†iwR÷vW© bs wW G-1

evsjv‡`k †M‡RU
AwZwi³ msL¨v
KZ…©c¶ KZ…©K cÖKvwkZ

eyaevi, AvM÷ 31, 2022

[ †emiKvwi e¨w³ Ges K‡c©v‡ikb KZ©K

„ A‡_©i wewbg‡q RvixK…Z weÁvcb I †bvwUkmg~n ]

! : #$ % &, ()$* + ,/(. /0 , $#$$ 12 ,

. / . 4. $.*-/ /$#$$ । ,
/ , $#(6 ($#(6 8. / ) :
;# <= , > ? @ A , BC : > , DE :
(। 4 ।(() :
: , $#$$ G%H H ।
($) H G I > D> H ।
$। ।(>) J + K > >L E > , : ,
(() “/ ” GE / , $#(6 ($#(6
8. / );
($) “ ” GE / : $ P (()
( / );
(Q) “ P ” GE : > P ;

( 14827 )
g~j¨ : UvKv 30.00
14828 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

()) “ R” GE C S DH A A > H DH T
(manufactured) GE U / > A V GE / W
GE GX > R T Y Z H , W JV R, ! [ R,
\4 P P , : ] R, >, > ^> 4 >^ _,
4 `, >a bc Gbc GX X R4 H Gdef H ;
(;) “ J ” GE J ;
(8) “P ” GE : > P ;
(.) “ % 0] > ” GE : ; g! > % 0] > ;
(6) “ H h >” GE
H h >;
(*) “ > G@C < > ” GE > H
> < 4 Gi >Y H :> < hj > ;
((#) “ k” GE >Y H VX l k;
((() “ > (Standard Mark)” GE : . g!
P> >;
(($) “H ” GE H G@D ] mH D n R, &Y, : m],
P > GX X A , o ;
((Q) “H G ” GE : (; g! H G ;
(()) “H G ” GE : (; - : (() G:] 0p H
G ;
((;) “H >” GE : ($ - : (() g! H
P> >;
((8) “H P > ” GE : (8 - : ($) G:]
>q> r W H P> ;
((.) “H P> > ” GE : () G:] 0p H
P> > ।
(!) : D > , G %Y f Y Z H s >t >
H , > , G %Y f / DGEY Z H s G E DV H ।
Q। J % > D o ।(() J % VX J > u>
% /v () ( haw) ? % l > H , Vx V
.( ) ? l > % /v > D ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14829

($) > % G@y : Q# ( z ) { > 0p

H f % > 4| } Dd ~ • E > G@C ~ • %
> 0p H 4 % G@y > D ।
(Q) ] 0 > J Vx % < o d V H , J J
h € G@ A , u0 VX h > D H •0 y
u ‚ E > H J od 0R H , C ƒH] od
J } % G@ mH > H ।
)। 0„ , (() H >D ry…% † VX
V ] •> 0„ > ।
($) - : (() m> > ‡ˆ > , BC ‰H
E > , DE :
(>) (Standards Wing);
(!) E ]= (Physical Testing Wing);
(0) ]= (Chemical Testing Wing);
(Š) ^ V (Metrology Wing);
(‹) P> > (Certification Marks Wing);
(h) € V Œ P> (Management Systems
Certification Wing);
(s) (Administration Wing)।
(Q) ‰H J >q> H G • > ।
;।
% 0] > ।(() 2> VX BC
% 0] > E > , DE :
(>) W J 4 ! [ % 0] > (Agricultural and Food Divisional
Committee);
(!) % 0] > (Chemical Divisional Committee);
(0) 4 ` % 0] > (Jute and Textile Divisional Committee);
(Š) > ^> 4 Ž _ % 0] > (Electrical and Electronics
Divisional Committee);
(‹) • >a % 0] > (Civil Engineering Divisional Committee);

