GLOBAL

INTER
CERTIFICATION

APPLICATION FOR
SYSTEM MANAGEMENT CERTIFICATION
REGISTRATION NO:
*Must be filled job number

GIC-

1. SELECTION OF THE CERTIFICATION STANDARD

Global HACCP

2. DESCRIPTION OF SYSTEM SCOPE

Description of the management system(s) scope (the subject of certification);

1. Processing of Red Meat and Poultry

2. Distribution of processed Red Meat and Poultry

* In case of Integrated Management System, system scopes shall be written separately according to each standard.
* Certificate is basically English. Other language would ask for additional payment.
* Please send us document list, manufacturing flow chart and process flow chart in advance for smooth audit activity.

3. APPICANT INFORAMTION
Please indicate website introducing you own product on the internet.

Company name Fresh Meat Factory

VAT No. Website https://fmf.qa/
Contact person MOHAMMED SHAHID Representative MOHAMMED SHAHID

Company call E-mail mohammed.shahid@menagroup.me

Management
Mobile phone 33987595
Representative

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Address
Workshop N-11, Jahiz 2, New Industrial Area, Doha, Qatar

Postal code
Company structure (You can attach a copy of your organization structure)

Outsourcing activities included in scope of certification (if applicable)

None
Number of employees within the certification scope 29
Total number of Employees 29
*For Global HACCP, shall complete the additional questions below
*No. of other business locations (Multiple sites) 1
*No. of HACCP Studies (If applicable) N/A
*No. of off-site storage (If applicable) N/A
*Organizations with a separate head office?
N/A
(If applicable)
*Need an interpreter? (If applicable) N/A
*Related Certificate (If applicable) N/A
*No. of production lines (If applicable) 2
*No. of CCPs (If applicable) 2
*No. of product types (If applicable) 4
*No. of PRPs (If applicable) 21
Name and addresses of all detached sites in the certification scope (if any)

N/A
Language of operation English ☒ or other language:

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4. PRODUCT / SERVICE DESCRIPTION

Description
Name of product/service
(*Specify basic process flow of the product/service)
1 Meat Procurement>Production>Store>Delivery

2 Ground Meat Procurement>Production>Store>Delivery

3 Poultry Procurement>Production>Store>Delivery

4 Ground Poultry Procurement>Production>Store>Delivery

5. REGULATORY INFORMAITON OF PRODUCT/SERVICE

Questions Yes No
Is there any regulatory requirements to your system and product/service?
* In the case of ISO 13485 certification, please describe the validity of the GMP ☐ ☒
certification.
If yes, please write relevant information. (Legislation, standard, act, etc.)

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ADDITIONAL QUESTION

No Questions Yes No

Does your company have shift? ☐ ☒

1 If yes, please write the numbers of each shift (if no, describe general working hours)

Have you used services of consultant or consultancy organization? ☐ ☒

2 If yes, please write the information of consultant or consultancy organization

Has your company certificated another management system? ☐ ☒

3 If yes, please write another implemented and certified management system along with
available documents (certificate, audit report, etc.)

Since when does the organization implement management system?

4
Since June 2019

Are there any enclosed (attached) documents? ☐ ☒

5 If yes, please write list of enclosed (attached) documents

Is your organization a part of a larger corporation? ☒ ☐

If yes, please describe the function and relationship
6 It is part of the MENA Group. Fresh meat processes the raw material to make it to final
product. MENA Group coordinates the dispatch and delivery.

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APPLICANT’S DECLARATION:

▪ We are acquainted and we agree with verification (assessment) with view of certification in range of criteria
determined and defined by standard(s), the choice is mentioned on 1st page of application,
▪ We agree with acceptance of audit team,
▪ We agree with payment for audit in disregard of audit result according to arranged conditions in Inspection
Contract,
▪ During the certificate validity, we agree with keeping of the requirements, obligations and binding criteria
specified by all standards, the choice is mentioned on 1st page of application,
▪ We agree with surveillance of the certification criteria continuous fulfilment in the scope
and for the price agreed before issuing of the certificate,
▪ We are acquainted with consequences arising from non-fulfilment of commitments related to maintenance of
the applicant’s (client’s) certified management,
▪ We agree to send the original certificate to GIC if the certificate is withdraws or reduced while it is valid.
▪ After certificate is issued, we agree to let GIC to open information of company name, address, certificate no.,
certified scope, issued date and expiry date on GIC homepage which is publically assessable.
▪ We understood and accept that certification documents, generated during certification process, could be provided
to 3rd party in order to increase the confidence from interested parties and specifically regulators that accept or
take into consideration ISO 13485 accredited certification for the purpose of their recognitions,
▪ We will inform to GIC immediately if there is change in following matters;
a) the legal, commercial, organizational status or ownership,
b) organization and management (e.g. key managerial, decision-making or technical staff),
a) contact address and sites,
c) scope of operations under the certified management system, and
b) major changes to the management system and processes.

We declare that all data mentioned in the application and in enclosures are truthful.
LOCATION:

October 1, 2019

DATE:

Stamp or signature of applicant’s statutory

representative
* Applicant should refer to GIC handbook
* Applicant can appeal and complain according to GIC handbook which is able to download from GIC
website.

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REGISTRATION INFORMATION *Must be filled by GIC only

Date of receipt:
Received by:

Criteria: Drop-down

Audit scope: Acceptable Unacceptable

Audit objective: Initial Surveillance Recertification Special

EAC Code (NACE code) or Technical Areas:

This application is / *is not granted to perform the management certification.

*Describe reasons or additional information necessary for application process.

Multi-site sampling: Yes No *If yes, please fill out below table.
Activity No. of site Sampling No. Audit duration

Total
* Reasons for the justification of audit duration reductions

Number of employee:

Audit duration of this certification: Man-day(s)

*Comment:

We, Institute of Global Certification, appoints following person as the lead auditor and evaluator of this
certification process;

Composition of Name of
Audit Team: Evaluator:

Date of review:
Reviewed by (name and signature):

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