Storage Application

Please Select the Products You Will Be Storing *

Red Meat Halal products.
Dry Goods Halal products.
Poultry Halal Poultry products.
Halal Minerals and medicines.
Fish and seafood products,
Plant based products.
Honey and honey products.
Others -Please specify.

If You Selected "Others" Please Specify Below

Please Select the Certification Standards Which You are Applying for - If unsure, Contact on admin@halalcs.co.nz *

Please Select the Type of Application Which You Are Submitting:

New application
Renewal of Halal certification
Change of scope (Adding: new product/or service/or site(s))
Reduce the scope of Halal certification

Are You an:

Importer
Exporter
Distributor

Company Details

Company/Business Name

Company/Business Trading Name

Establishment Number (if applicable)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Contact Person *

First

Last

Contact Person Position

Business Registration Certificate

Click or drag a file to this area to upload.

Please drag the picture/file into the area above.

Business HACCP certificate

Click or drag a file to this area to upload.

Please drag the picture/file into the area above.

Company/Business SOP

Click or drag a file to this area to upload.

Please upload a document which outlines your basic SOP and procedural operations.

Company/Business Flow Chart

Click or drag a file to this area to upload.

Please drag the picture/file into the area above.

Company/Business MPI Export Licence (if exporter selected earlier)

Click or drag a file to this area to upload.

Please drag the picture/file into the area above.

Have You Had a Previous Halal Certifier / Certificate?

Yes - answer next two
No - skip next two

Does Your Company/Business Have a Halal Certificate? (Previous/Current Certifier)

Click or drag a file to this area to upload.

Please drag the picture/file into the area above.

Please Upload Your Last Two Halal Audit Reports

Click or drag a file to this area to upload.

Please drag the file into the area above.

The Applicant Owns:

The product
Brand
Owns no product or brand, it just stores for clients.
Other:

If You Selected "Other" Above, Please Elaborate.

Halal Requirements

Does Your Company Store Pork or Porcine Products?

Yes - we store pork/porcine products
No - we do not store pork//porcine products

Does Your Company Store Halal Products ONLY, or Do You Also Store Non-Halal Products?

We only store Halal
We store non-Halal products as well

If There are Non-Halal products (Not Including Pork) Are There Proper Seperation Methods Implemented?

Yes
No
Other

If You Answered Yes To the Above, Please Elaborate On the Procedures That You Put in Place, To Make Sure That Your Halal Products Are Not Contaminated by Non-Halal Products?

Does Your Company Have a Muslim Halal Supervisor On-Site?

Yes
No

Does Your Company Have a Documentation System for All Non-Halal Products In the Facility?

Yes
No

Are Your Cleaning Materials Free From Non-Halal Materials/Ingredients

Yes
No

Information on Your Employees

Please provide the amount of employees for each particular shift.

Shift 1

Selected Value: 0

Shift 2

Selected Value: 0

Shift 3

Selected Value: 0

Please Provide Any Further Information You Can: Such As the Number of Employees Per Shift, Among Others.

Declaration

Applicant's Full Name *

First

Last

Applicant's Position *

Applicant's Signature *

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Please upload an image of your signature here.

Date Signed: *

Date

Time

Company Stamp/Logo *

Click or drag a file to this area to upload.

Please upload an image/file which shows your company stamp/logo

Halal Conformity Services New Zealand

APPLICATION FORM FOR NEW ZEALAND STORAGE FACILITIES

Company Details

Halal Requirements

Information on Your Employees

Declaration