(h) D >a % 0] > (Mechanical Engineering Divisional

Committee)।
14830 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

($) % 0] > u •, •4>D J >q> : H ।

(Q) % 0] > u0 V { H >V h € 4 >V
% -h € h > ।
()) > % 0] > H % >D o : > ।
(;) % 0] > ‰H h > • > ।
8। ( ) 2> (specification)।(() > R, &Y,
A , Y H - :, o , ]= o †> , •2 % 0]
> H > , ( ) 2> (specification) >
।
($) V G@D ] : % T > ] 4 Y H > ]
% ‘E h > 4 H D ’< D h (periodic review) > GE
V ‘ E, ‘- H > R, &Y, A , Y H - :, o , ]=
o †> 2> > ।
(Q) , “ w c 0p > r A , D > R, &Y, A
G > >q> 2W >, H
Y ] , ‘]W /dV > | >q> 2W ‰H
H mH > ।
.। >।(() > BC > G@D ] H DH
P> > G % H H , DE :

— (Height)
;# ” ”

| (Width) .; ” ”

($) > > > :> ‹ H , > > :>

‹Y H = z - : (() hz > H Y H > D ।
(Q) DE DE •> - : (() h z P m P> – ’o
= z — 4 ˜ $:Q G@ E > H ।
()) R & Y - > C > H DH H
H V bc H ।
(;) > r™2 , bc 4 G-G Dn hj > J
•2 G@ DE DE% 0 DnH H ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14831

(8) R & Y - > > G@C

< > Y H > H ।

(.) I , G P Π(Arial Font) H

H D H /> 8 (s ) G = > H ।

(6) > Ž > > R &Y 0 | =z ] >

(physical) | > H (Integrated) š › œf > %
{ | > D ।
6। > Y H wc k VX / ।(() >
Y H wc k mH < > R, &Y A
= z ( ( >) H V > P H P -( G@D ] / > H ।
($) / z H ! W s•4 / > ] >
H T Ad ž H D > V ] ž > h H
/ > ] G@C h H ž ! > / z •
> ।

(Q) k VX / z I œf l ‘]> > H ।

()) / z, Y f = z / > ] ‘ GE y =z >,
G ] y Y | h > y == l Y f >q> ‘ =
H H ।
*। k 4 ।(() : 6 G:] / l /
g ! D > R, &Y A VX k / > H s > R,
&Y A •2 H 0 ? > fC ]= - ]=
> r : E V ] | H s > H >q> = l >
> ।
($) > fC ]= - ]= 4 > T Ad
> ! > ।
(Q)
k VX ƒH] ~ ]= P P 4 d JV >
H , / > ] > P -( >-G !-G DV
k P VX G H > f P V P -$
G@D ] k > ।
()) k V ] / > ।
(;) > k: ] > <] Q ( ) ? k VX
/ > H ।
(8) k VX : { / > d
k > ।
14832 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

(#। ^ > > J > :> k r H E > T †>

: ।(() > R &Y ^ > > J Œ, V 4
^ > G: l E > / %< >q> > :> k r
H E > , } f G : l >q> ‘]W f R ^ > > ‰
‘• :> ] >q> > > G% D0 Ÿ H H Dh - s ? >
fG: l o d %< H H > ।
($) r h ^ > > Gi : G@> Y H :>
k VX > / • > ।
((। k |0 > > ।(() > k: ] / ,
: k g! > %+ > k |0
> ।
($) - : (() G:] > k |0 >
= z,
k l Yf y > > VX (; ( ) >D
] : > > •2 Y f y > œf 0
r D0 > H ।
(Q) - : ($) g! ] { •2 Y f y V !
> d JV > V YE H •2 k |0
> ।
()) | 0 W k |0 H > Dd k > D ।

($। H P> >।(() H > BC > G@D ] H D H

H P> > G%H H ,
DE :
($) DE DE •> - : (() H > P m P> –
’o =z @ >H H ।

(Q) R &Y - H > C > H DH H

H V bc H ।
()) H > r™2 , bc 4 G-G Dn hj >
J •2 G@ DE DE% 0 DnH ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14833

