SKS Kosher - Kosher Certification Application Form

Kosher Certification Application Form

COMPANY INFORMATION

·What type of product(s) do you manufacture? *

·Are your products currently, or have they ever been, kosher certified?
Yes No
If yes, by whom?

PLANT INFORMATION

Name:
Street Address:
City:
Province:
Postal code	(P.R.C.) China
Telephone:
Fax:
E-mail:
Plant manager's name:
Production manager:
Manufacturing process:

Inventory/Ingredient List *
Please list Ingredients, Manufacturers and Kosher Certifying Agencies for each ingredient:

Approximately how many ingredients are used in your facility?

Products to be certified Product List
Please list all products to be certified:


Please make copies of this form to accommodate additional information. Product Name as it appears on the label. Please attach a sample of each label
Are there any other products processed on the same equipment that will not be kosher certified?
Yes No
If yes please list products:

Production manager:
Date:
Name *:
Signature:
Additional Comments: