Application Form

Details of Applicant
Business Name:

Applicant Status: (Pty Ltd, Trust or CC or Publicly Listed Co., etc.

Names of Owners:

Name of CEO/Manager:

Business Address:

Production Site Address:

Website:

Company/Trust/CC Registration No.:

VAT No:

Abattoir Registration If applicable:

Date Submitted:

Category of Applicant:
A-Farming of AnimalsB-Farming of PlantsC-Food ManufacturingD-Animal Feed ProductionE-CateringF-DistributionG-Provision of Transport and Storage ServicesH-ServicesI-Production of Food Packaging and Packaging MaterialJ-Equipment manufacturingK-Production of (Bio) ChemicalsL-Other materialsmanufacturing

Subcategory:
AI-Farming of Animals forMeat/ Milk/ Eggs/HoneyAII-Farming of Fish and SeafoodBI-Farming of Plants(other than grains and pulses)BII-Farming of Grains & PulsesCI-Halal slaughtering &Processing of perishable animal productsCII-Processing of perishable plant productsCIII-Processing of perishable animal and plant productsCIV-Processing of ambientstable productsDI-Production of FeedDII-Production of Pet FoodFI-Retail / WholesaleFII-Food Broking / TradingGI-Provision of Transport and Storage Services for Perishable and ambient stable Food and FeedGII-Provision of Transport and Storage Services for Ambient Stable Food and FeedHI-HII-Financial servicesHIII-Muslim friendly tourism and travel relatedservicesLI-CosmeticsLII-Textile and textile productsLIII-Leather and leather productsLIV-NEC (Not elsewhere classified)

Standard Criteria / NIHT Halaal Assurance Programme (HAP)
Certification Scheme Local:
HAP: AbattoirsHAP: Wild GameHAP: Manufacturing

Certification Scheme Export Standard Criteria:
GSO 2055-2:2021UAE.S 993:2022OIC/SMIIC 2:2019MS 1500:2009

Is Consultancy being provided for the management system to be certified? By Whom?:

No. of Employees:

No. of Full-Time Muslim Employees:

No. of Shifts:

Shift Starting & Ending times:

No. of employees per shift:

Briefly describe your business activities & Indicate any Outsourced Activities (any process done by another person/company for your business):

Address of Co-Packer if applicable:

Is there a Food Safety Management System in Place?:
NoYes

Is the company HACCP certified?:
NoYes

Is your company HACCP certified?:
Cold MeatPoultryInteractiveHot Foods

Certifying Body:

No. of HACCP Studies:

Certificate Expiry Date:

No. of CCP’s:

Contact Person

Name & Surname as per ID Doc:

Job Title:

Cell No:

Landline:

Email:

Please list all products you wish to certify:

Please upload required documents
Company Profile:

Business Registration Certificate (CK Documents showing ownership details):

Certified Copy of Owner’s I.D:

Proof of Business Address (e.g. utility bill, lease agreement or account invoice):

List of Products to be Certified / Menu:

NIHT Product and Ingredient List Document NIHT-APP-002-F4 / NIHT-APP-002-F5:

Art Work for Products:

HACCP Analysis Plan (if applicable):

Declaration by Applicant
I understand that a preliminary audit does not imply approval.Formal approval will require the applicant to enter into a Memorandum of Agreement with NIHT. I accept that a fee will be charged for all travelling costs as per AA rates as well as audit costs.I understand that, by virtue of this application, I duly authorise the NIHT, where necessary and in their sole discretion, to approach other Muslim Bodies or any supplier or manufacturer used by the applicant to verify any product conformity with the Halaal Standards set by NIHT.
I Accept
N.B. A non-refundable fee of R402,50 (inclusive of VAT) is required