(;) R &Y - H > >

G@C < > Y H > H ।

(Q। H > Y H wc H P> VX / ।(() >

A V R &Y 0 GE A , o G@¡ H >
Y H wc H P > mH < > P -6 G@D ]
/ > H ।
($) - : (() G:] ! W / H A V R, &Y, A ,
o > , R &Y ¢ o Y h ¢ :
, =z , y G% d ] 4 ]= > £h] V ]
> > €@ š ! > H ।
(Q) - : ($) G:] ! W s•4 / > ]
> H •2 D > ž > h H / > ] G@C
ž > / z • > ।

()) H P> VX / z I œf l ‘]> >

H ।
(;) / z, Y f = z / > ] ‘ GE y =z >,
G ] y Y | h > y == l Y f >q> ‘ =
H H ।
()। H P> > । : wc ? > , ,
J G@ A , ,/ ¤ , > > •2
%04 y : ¥ H P> > 0„ 4 H > D :
: > ।

(;। H G (() H P> > , : (Q G:] ! W

/ 4 > 0V z A V R, &Y, A •2 /dV >
GE H 0 ? > H Dh <H G >
VX, ,/ ¤ , > > •2 J J Yf
¥ H G 0„ 4 H > D : : > ।

($) H G - : (() g! H G > T †>

{ H P> > > ! > ।

(8। H P> 4 ।(() H P > > , : (;

- : ($) G:] l : (Q G:] ! W / z
ž 4 > 0V z D h A , H P > r VX
r > ।
14834 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

($) -
: (() G:] l r d JV > H , •2
/ > ] > P -$ g! H P> P VX G H >
f PV P -* G@D ] H P> r > :
E > D, - : (() G:] l r d JV > H
,H P> / • > ।
(Q) H P> V ] / > ।
()) H P> H Q( ) T ।
(;) H P> : ]> <] Q ( ) ? H P>
VX / > H ।
(8) H P> VX : {/ > d
H P> > ।
(.। H P> |0 ।(() > H P> : ]/ ,
: H P> g! > %+ > H
P > |0 > ।
($) - :(() G:] > H P > |0 = z,
H P > : ] Yf y > > VX (; ( )
>D ] : > > •2 Y f y >
œf 0 r D0 > H ।
(Q) - : ($) g! ] { •2 Y f y V !
> d JV > V YE H H P > |0
> ।
()) | 0 W H P> |0 H > Dd H P>
> D ।
(6। k H P> V ।(() k H P>
VX ¦E> ¦E> V V V = > H ।

($) V V V k H P>
| 0 GE k H P > P †> D ] ž H k: ]
H P> : ] y 4 D 0 D 0 p> , P I ,
Gdef E > ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14835

(*। k H P> । > k GE H

P> H 0 2 H 0 GE , =z , V % k
H P> mH > h H , •2 k: ] GE H
P > : ] > G P D n ( ( >) H V > P H DE A , P -. 4 P -(#
G@D ] / > H ।
$#। / W R s • z।(() / W R s • z mH <
/ > >> > Œ VX P -Q G@D ] / > H ।
($) / W R ƒH] ~ •2 G@D ] d JV >
H , / > > > s • z mH VX P -( >-G !-G
DV P :> H ।
(Q) - : ($) G:] P l =, P -) G@D ] s • z
> ।
()) / W R •2 G@D ] d JV > H s• z
• > ।
$(। > R E > H 2> o ।
(() > R E > /§ >% /dV >% GX
> >q> ‘]W h A >% ( ( >) T VX
> k > f > h >
2> VX •2 2> > > ।
($) - : (() G:] < k, 2> > > mH D n
H : - : (() g! d H H ।
(Q) / W > R =z > ]= ¨
z D /§ > /dV > GX > ‘]W z H
G ©u? H =z J 2> > > ,
/§ > /dV > GX > ‘]W z H mH D n
H •2 2> > r A >% s• z > D
f ¨ z > h J 2> >
r %< [ >H 0 > Y | mH
> ।
$$।
R ª = « ¬ , , V, -% m DV
> Y H VX / ।(() R ª = k
GE « ¬ , , V, -% m DV >Y H
wc‰ k Gde f VX P -; G@D ] / > H ।
14836 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

