Application

Factory details
Factory name
Last
Address
Street Address
Contact name
Last
Tel
Fax
Mobile
Email
Website
Information details
Vietnamese Company’s name
First
Address
Street Address
Tax number
Representative
Title
Product and processing information
Product(s) to be certified
Are any other products processed in the same factory? Yes / No
If yes, please specify.
Have any of your products ever been certified as Kosher? Yes / No
If yes, by whom?
Ingredients/chemicals list used in the factory (please fill in sheet: “INGREDIENTS LIST”)
Do you have more than one plant? Yes / No
If yes, please list.
Is any part of the process done at an outside facility? Yes / No
If yes, please list process(es).
And facility(ies).
Please identify the following ingredients
Emulsifiers or stabilizers
Preservatives
Shortening
Antioxidants
Gelling agents
Derivatives
Coloring
Artificial Flavoring
Does the product contain any substances of animal origin? Yes / No
If yes, please indicate.
Does the product contain milk or dairy? Yes / No
If yes, please indicate.
Does the product contain fish or seafood? Yes / No
If yes, please indicate.
* Please attach:

1. Filed ingredients ( see next page) Download

2. Factory's map

3. Production flow chart
CAPTCHA

Factory details