Halal Certification Consultancy Sign-up Form

  • Applicant Information
  • *Full Name
  • *Address
  • *Office Phone
  • *Mobile Phone
  • *Email
  • *Race and Religion

  • *I/D No. (IC)
  • Company Information
  • *Company Name
  • *Address
  • *Office Phone
  • Fax No
  • *Company Email
  • *Website URL
  • *Co. Reg. No.
  • *Annual Sales (Year)
  • *Type of Business

  • Business Information
  • *Type of Premise / Building
    (E.g.: Shop lot etc.)
  • *Application category
  • *Build-up size
  • *No. of Muslim Employee (Management)
  • *No. of Muslim Employee (Production)
  • *No. of Non-muslim Employee (Management)
  • *No. of Non-muslim Employee (Production)
  • Information Confirmation
    • By clicking "Submit My Enquiry" below, you confirm that you have read and agreed to PlaTCOM's Terms of Use and to our Data Protection and Privacy Notice.
    • I hereby declare that all information provided in this form is correct, and in the case of false / incomplete information provided to PlaTCOM Ventures, I shall be responsible for any additional cost incurred.
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