($) - : (() / = ƒH] ~ ]= P P

d JV > 4 0 P -( >-G !-G DV P l =,
k , ‰ k Gdef > D ।
$Q। > 0 z , ।(() 0 l >
> > P -8 G@D ] 0 z > ।
($) > > Y G | f z + ! >H ! h H
H > ।
$)। o ।(() > > >q> / 4 : G:]
=z B o G@ > H , DE :
(>) > k: ] k VX / > ] y > !
= z DE DE >q = G@ A •2 k: ]
/ > ]>? G H > H :
E > D, > V ®x• h Gm > 4
> ;
(!) > > R &Y ~ mH V H , •2
k: ] k VX / > ] GE y GE > !
> • ] Yf | H mH > H ;
(0) > R •2 G@D ] ~ mH >
k: ] k VX / > ] y • ] Yf
G@ : V > ~ > ;
(Š) > ¢¤ h %< R ~ mH >
k: ], k VX / > ] •2 y • ]
Y f DaE ‘ = 0 > ;
(‹) > ¢ > H >, T > ]
/ > ] , D V = z, / W R VX >
> > ‘ = mH > ;
(h) > J> T 4 >Y H wc k
P : J ]= > ;
(s) > ® GE k: ] VŒ0 > H GE !
V A VX = R &Y ‰H H ~ mH >
;
(V) > H †> > ¯
> ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14837

($) > k l R Dh > VX T G«

$ (“ ) %° k Y | > ।
$;। V lW &Y ± ² <। H h > T>q> = l
> > h ] > V, V lW &Y H¯ d > 
(>) V lW &Y G@D ] ]= > ³ H H
]= > H ‚ 4 0 H A > A ´
GE > >J0 V > H f R > V>
V ] y H¯ d > ;
(!) V lW &Y •2 G@D ] ]= >
d JV > 4 0 H ± > ।
$8। > ! + µ> o ।(() / : Q6 G:] >
> ! + µ> =z • l > h ], y ‘• :> ]
: 4 =] | > R, &Y 4 D V, > o
> H > G@ | y ‘• :> ] : > H¯ d
> ।
($) k H] > y > ! ® 0 > f
y > ! ® > 0 ¶ / > /
d JV > h H H h > H h > G@ A ,
> > h ] 0 G ~f > ।
$.। H > 4 HP V ।(() 2 2
: , (*6*, G ” f : g! , · H > H ।
($) - : (() G:] H > ¸4, f : G:] 
(>) W > >D ƒH] > Y | GE 2W ‰H
: G:] W , ƒH] 2W H s 0R H ;
!) h > > DA : G:] ²ª > H ।
14838 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

P -(
[ : 6 - : (() &2Y]
>Y H wc k VX /
( / )

0 V ] >

H h >

% , ((8/>, V0»4 >,

¼ > -($#6।

(। / // (Y f y ? ) .......................................................
............................................................... ( ) H
©u? R, &Y A =z >4 >q> <
> Y H > VX > k VX / > s:

*(>) &Y R : •2
¬ :
-% :
V:
:
m :
k I ( D V = z):
*(!) A :

* > / z (>) 4 (!) Gdef / “ { > > VX

/ > D ।
$। > ! 4 p> : ..........................................................................
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14839

Q। g! R, &Y, A VX T 4 l
/ // < V H ‰° :

T T _ P ¾ ‰° (‰° D V
> Y ] > !
y T
V V W & Y A ‰°)
0 T
(>) ............ H .............
(!) ............ H .............
(0) ............ H ..............
h T
................. H ..............
l
T T ‰°
0 T
(>) ............ H .............
(!) ............ H .............
(0) ............ H ..............
h T
................. H .............

