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HALAL INDUSTRY DEVELOPMENT CORPORATION SDN BHD

APPLICATION FORM

Application Online:www.hdcglobal.com

PRODUCTS/CONSUMER GOODSPart A: Company Information

Company Registration No. :Name of Company:Address of Company:Postcode:District:State:Tel. No:Fax No:Website:http:://Company e-mail:Type Of Application( ) New( ) Renew( ) Additional ProductType of Business:ManufacturingSubcontractType of ProductFood ProductConsumer ProductType of IndustrySmall IndustrySmall Medium Industries (SMI)MultinationalNo of Shift:Working Hours:From: to:Contact PersonNo. Name Designation Telephone1.2.3.4.5.

Part B: Factory Information

Name of Factory: Type of Business:ManufacturingSubcontractAddress of Factory:No of Shift:Working Hours:From: to:Postcode:District:State:Tel No:Fax No:Website:http:://Company e-mail:Contact PersonNo. Name Designation Telephone1.2.3.Particular of Personnel Assigned For Halal MattersNo Name Designation Telephone IC No. Working Hours1.2.3.