†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 Rvi xK…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 YZ H,  WJV R, ![  R, 
\ 4 P P, :] R,  >, >^>
 4 >^_,  
4 `, >a  bc  Gbc GXX R4 H  Gde f H;  
(;) “ J ” GE  	
   	 	   J;  
(8) “P ”  GE  :  > P ; 
(.) “%0] > ” GE : ;  g!  > %0] >;  
(6)  “H h> ” GE   	
   	 	  
H h>; 
(*) “   >  G@C  < > ” GE 	
  >   H 
>    < 4 Gi> YH   :> < hj  >; 
((#) “k ” GE 	
  > YH   VX l k; 
((()   “	
   > (Standard Mark)”  GE : .   g!  	  
P> > ;  
(($) “H ” GE   H G@D] mHDn R, &Y, : m], 
P>
  GXX A, o  ; 
((Q)  “H G ” GE : (;  g! H  G; 
(()) “H G  ” GE : (;   -: (()   G:] 0p H 
G ; 
((;)  “H > ” GE  : ($   -: (()  g!  H 
P> > ;  
((8)  “H  P> ” GE :  (8   -: ($)    G:] 	 
>q> r
W H  P>;    
((.)  “H  P> > ” GE  : ()    G:] 0p H 
P> >। 
(!)  : D > ,  G%Yf YZ Hs >t   >  
H ,  > ,  G%Yf / D GE  YZ Hs  GE  DV
 H। 
Q।   J  %  >D o। (()  J  %  VX  J  
> u> 
% /v  () (  haw)  ?  %  l   >  H,  Vx  V  
. ()  ?  l  >  % /v >  D।  evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14829 
($) > % G@y  :     Q# (z)   { >  0p  
H f % >  4 |  }  D d ~ 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 H] od 
 J   } % G@ mH >  H। 
)।    0 , 
  (() 	 H  >D  ry%   VX 
V] >  0 >   । 
 ($) -: (()   m>>   > , 	   BC H 
E>, DE :  
(>) 	
    (Standards Wing ); 
(!)  E   ]=  (Physical Testing Wing) ; 
(0)     ]=  (Chemical Testing Wing ); 
()  ^V  ( Metrology Wing ); 
()   P> >   ( Certification Marks Wing ); 
(h)  V 	  P>  ( Management Systems 
Certification Wing );   
(s)    ( Administration Wing )। 
(Q) H  J >q > H    G    > । 
;। %0] > ।(()  	
   2>   VX 	  BC 
%0] > E>, DE :  
(>) WJ 4 ![ %0] > ( Agricultural and Food Divisional 
Committee ); 
(!)   %0] > ( Chemical Divisional Committee ); 
(0)  4 ` %0] > (Jute and Textile Divisional Committee ); 
() >^>
 4 _ %0] > ( Electrical and Electronics 
Divisional Committee );  
()  >a %0] > ( Civil Engineering Divisional Committee ); 
 
(h) D>a %0] > ( Mechanical Engineering Divisional 
Committee )। 14830 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 
($) %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, YH -:, o,     ]= o >  	 , 2 %0] 
>  H    >  ,  	
  ()  2>  ( specification)  >  
  ।  
($) 	   V G@D] : % T>  ] 4 YH > ] 
%  E  h >  4 H  D < D h  (periodic review)  >  GE 
VE , - H  > R, &Y , A, YH -:, 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 :  
 
 
 
 
| ( Width ) .;  
($) 	
  > >  >:>     H  ,  	
  >  >:> 
  YH   =z -: (()    hz  > H YH  >  D ।  
(Q) DEDE 	 > -: (()    hz  PmP>   o  
=z  4  $:Q G@ E> H ।  
()) R  &Y  - 	
  > C   >  H DH H 
HV bc H । 
(;) 	
  >   r2, bc 4 G-G Dn  hj>    J 
2  	
  G@  DEDE% 0Dn H H ।  (Height ) 
;#   evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14831 
(8) R  &Y  - 	
  >       >   G@C 
 < > YH  >  H । 
(.)  	
   I   ,    G
  P (Arial Font ) H 
H  DH  />  8 (s) G= > H  । 
(6) 	
  > >
 > R  &Y  0 |  =z   ] > 
(physical)  |     > H (Integrated )  f > %  
{ | >  D। 
6। 	
  > YH   wc k  VX /। (() 	
  >  
YH   wc k mH  < 	  >   R, &Y  A  
=z ( (>) HV  > PH P -( G@D] / >   H। 
($) /z  H !W  s4 	 / > ]  > 
H T Ad H D > V]    >  hH    
/> ] G@C hH    !  >   	 /z 
 