)। •2 H g! R, &Y, A ©u ¿
> w c / // :
(>) / z H œf 4 o Y H
> s Y H > ¯ > s > ‰H G@C
> ¯ % <P ! H / ! H ;
(!) / ¤ , H C ] H 0 = > ,
, 4 > £h / > , :
À > s;
(0) 4 > > £h DH >q> r > H
C > £hhÁ> À > s।
14840 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

;। E > > d> h H / // >

Da f> H D 0 > ‚ /s G@D ]
P H d > Y :> ‚ / s।
8। k > H k > ,
/ , $#(6 : ,
$#$$ h À > s D k|0 H
D , H H G+]> > s D, k /4 :] R, &Y,
A > >q> < > Y H
G I µ> H •2 > , R &Y H > H
: : ‰H G@ VX V ] GX X Y | mH > ।
‘= , !4
h € /Y | h >/‘• :> ] :
:
:
/ I :
? p> :
P / I :
- :
y =
‘= :
: :
:
I :
- :
œ f:
(>) / > ] V ] h z > > ;
(!) H 0 ^ k > ;
(0) / > ;
(Š) ‚ ( •2 V ] , R •>V > : ,
$#$( 4 h GX X / :- : G@D ] ] );
(‹) / > ] D 4 > £ h G@ > Y H > % Â
Y H > , D V = z, H ¯ ’ ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14841

P -$
[ : * - : (Q) &2Y]
>Y H k
( / )

0 V ] >

............ + ,
à > : ............................................. ! : ............ 12 ,

QR Code
QR Code

k I ........................................ ! ..........................

· ................................................................ > B s >

R, &Y, A >q> : >Y H >
k > H ।

R &Y •> >q> < > Y H > H ।

k: ] k > ।

k H ..................... !H ................... ! Dd।

<] Q( ) ? k VX / > H ।

R, &Y, A

> R, &Y, A •2
( ) I
14842 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

k P’

: W
k P’ H
> > _ (>) > Y H VX : H
P ¾ ‰° (‰° D V G@D ] T > k PGm :
> Y ] > ! > H s;
y T (!) T > T %< H G@D ]
V V W &Y G f P DV H d H4
A ‰°) :> H ।

(() ...................................................;

($) ...................................................;

(Q) ...................................................।

=
= l> > ‘= 4
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14843
P -Q
[ : $# - : (() &2Y]
/ W R s • z VX /
( / )

0 V ] >

H h >
% , ((8/>, V0»4 >
¼ > -($#6।
/ // (Y f
y ? ) ..........................................................
( ) H ©u? B R, &Y A >
H V 4 H V H s •> > 4 >q> <
> Y H > VX
/ , $#(6 ($#(6 8. / )
: , $#$$ G@D ] s • z VX / > s:
R 4¬ :
:
R :
> ÅG G V :
I 4 !/ 4 4 ! :
> H V Æ 4 p> :
G Å I 4 ! :
4 H V p> :
% I 4 ! :
R / ‰° :

:
:
p> : / > ] ‘=
/ I : !4
P / :
- :
œf:
(>) ^ k;
(!) / / (Import Registration Certificate);
(0) / > H/ Ad ।
14844 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022
P -)
[ : $# - : (Q) &2Y]
/ W R s• z
( / )

0 V ] >
..................... + ,
à > : ............................................. ! : ..................... 12 ,

s• z P k -

s• z : !:

QR Code
QR Code
· ........................................................... B R, &Y
A G@¡ >4 >q> < > Y H > VX
s• z > ।/ W R G@¡ s • z VX ......... !: ............
G@D ] W (% H) ........... (>E :..................) > .....................
! : ................. { / > H s।
A > R, &Y R •2 > Œ
A ( )

>4 > Y H
> H R •>V > : , $#$( G@D ] f R &Y 0 , • >, > Ç 0
V ] ž g!? > H V V > H ।
:
(() .......................................................;
($) .......................................................।
=
= l> > ‘= 4
>
..............................................
..............................................
G@ :
> G >
> H V
-----------------------
œ f:
(>) ......................................................;
(!) ..........................................................।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14845
P -;
[ : $$ - : (() &2Y]
R ª = k GE «
¬ , , V, -% m DV
>Y H VX /

( / )

0 V ] >

H h >

% , ((8/>, V0»4 >,

¼ > -($#6।
/ // (Y f y ? ) ..........................................................................
......................................................... B « R ( ) H
©u? >4 >q> < > Y H > VX
/ , $#(6 ($#(6 8. / )
: , $#$$ G@D ] ‰ k Gde f VX /
> s:
> ! p> ( D V = z) :
R :
¬ -% V m :
> k I :
> :
/ > ] :
: ‘=
p> : !4

