APPLICATION FOR KOSHER CERTIFICATION
PRODUCT INFORMATION PAGE
A) Please indicate the geographic areas where you plan to market the product(s):
B) Are any of these products also produced in a plant not included in this application?
If yes, by whom:
Are any other products produced in this plant?
C) Please provide the following information regarding products for which you are seeking certification
Please list the name of each product for which you are seeking certification. Check the appropriate column(s) for Retail or Industrial/Institutional distribution. Please specify if you desire Passover certification
Please list each brand name for the product that you are seeking certification. Check the appropriate column(s) to indicate if the brand name is an In-House and / or Private Label
For Private Label brand name: Enter the name of the Private Label Company that owns the brand name. On the last page of this application, provide the company name, address and contact name
I. Product Name
II. Brand Name
III. Private Label Company
For Internal Use Only DPMF