>    । 
(Q) k  VX  /z I f 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 H] ~  ]=  PP 4     dJV> 
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 , V 4 
^>  G:l  E> /  %< 	 >q > >:> k r
 
H E>,  } f G:l  >q > ]W f R  ^>    >   
:> ] >q > > >  G%D0  H 	 H Dh -s? > 
f G:l   od  %< H   
H  >   ।  
($) r h ^>    >  Gi: G@>   YH   :> 
	 k  VX > / 
 >    । 
((। k |0>    > । (() > k: ] /,  
:  k g! >   %+ >  	 k |0  
 >   । 
($) -: (()   G:] > k |0    >   =z, 
	 kl Yf  y> >     VX (; ( ) >D  
] :   >    >   2 Yf  y > f0 
   rD0  >  H । 
(Q) -: ($) g! ]  { 2 Yf  y V !  
>   dJV> V  YE  H 	 2 k |0   
>   । 
()) |0W k  |0 
H   >  D d k  >  D ।   
 
 
 
 
($ । H  P>  >।(() H >  BC  > G@D] H DH 
 	
   	 	  H  P> >   G%H H, 
DE : 
($) DEDE 	 > -: (()    H  >   PmP>   
o  =z @>  H  H ।  
(Q) R   &Y   - H >  C  >  H DH H 
HV bc H । 
()) H  >  r2  , bc   4 G-G Dn    hj>   
J 2   	
  G@  DEDE% 0Dn H ।  evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14833 
(;) R   &Y   - H  >      >   
G@C  < > YH  >  H । 
(Q । H   > YH   wc  H  P>  VX  / ।(() > 
AV R  &Y  0   GE A, o     G@¡ H >  
YH   wc H  P> mH  < 	  > P -6 G@D] 
/ >  H। 
($) -: (()   G:] !W /  H A V R, &Y, A, 
o    > , R  &Y ¢     o    Y  h  ¢: 
 , =z, y  G%
d ]    4  ]= > £h]  V] 
>>
 @   ! >  H । 
(Q) -: ($)   G:] !W  s4  	 /> ]  
> H 2 D >   >  hH     /> ] G@C 
     >  	 /z 
  >    । 
()) H  P>  VX  /z I f 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  
 %0 4 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 Yf  
¥ 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 
  4 >0Vz D hA, H  P> r
  VX 	    
r   >  ।  14834 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 
($) -: (()   G:] l r   dJV> H  	 , 2  
/> ]> P- $  g! H  P> P    VX GH >  
 f P V    P -* G@D] H  P> r
 >  : 
   E> D, -: (()   G:] l r   dJV>  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   >   । 
($) -: (()   G:] > H  P> |0    =z, 
	 H  P>: ] Yf  y> >     VX (; ( ) 
>D ] :   >    >   2 Yf  y > 
f0    rD0  >  H । 
(Q) -: ($) g! ]  { 2 Yf  y  V !  
>   dJV> V  YE  H 	 H  P> |0   
>   । 
()) |0W H  P>  |0 
H   >  D d 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] H k: ] 
 H  P>: ]    y   4 D0D0  p>,  P I , 
 
Gdef 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 Dn ( (>) HV  > PH DEA , P -. 4 P -(# 
G@D] / >  H। 
$# । / W R  sz। (() /W R  sz mH  < 
/> >>  >  VX P -Q G@D] / >  H। 
($) /W R  H] ~ 2  	
  G@D] dJV> 
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] dJV>  H 	 sz 

 >   । 
$(। >  R   	
   E>  H  	
  2>   o । 
(() > R   	
   E> /§>%  /dV >%  GX 
>  >q > ]W 	
  hA 	 >% ( (>) T   VX 
	