/ I :
P / :
- :
œ f:
(>) R ¨ > •>;
(!) ^ > V È > ;
(0) > k > ;
(Š) ........................................;
(‹) .........................................।
14846 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022
P -8
[ : $Q - : (() &2Y]
> 0 z
( / )

0 V ] >

· ŠJ > D s D, V ...............................................................
.........................................................................................................................
( 4 )- > > H 0 > H ।
H ................... !H ...................... ! Dd।

> D% .......................................
..............................................
s ...............................................

:
(() z H¯ d D n ;
($) z g! Dd H TE > ;
(Q) H H 0 É H > | E GE B p> V
G@ : > H , DE :

% , ((8/>, V0»4 >,

¼ > -($#6।

> ‘=

= H h >
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14847

P -.
[ : (* &2Y]
k VX /
( / )

0 V ] >

H h >

% , ((8/>, V0»4 >,

¼ > -($#6।

y 4 ? p> :
> ! p> :
R :
k I :
> :

B D> k V ( D V = z > hj ):
□ kH 0 s:
□ k 2H 0 s:
□ V% k:
□ GX X:
/ > ] ‘= 4 !:

:
:
p> :
/ I :
P / I :
- :

. &.: kH 0 •2 E W V ’ > œf > H ।

14848 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

P -6
[ : (Q - : (() &2Y]
H P> VX /
( )
( / )

0 V ] >

H h >

% , ((8/>, V0»4 >,

¼ > -($#6।

(। / // ( 4 )...................................................................................
y (? 4 p> )..................................................................................
.........................................................................................................................
( ) H † > /dV > H ©u?
B R, &Y, A =zH P> >4 >q> <
> Y H > VX > H P> VX /
> s:

(>) &Y R : •2
/m :
V: ‰H:
¬ : ( V G f œf >x )

*
(!) A : •2
/ > ‰H:
R &Y
( V G f œf >x )
$। H P> I 4 ( =z DV):
> ! y 4 p> D P ( < p> H %ª H : ....................


> / z (>) 4 (!) Gdef / “ { > VX / > D ।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14849
)। / // ŠJ > s D, / / / y †> B
ž / // 4 Ë p>:

(>) ? > ] > h ] : P P P

P

(!) 0 ( > ):
(0) > ! /> :
(G@mH > œf > > ) ’HT Ì ‡&

;। GX X R/ A / o / ( P (H %ª H ) ..................................।
8। / // · H €@ H >Å š œf > DH •2
G@D ] ¢ > H s / // / D = H> !
+> > H E z = > ।
.। / // / 4 ŠJ > s D, R/&Y/ A / > >
H H >G H > ।
6। > ! y G > h H , / //
> > : HD 0 > ।
*। / // / 4 ŠJ > s D, / //
/ , $#(6 ($#(6 8. / )
: , $#$$ H P> h ।

‘= , !4 H

:
:
:
:
y :
p> :
V ] h z :
P I / I :
:
14850 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022
Form-8
[Regulation 13 (1)]
Application for Halal Certificate
Bangladesh Standards and Testing Institution (BSTI)
Ministry of Industries
Government of the People’s Republic of Bangladesh
To
The Director General
Bangladesh Standards and Testing Institution
116/Ka, Tejgaon Industrial Area
Dhaka-1208.
1. I/We, (Name and designation) -----------------------------------------------------of
the organization (name and address) ------------------------------------------------------
--------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------- are
applying for issuance of Halal Certificate for the use of Halal Certification Mark
and Machine Readable Code in the following product/process/system/service:
1
(a) Name of Product: The related Standard Number(s):
Type/Grade:
Size: Name of Ingredients (can be
Brand: attached):
*
(b) Name of Process/Service: The related Standard Number(s):
Commodity: Name of Ingredients/materials (can
be attached a list):

2. Certificate Number & Duration (in renewal case):

3. Name and address of the factory or organization, if different from para 1:
4. I/we do hereby declare that information given below about my/our
organization are true according to my/our knowledge and belief:
(a) Fulltime employee General Shift
B Shift C Shift
and A shift

