COMPANY / APPLICANT DETAILS

Company name *

Legal form

Company registration (if available)

Registered office address *

Main operational address (if different)

Country

VAT number

Tax ID (if different from VAT)

Website

Sector / activity description (ATECO/NACE or equivalent)

Contact person *

Role

Telephone number

E-mail *

Preferred contact method

E-mail Phone Meeting

REQUEST OVERVIEW AND SCOPE

Request type

Initial certification Recertification / renewal Transfer from another certification body Scope extension Multi-site / multi-line

Other (please specify)

HALAL assessment object

Organization (sites/lines/processes) Products (formulations / SKUs)

Select at least one option to enable the dedicated sections.

TARGET MARKETS AND REQUIRED RECOGNITIONS

Countries/markets of sale (list)

Required recognitions (if known)

Examples: GCC/UAE requests, OIC/SMIIC, local authorities, retailers, importers, etc.

Reference HALAL standard/scheme (if known)

OIC/SMIIC (standards family) GSO / UAE.S (GCC/UAE requirements family) MS 1500 (Malaysia)

Other (please specify)

Label/marketing claims (e.g., “Halal”, “No alcohol”, etc.)

Export / product launch timeline (date/period)

ORGANIZATION SECTION (FILL IN IF APPLICABLE)

Short description of processes and activities

Product families / categories handled

Does the process involve food/ingredients/food-contact packaging?

Yes No

Implemented systems (if applicable)

HACCP ISO 22000 FSSC 22000 BRCGS IFS ISO 9001 ISO 14001 ISO 45001

Other (please specify)

Previous HALAL certifications (if any)

Details (CB, validity, standard, major NCs if relevant)

Any outsourcing/subcontracting/co-manufacturing?

Yes No

Describe (outsourced processes, 3rd party sites, procurement control, checks)

HALAL / Non-HALAL segregation (materials, lines, storage, transport)

Describe measures and criticalities

Any alcohol, derivatives, alcoholic flavours or solvents used/handled?

Yes No

Specify (use, concentration, process stage, alternatives)

Any ingredients of animal origin?

Yes No

Specify species, suppliers, evidence (Halal, traceability, slaughter)

Any slaughtering or meat/poultry processing activities?

Yes No

Specify sites, capacity, procedures, competent authorities

SITES / FACILITIES / LINES INVOLVED (FOR TIME & COST ESTIMATE)

Please provide at least the main site. For multi-site audits, add relevant sites: this directly affects audit days, travel and costs.

Site type	Site name (opt.)	Address	Country	Activities performed	No. of lines/areas	FTE (full-time equivalent)	Work shifts	Segregation/Notes (HALAL)
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other
Head office / main site Operational site Warehouse Temporary site Farm Slaughterhouse Other

PRODUCTS SECTION (FILL IN IF APPLICABLE)

Please list at least the main products. For each SKU, provide critical ingredients and origins: this is essential to estimate audit days, document review and costs.

Product name / SKU	Category / family	Brand	HS Code (if known)	Production site	Country of origin	Annual volume (estimate)	Packaging (type/materials)	Ingredients / processing aids (summary)	Critical ingredients (animal origin, gelatine, enzymes, E-numbers, flavours, etc.)	Animal-origin details (species, certificates, slaughter)	Notes (suppliers, private label, destination, etc.)

DOCUMENTATION AND READINESS (FOR MODALITY & TIMELINE ESTIMATE)

Available documents

Process flow-chart / diagram Technical specs for ingredients/processing aids Suppliers’ HALAL certificates (critical ingredients) Cleaning/sanitation and change-over SOPs Traceability / lot management procedures Pest control plan HALAL policy/manual, roles & responsibilities Training records (HALAL awareness) Internal audits / periodic checks (if any)

Other (please specify)

When will all required documents be available?

Already available Within 2 weeks Within 1 month Within 2 months

Other (please specify)

PREFERRED MODALITY (ON-SITE / REMOTE) AND LOGISTICS

Preferred modality

On-site Remote (if admissible) Hybrid (remote review + on-site audit)

Preferred audit dates/period (if any)

Unavailable periods / constraints (shutdowns, peak production, etc.)

Audit / documentation language

Italian English

Other (please specify)

Is an interpreter/translator needed?

Yes No

HSE requirements for access (PPE, training, permits, etc.)

COMMERCIAL DATA FOR QUOTATION

Invoice entity name (if different)

Invoicing address

Is a purchase order (PO) required to proceed?

Yes No

Preferred payment terms (if applicable)

Additional notes useful for the estimate (urgency, importer requests, combined audits, etc.)

DECLARATIONS

I declare that the information provided is accurate and complete to the best of my knowledge. * I authorize to be contacted for clarifications and for the preparation of the assessment. *

Note: data will be processed solely for managing the request and the preliminary assessment.