contact person(s) at plant(s)

List of products to be Halal certified

List of ingredients used in the products to be Halal certified


How did you hear about IFANCA? (Please include any additional comments about the IFANCA website.) [Optional]


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