Application Authorized by                                                                Mr Mrs Ms

This application form is also available in pdf format     Halal Certification Application Full Name * : Date Authorized * : Company Name * : Company Address * : City * : State * : Zip Code * : Country * : Phone Number * : Fax Number * : Email Address * : Website URL : Company product or brand name* : Geographic areas where product will be markted * : 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 addtional comments About the IFANCA website) : Verification Code : Enter the Text * :

The application form is avaliable in Adobe Acrobat (*.pdf) format. If you do not already have the Reader, download a copy by clicking on the image below.

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