犹太洁食认证内部专用资料.doc

Kosher Certification Application Form 犹太洁食认证内部专用资料 注意：请用中英文对照填写（第15问可用中文填写） Date of Application(申请日期)： 2nd Nov.,2009 (2009年11月2日) Company name(申请单位名称)： XXXXXX XXXXXX Foods Co.,Ltd. (XXXX食品有限公司) Address(地址)： No.457 XXXXXX Road (XXXXXXX) City（城市）：XXXXXX City XX市 province(省份)：Shandong Province 山东省 Country（国家）：China中国 Post Code（邮编）：887596 Telephone No（电话）：+86-xxxxx Fax（传真）： +86-xxxxxx E-mail Address（电子邮箱）：xxxxd@163.com Web Address（网址）： Contact Name（本认证联络人）： Job Title（职位）：Deputy general manager总经理 Mobile（手机）： Msn： QQ： Address of Factory（生产工厂信息） Factory name（生产工厂名称）：XXXXXX XXXXXX Foods Co.,Ltd. (XXXX食品有限公司) Address（地址）：No.457 XXXXXX Road (XXXXXXX) City（城市）：XXXXXX City XX市 province(省份)：Shandong Province 山东省 Country（国家）：China中国 Post Code（邮编）：268880 Telephone No（电话）：+86-xxxxxxx Fax（传真）： +86xxxxxxx E-mail Address（电子邮箱）：55ood@163.com Web Address（网址）： Name of the nearest major city to the factory(离工厂最近的大城市)： Jinan 济南 Name of the nearest international airport to the factory(离工厂最近的机场)： Jinan Airport How many kilometers is it from airport to your factory?(机场距离你们工厂多少公里)：130km (130公里) PLEASE NOTE: Please note if there is more than two factories that are producing the product, please include the full address, contact number and contact person in each plant. If there is a separate packaging plant, please include details.（请将您认为合适的空方框“□”涂成黑框“■”，复制粘贴即可） 1. Has the company ever applied for Kosher certification previously?Yes □ No ■ If yes, please state the Kosher Agency that was previously applied to: 公司以前申请过犹太证吗？如是，请示此犹太机构名称。 2. Has the company ever been supervised before, either on a yearly basis or for a specific batch production for another buyer?….Yes □ No ■ If yes please state the Kosher Agency that was certifying: 公司曾由犹太机构监督过生产吗？如是，请标出此机构。 3．Has the factory obtained HALAL / HACCP(ISO22000)/ GMP/Organic Food certificate? □ HALAL ■ HACCP（IS22000）□ GMP □ Organic Food If yes ,please provide its scanned copy to e-mail: kosher-hala