(b) Investment (in BDT):

(c) Size of the factory/industry:
Large Medium Small
(please tick appropriate one)
5. Name of the other product/process/system/service in the factory/
organization (if different from para 1):

1
Note: An applicant can apply for one item in single application mentioned above.
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14851
6. I/We do hereby attached Halal Manual and Halal Control Plan which
are prepared as per relevant standard and will keep relevant records
and documents of the factory including inspection/monitoring reports.
7. I/We also declare that if any changes of the design or quality of the
product/process/system/service is made it will be informed to BSTI.
8. If BSTI desires to visit or audit the factory/organization, I/We will
extend all sorts of cooperation.
9. I/We also declare that I/We will abide by the Bangladesh Standards
and Testing Institution Act, 2018 (Act No.67 of 2018), the Bangladesh
Standards and Testing Institution Regulations, 2022 and all terms and
conditions of the Halal Certificate.

Name: Signature, Date and Seal

Father’s Name: ………………………..

Mother’s Name: ………………………
Designation: …………………………..
Name of the Organization: …………..
Address: ………………………………..
National Identy (NID) No. : …………....
Phone/Mobile No: ……………………..
E-mail: …………………………………...
14852 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022
P -*
[ : (8 - : ($) &2Y]
H P>
( )
( / )

0 V ] >

QR Code

à > : ....................................... !:
H P> Í : ..................... r !: - -
s
> D s D, >q> ......................
......................................................................................................................./ ,
: > D : ….................................................................> ! /Y y
p> : ................................................................................................. H T 4
•>V W .................................................................................................................
...................................................................................................................................
R/&Y/ A / ‰H /4/ / / / H ©u? ‰° >
H P> r > H ।

H P> H .............. !H ................ ! Dd।

H P> <] H Q( ) ? H VX / > H ।
H P> : ]H P> > ।
:
(()............................................;
($)............................................;
(Q)............................................;
())............................................।

(……………………) (…………………….)
h >( P> > )। H h >
।
 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14853
.&. H H H
P> G c P > H ।
Form-9
[Regulation 16 (2)]
HALAL CERTIFICATE
Bangladesh Standards and Testing Institution (BSTI)
Ministry of Industries
Government of the People’s Republic of Bangladesh

QR Code

Memo No : ...................................... Date: ..............................

Halal Certificate No: ............. Date of Issue: dd.mm.yyyy
This is to certify that ............................................................./Ltd. Head office
................................................................................................................................
Factory/Business location.........................................................................has been
assessed by BSTI in compliance with BDS OIC/SMIIC..............:................and
issued Halal Certificate for the name of process/system/service/manufacturing
and packaging of ................................
The duration of the Halal Certificate is from ……...........................………..…to
The application for renew is to be submitted before 3 (Three) months of the
expiration of the Halal Certificate.
The Halal Certificate holder shall abide by the terms and conditions of the Halal
Certificate.

(……..............…………………) (…………….)
Director,Certification Marks Wing, BSTI Director General,
BSTI
Conditions:
(1)………………………………………………;
(2) ……………………………………........…...;
(3) ……………………………………………...;
(4) ………………………………………..…… .
14854 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022
N.B.: This certificate must be returned if cancelled or withdrawn.
P -(#
[ : -(* &2Y]
H P> VX /
( / )

0 V ] >

H h >

% , ((8/>, V0»4 >,

¼ > -($#6।
y 4 ? p> :
> ! p> :
R :
k I :
> :
B D> H P> V ( D V = z > hj ):
□H P> H 0 s:
□H P> 2H 0 s:
□ GX X:

/ > ] ‘= 4 !:
:
:
p> :
/ I :
P / I :
- :

. &. H P> H 0 •2 E W V ’ > œf > H ।

 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14855

P-(
[ : * - : (Q), : $# - : ($), : $$ - : ($) &2Y]
k P’
>-G
( / )

