APPLICATION FORM

Reference (given by RACS) _____________

(Note: This form must be filled for each trade mark, product group and production place separately)

1. Applicant Details

License Requested By
Company Name:
Contact Person:
Address:
Email: Telephone: Fax:
Country: Zip Code: Vat No (If applicable)

Applicant’s Representative (if any)

Company Name:
Contact Person:
Address:
Email: Telephone: Fax:
Country: Zip Code: Vat No (If applicable)

Manufacturer (if other than applicant)

Company Name:
Contact Person:
Address:
Email: Telephone: Fax:
Country: Zip Code: Vat No (If applicable)

Manufacturer Place / Factory Location (if other than manufacturer)

Company Name:
Contact Person:
Address:
Email: Telephone: Fax:
Country: Zip Code: Vat No (If applicable)
 APPLICATION FORM

2. Certification Details

Scope of Certification:

HALAL : UAE Scheme to control HALAL Products

Applicable Standards
UAE.S /GSO 2055-1:2009 General Requirements for Halal Food
UAE.S 2055 - 4:2014 Halal Products- Part 4:Requirements for Cosmetics and Personal care
UAE.S GSO 993 :1998 : Animal Slagughtering Requirments according to Islamic Law

UAE Scheme to control Cosmetics and Personal Care Products:

Applicable Standards
UAE.S/GSO 1943 Cosmetic products -Cosmetic Products safety requirements
UAE.S GSO OIMUAE.S GSO ISO 22715 2 RACS/CAB -Packaging And Labeling
UAE.S GSO OIML R 87 3 Quantity of Product in Pre-packages
UAE.S GSO 2093 Glass containers Used for Cosmetics

UAE Scheme to control Perfume Products:

Applicable Standards:
UAE.S/GSO 1943 Cosmetics products – Cosmetics Product safety requirements

UAE Scheme to control Detergent Products:

Applicable Standards
UAE .S GSO 2059 Synthetic liquid detergents for Clothing and fabricS
UAE .S GSO 2077 Colored textiles detergent
UAE .S GSO 151 Synthetic Detergents–Detergents Powder
UAE .S GSO 1946 Synthetic Detergents for Kitchen
UAE .S GSO 1110 Sodium Bicarbonate
UAE .S GSO 528 Liquid chlorine
UAE .S GSO 884 Liquid Glass Cleaner
UAE .S GSO 461 Liquid Carpet Shampoos
UAE .S GSO 877 Soap Flakes
 APPLICATION FORM

Certificate Requested Product Group/ In this section, please indicate to be certified by ticking the
product group you are requesting.

Meat and Meat products Sugar and confectionary productsx

Milk and Milk products Beveranges (soft drinks)
Cereals and Cereal products Honey and its by products
Vegetable and animal oils and fats Food additives
Fruits, vegetable and products Enzymes
Water Fish and Fish products

Type of Certification Requested: Facilities Products

Type of Evaluation Requested

Initial application Request for variation

Additional factory location Scope Changes

3. Product Details

Product Name: Brand:

In case of more than one product, list of products to be attached to this application:
Available Not Available

Samples are ready to be collected.

ready
will be ready on:
 APPLICATION FORM

4. Declaration And Signature of the Applicant.

We undertake to accept all the administrative, financial, technical and legal provisions and
requirements of the Certification Regulations exactly as they are and to perform our obligations, to pay invoice
amount that will be realized regarding production place inspection, examination, testing and other certification
fees within 30 days and accept that our organization will be responsible from delays and mistakes in any
operation as a result of non-submitting of additional administrative and technical documents by our side related
with our application; and

We undertake to accept the results to be recorded by the designated personnel in the name of the
Product Certification Center and by the person(s) declare as contact person(s) in this application form,
concerning all kinds of work and process to be carried out regarding certification procedures of the product
which is the subject to this application.

We confirm that we aware that the use of the Halal Food Mark in the trade or prepared sample of the
product before we are granted the certificate or the right to use mark shall be regarded as a deliberate and
unlawful use of the Halal Food Mark which may affect the license to use the mark.

Company Name of Authorized representative Signature

5. Add To This Document

a) An official document stating legal status of the applicant organization.

b) Self Assessment checklist (given by RACS) according to specific certification scope.

c) Hard/Soft copy of list of documents mentioned in the self assessment checklist.