Company Name :
Product Type(s) :
Name of Produ
No. Name of Material
1 2 3
........................., ......................................
( ) ( )
HALAL CERTIFIED PRODUCT
Name of Product
4 5 6 7 8
are name of halal certified product and can be written in separate page.
e column if the material is used in the product.
product is more than 10 items or have special codes, it must be submitted in soft copy.
on-matrix form per product in separate page with authorized signature for each product.
Approved by,
Management Representative
)
MATRIKS REKAPITULASI PRODUK DAN SELURUH BAHAN UNTUK SETIA
Nama Perusahaan :
Jenis Produk :
Nama Produ
No. Nama Bahan
1 2 3
........................., ......................................
( ) ( )
UH BAHAN UNTUK SETIAP JENIS PRODUK
Nama Produk
4 5 6 7 8
snya merupakan nama produk yang disertifikasi dan dapat dituliskan pada
Disahkan Oleh,
impinan Perusahaan