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(word)英文申请表
Date: YYYY-MM-DD
COMPANY NAME(请填写中、英文公司名):
Company NOC (National Organization Code公司组织机构代码):
Company CIQ (公司商检注册码): Company QS (食品安全代码):
Address(请填写中、英文厂址):
City: Zip: Province: Country: China
Phone: Fax: Website:
Company Contact(请填写第一联系人中英文名): Title:
Phone: Email:
Alternate Contact(请填写第二联系人中英文名): Title:
Phone: Email:
Billing Contact: Title:
Phone: Email:
Marketing Contact: Title:
Phone: Email:
Company President/CEO: Email:
??Please explain why you are seeking certification (i.e. what are your marketing goals?):
??Under which category of foods would you list the product(s) (e.g. snacks, baked goods, acidulants etc.)?
??Have any of your products ever been certified Kosher? Yes √No
If yes, by whom:
??Are any of them currently certified Kosher? Yes √No
If yes, by whom:
??How many plants are included in this application? 1 (Attach a set of forms for each plant).
FOREIGN APPLICANTS: PLEASE PROVIDE INFORMATION FOR A US OFFICE AND/ OR CONTACT WHERE AVAILABLE. Name: Phone:
PLEASE NOTE: The symbol is a registered trademark of the Orthodox Union. Its unauthorized use Is a violation of trademark laws. Our rights in this regard are enforced to the fullest extent of the law. The symbol may not be used until a written contract has been executed with the Orthodox Union.
The Union covenants and agrees that it will not communicate or divulge to, or use for the benefit of, any other person, partnership, association, or corporation, any of the trade secrets, formulae, or secret processes, used or employed by the company in or about its business, that may be communicated to the Union by virtue of this application. Submission and investigation of this application does not entail any commitment upon the part of the applicant or of the Orthodox Union in any way, until agreement for said purpose is duly entered into by both parties.
FOR INTERNAL USE ONLY
ID# Received: / /
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