Part 1: Applicant Details Date of application * MM DD YYYY Type of Application * Initial Certification with NZIDT Re-Certification Name * First Name Last Name Applicant's Position * Phone number * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Name of Organisation * NZBN * Name of the Production Facility * Address of the Production Facility * Address 1 Address 2 City State/Province Zip/Postal Code Country What type of food safety programme or plan does the Production Facility operate under (e.g. RMP, FCP, RCS, NP3)*? * *For Chemical and Cosmetic manufacture ISO or GMP Certification is relevant instead Food safety programme or plan ID (if applicable) Unique Location Identifier OR Site Registration Number (if applicable) Products Requiring Halal Certification: * Animal Material and Animal Products (excludes Dairy): Specify species below Bovine Ovine Caprine Cervine Other - please specify as below Other products Requiring Halal Certification: * Dairy Material and Dairy Products Food and Beverages (non-Dairy) Ingredients (non-Dairy) Food additives OR Processing Aids (non-Dairy) ☐ Honey Chemicals Cosmetics (Cosmetics manufacturers must be certified to comply with ISO 22716 by Cosmetics New Zealand (Registered as Cosmetics Toiletry and Fragrance Association) before applying for halal certification with NZIDT Ltd.) Others - Please specify as below Scope of Activities requiring Certification: * Animal Slaughtering Receiving Ingredients/ Materials Processing/Manufacturing Packing Storage Dispatch Others - Please specify as below Target Market that you would like to make Halal claims/declarations for and require market access for*: * *Refer to OMARs and overseas market requirements relevant to your product as well as your customer’s requirements. Please contact Halal@nzidt.co.nz if you need assistance with answering this question. GCC Countries: Including Kingdom of Saudi Arabia, Kuwait, Qatar, Oman, Bahrain, United Arab Emirates Malaysia Singapore Thailand Indonesia Others - Please specify as below: *Excluding Egypt Part 2 Certification Information Total Number of Employees on Payroll: * Number of Full Time Equivalents (FTEs): * *When an enterprise operates workers in shifts, the products and / or operations are similar, FTE is calculated based on employees in the main shift as well as office workers. Person responsible for the Halal Management System: * Please include name and position Name of Halal QA Officer: * Total Number of HACCP plans and their Description: * Other Approved Halal Organisations currently certifying the premises: * History of previous Halal Certification: * No Yes If Yes, Name of the previous Certification Body: Reason for leaving: Other Management System Certifications that are currently valid: * ISO 9001 Quality Management System ISO ISO 22000 Food Safety Management System FSSC 22000 Food Safety System Certification FSSC-Q Integrated Food Safety and Quality Management System GMP Certified Does the production facility process halal material or halal products that are intended to be exported with a halal export certificate? * Yes No N/A Do you require the use of the NZIDT Halal Certification Logo on your products or packaging? * *If yes – you will be provided with the licensing agreement to use the logo – a fee will be included for the use of the NZIDT certification logo. Yes No Part 3: Documents/Records Required Declaration I hereby declare that: * i. The above information given is true and correct to the best of my knowledge. ii. No HARAM* materials/products are processed or stored on the premises. (*Please refer to the MPI notices and NZIDT Halal Guidance Document on the definitions of Haram. NZIDT Ltd is not able to certify premises where Haram materials or products are processed or stored on the premises. Please contact NZIDT Ltd for a copy of the NZIDT Halal Guidance Document.) iii. The Halal Management System will be implemented in all establishment(s) which produce halal certified product(s). iv. The documents listed below have been attached. Please tick: Products list Ingredient list MPI Registration Certificate Halal Program/Manufacture procedure Food safety programme or plan the Production Facility operates under (*GMP Plan or QMS for Chemical or Cosmetics manufacturers) HACCP Plans For Cosmetics Manufacturers ONLY - Evidence of GMP Certification by Cosmetics New Zealand Thank you! Download Attachment 1- Products ListDownload Attachment 2 - Ingredients List NZIDT Certification Services Application Form
