Kosher犹太认证.docVIP

KOF-K APPLICATION FOR KOSHER CERTIFICATION Please send this completed application to: KOF-K KOSHER SUPERVISION201 The Plaza, Teaneck, NJ 07666-5156 TEL: 201-837-0500 FAX: 201-837-9344 KOF-K affirms/agrees that it will not communicate or divulge to any other party trade secrets, formulae, or secret processes used by the Company, conveyed to the KOF-K by virtue of this application Submission of this application does not authorize the applicant to use the KOF-K trademark.Authorization will only be given after a contract is executed and a kosher certificate is granted. Date填表日期 2010-4-23 April 23,2010 Name of person authorizing this application填表人姓名：Liu Xueyong 刘学永 Company Name: Chuzhou Runhai Stevia High Tech Co., Ltd. 滁州润海甜叶菊高科有限公司 Street Address公司地址: Industrial Park, Mingguang, Anhui, China 中国安徽省明光市工业园区 State 省份 Anhui 安徽 City 城市 Mingguang 明光 Zip 邮编239400 Contact Name联系人姓名 ：Liu Xueyong 刘学永 Email: liuxueyong1979@163.com Phone电话 +86-550-座机电话号码 Fax传真 +86-550-座机电话号码 Brand name s of products s to be certified 需要认证产品的品牌名称 Nature of Products 产品类别 食品添加剂 Food Additives 甜菊糖甙 Stevia Extract Plant s at which product is made 产品生产工厂的名称和地址 Chuzhou Runhai Stevia High Tech Co., Ltd. 滁州润海甜叶菊高科有限公司 Industrial Park, Mingguang, Anhui, China 中国安徽省明光市工业园区 Other products made at these plants 其它在此工厂生产的产品名称 ___ 1 Do you store any other ingredients in your plant? 贵工厂还存放其它原料吗？ 2 Are there any owners of the company who are Jewish? 公司的拥有者有犹太人吗？This question is asked solely to determine if certain Passover procedures must be followed. 此问题只是关于逾越节认证程序的。 3 Does your company have any plants other than those listed above? 贵公司除上述列出的工厂外，还有其它工厂吗？ 4 Does your company use any release agents or processing aids not listed below? 贵公司还使用其它隔离剂或加工助剂没有在下面列出的吗？If yes, please add to ingredient list below.如果是的，请在下面成分表中列出。 5 Has your company ever been Kosher Certified? 贵公司曾经通过Kosher认证吗？If yes, please specify certifying agency.如果是的，请写出认证机构名称。 1 YES NO 2 YES NO 3 YES NO 4 Y