Application Form for MJCHT Halal Certification
  • Information of Applicant

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  • Business Name*legally registered name of your business

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  • Vat Registration No.*

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  • Trade Name of Business*trade name of your business whether or not it differs from the legally registered name of business provided above.

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  • Postal Address*provide the postal address of your business

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  • Area Code*provide your area code for the postal address written above

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  • Physical Address*provide the physical address of your business

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  • Area Code*provide the area code for the physical address written above

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  • Email*provide valid email address

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  • Contact Number*provide telephone or mobile contact number

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  • Fax Number*provide fax number if relevant

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  • Contact Person*full name

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  • Position*position held by contact person in business

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  • Person Responsible for Halal Monitoring/Buying*full name

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  • Contact Number*mobile number of person responsible for halal monitoring/buying

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  • Certification Request

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  • Remember this application is for a minimum of three years. All applications for a period less than three years will be rejected.

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  • Certification Needed From*start date

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  • Certification needed until*end date

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  • Purpose of Application

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  • This Application is for Certification of the following:

    (i) Plant / Facility:
    Specify below – e.g. Abattoir, Production, Processing, Distribution, Imports / Exports, Restaurant / Takeaway, In-Store Bakery / Butchery / Delicatessen / Poultry, etc.

    (ii) Product/s:
    Specify below – e.g. Poultry, Ostrich, Beef, Pies, Honey, Bread, Ready Meals, etc.

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  • Industry*select your industry

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  • More information*provide an explanation of your type of business/product/facility

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  • ONLY IF you selected Product/s:

    The product/s specified in clause (k) above will be marketed under the following BRAND Name(s) (Please specify – e.g. “XYZ”, “MJC”, “Lucky”, etc.)

    (e.g. PRODUCT MARKETING NAME: “MJC” HONEY)

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  • Product/s*complete ONLY IF you selected product/s:

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  • Documentation

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  • In order to complete your application, you are required to upload proof of your VAT Registration.

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  • Files*upload files hereUpload

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    • Declaration

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    • I, the undersigned, hereby declare that the attached list of Raw Materials with the respective suppliers’ Halal Certificates fully covers the ingredients used in the products referred to in clause k (ii) above.

      I further accept that the initial Certification period per clause (j) shall be no less or more than THREE years.

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    • Name of Signatory*full name

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    • Position of Signatory*position formally held within the business

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    • Date*today’s date

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    • Note: by ticking “I accept” below you accept you agree fully to the terms and conditions laid out by the MJC Halaal Trust.

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    • I accept*
      Yes

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    • Name of Witness*full name

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    • Captchacopy the words

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