Office Of The President Of The Phippines

National Commission On Muslim Filipinos

PHILIPPINES HALAL DEVELOPMENT, PROMOTION AND ACCREDITATION BOARD

ACCREDITATION APPLICATION FORM

Name of Organization:

Office Address:

Tel. No.: Office No.: Website: E-mail:

Date Of Registration No. of Years in HALAL No. of Products Certified

with SEC: certification, if any: Halal in 2012, if any:
KEY OFFICERS
Name Position Profession Sex

Name Of Halal Laboratory Partner:

Laboratory Address:

Name of Halal Signatory:

Home Address: Tel./Mobile No.:

Submitted by: Received By:

Name: Name:
Title/Position: Tittle/Position:
Signature: Signature:
Date Submitted: Date Submitted:

N.B. Please accomplish form fifteen (15) copies and submit them to the Philippine Halal Board Secretariat at 79 Jocfer Annex Bldg,
Commonwealth Ave., Brgy. Holy Spirit, Diliman, Quezon City. Tel/Fax No.:(02) 952-48-75
N.B. Please accomplish form fifteen (15) copies and submit them to the Philippine Halal Board Secretariat at 79 Jocfer Annex Bldg,
Commonwealth Ave., Brgy. Holy Spirit, Diliman, Quezon City. Tel/Fax No.:(02) 952-48-75