0 V ] >

A > >q> 2W k P’ H T 4 ] B T 4 ] —
> /4 ef ( _P ¾ ‰° k P k P
R ‰H ! / ! ) ( ) ( )
% <> >
(() ($) (Q) ()) (;)
(() P V ![ R #.#.% (;## Q######
( > H V »h ) ( z =) >
>
($) “ÐV ![ R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(Q) ¢ V ] ![ R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
()) > V ] ![ R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(;) ] R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(8) V ] R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(.) VV ] R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(6) ( : ) R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
14856 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

>
(() ($) (Q) ()) (;)
(*) ! m] #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
((#) h • 4h •V R #.(#% Q;## Q;##### (Ñ z
( H V »h ) =) >
>
((() š >4š >V ] R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(($) : ] R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
((Q) 4 >] > R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
(()) `4 `V ] R #.(#% Q;## Q;##### (Ñ z
( H V »h ) =) >
>
((;) _ 4 _ V #.(#% Q;## Q;##### (Ñ z
( H V »h ) =) >
>
((8) ¢ “ > m]/ © #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
((.) “ T H] #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
((6) m] #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
((*) >a ( : ) R #.(#% Q;## Q;#####
( H V »h ) (Ñ z =) >
>
($#) Ò , >4 #.(#% Q;## Q;#####
V ] R ( H V »h ) (Ñ z =) >
evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14857

>
 !-G
B ¯ % <> — k P’
(>-G > ) 4 ; &2Y)
k P’ $ (“ ) > } $ (“ ) } (# ( ) } $# ( ) } ;# } (## ( > } $## } )## } 8##
H > Dd #% > > > > > > > > > ( § ) > ) > > (“ ) > (h ) (s ) >
H (# ( ) H $# ( ) H ;# ( § ) > > H > H $## > > H > > > > Ó±

evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

— > > > > > > (## ( > ) (“ ) > )## (h ) H 8## )#%
P Dd .% Dd (#% Dd (;% > > > Dd > > (s ) >
( >) Dd $#% $;% Dd Q#% > Dd —
— P — — Q;% P( >)
( >) P( >) P — — —
( >) P P( >) P( >) —
( >) P( >)
(¯ -() (¯ -$) (¯ -Q) (¯ -)) (¯ -;) (¯ -8) (¯ -.) (¯ -6) (¯ -*)
P V R ()### 88### ($6### Q#$### ;.#### (#;#### (;##### $###### Q######
#.#.% ( haw H V ) ( sJ Ô H V ) ( > = / ( =“ ( »h = < ( = § ( =) ( =) ( z =)
B HV ) HV ) HV ) HV )
(;##
( > H V »h
)
GX X R $#### *)### (6)### )Q#### 6$#### (;##### $###### $;##### Q;#####
#.(#% ( H V ) (É Õ H V ) ( > = É (h = z (/ = ( =) ( =) (Ñ h =) (Ñ z =)
B HV ) HV ) HV )
Q;##
( H V »h
)

14857
k VX / z P (### ( > H V ) >
G@C k VX / z P (### ( > H V ) >
14858 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022

P -$
[ : (8 - : ($) &2Y]
H P> VX P’
( / )

0 V ] >

A V R, &Y, : m], P > GX X A

VX H P> T > PH BC , DE :

‡& =z Ì =z ’HT =z
( >) ( >) ( >)
(() ($) (Q)
(### Q### ;###
( >HV ) ( HV ) ( »h H V )

Y • ।“’HT ”, “ Ì ” 4 “‡& ” GE >q>, , V ]W

V ] ] g ! DE A , ’HT , Ì 4 ‡& ।

/ A
. ” Vx /
H h > ( m -()
k ( / )
í ।

†gvnv¤§` BmgvBj †nv‡mb, DccwiPvjK (DcmwPe), evsjv‡`k miKvix gy`ªYvjq, †ZRMuvI, XvKv KZ…©K gyw`ªZ|
nvwQbv †eMg, DccwiPvjK, (DcmwPe), evsjv‡`k dig I cÖKvkbv Awdm, †ZRMuvI,
XvKv KZ…©K cÖKvwkZ| website: www.bgpress.gov.bd