  > k  >     f 	
 > h >  	 
 	
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($) -: (()   G:] < k, 	
  2>  >  > mHDn 
 H  :  -: (()  g! d  H  H। 
(Q) /W > R  =z  	
   >  ]= ¨    
z D /§>  /dV >  GX >   ]W 	
   z  H 
G©u?  H =z 	 J 	
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 /§>  /dV >  GX >   ]W 	
   z  H mHDn 
H 2 	
   2>  >  r A >% sz  >  D  
 f 	
   ¨    z> h  J 	
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r   %< 	 [  	
 > H0 >   Y| mH 
> । 
$$। R  ª  = «  ¬ ,  , V , ­%   m DV  
	  > YH    VX /। (() R  ª  = k   
 GE « ¬, , V, ­%   m DV   	
  > YH   
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($) -: (()    /  = H] ~   ]= PP 
dJV> 4 0 P-(   >-G  !-G   DV
 P l =, 
k ,    k Gde f >  D।  
$Q ।   >  0  z , 
 ।(() 	 0l 
> 
  >> P -8 G@D] 0  z  > ।  
($)   > > Y  G| f z +  !  >H ! hH  
 H   > । 
$)।    o ।(() >   > >q > / 4  :  G:] 
    =z B  o G@  >  H, DE :  
 (>)  > k: ]  k  VX /> ]   y  > ! 
    =z DEDE >q =  G@A 2 k: ]  
/> ]> ?  GH >  H: 
    E> D,   > V®x h Gm    > 4 
   >   ;  
(!)   > > R  &Y  ~ mH  V H,  2 
k: ]  k  VX /> ] GE y  G E > !  
> ] Yf  | H mH >  H; 
(0)   > R  2  	
  G@D] ~ mH >   
k: ]  k  VX /> ]  y   ] Yf 
G@ : V > ~  > ; 
()   >  ¢¤h  %<  R  ~ mH >   
k: ], k  VX /> ]  2 y  ] 
Yf  DaE =  0 > ; 
()   >      ¢  >   H   >, T> ] 
 /> ] , DV
 =z, /W R  VX >	  
>>  =  mH > ; 
(h)   > J > T  4 	
  > YH   wc k 
P  :  J  ]= > ; 
(s)   > ® GE k: ]  V0  > H GE !  
V  A  VX  = R  &YH H ~ mH >   
 ;  
(V)   >  H     >  	  > ¯     
  > ।   evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14837 
($) 	 
> kl R  	
  Dh >   VX T  G«
  
$ ()   % °k     Y| > । 
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	  > > 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]  ]= >  
dJV> 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 ¶  /  >   / 
dJV> h H H h>  H h>  G@ A, 	  
> > h ] 0 G~f >   । 
$.।   H>  4 HPV ।(()  	
   2 2 
:, (*6*, G  f :  g!, ·   H >  H। 
 ($) -: (()   G:]  H>  ¸4, f :   G:]  
(>) W > >D   H] > Y| GE  2W 	
 H  
:  G:] W, H]   2W Hs  0R H; 
!)  h > >D A  :  G:] ²ª >  H।  14838 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 
P  -( 
[: 6   -: (() &2Y] 
	
  > YH   wc  k  VX  /  
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0V]     >  
   
H h> 
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 %, ((8/>, V0»4  >, 
¼>-($#6। 
(। ///  (Yf  y  ?  ) ............................................. .......... 
................................................... ............  	
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©u?  R, &Y  A  =z 	
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*> /z (>) 4  (!)  Gde f /   { > >  VX 
/ >  D। 
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Q।  g! R, &Y,    A  VX T     4  l     
/ //   < V  H  ° : 
T  T  _ P
¾  ° (° DV 
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h T  
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  :  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 
attached): Brand: 
*(b) Name of Process/Service: The related Standard N umber(s): 
Commodity: Name of Ingredients/materials (can 
be attached a list): 
 
2.  Certificate Numbe r & Duration (in renewal case):  
3.  Name and address of the factory  or organiza tion, 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  knowledg e and belief: 
(a)  Fulltime employee 
 
 General Shift 
and A shift B Shift C Shift  
   
(b) Investment (in BDT): 
(c) Size of the factory/industry: 
(please tick appropriate one) Large Medium  Small 
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 singl e application mentioned above.  evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14851 
6. I/We do hereby attached Halal Manual and Halal C ontrol Plan which 
are prepared as per relevant standard and will keep  relevant records 
and documents of the factory including inspection/m onitoring reports. 
7. I/We also declare that if any changes of the des ign or quality of the 
product/process/system/service is made it will be i nformed to BSTI. 
8. If BSTI desires to visit or audit the factory/or ganization, I/We will 
extend all sorts of cooperation. 
9. I/We also declare that I/We will abide by the Ba ngladesh Standards 
and Testing Institution Act, 2018 (Act No.67 of 201 8), 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 
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 QR Code  evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 14853 
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Form-9 
[Regulation 16 (2)]  
HALAL CERTIFICATE 
Bangladesh Standards and Testing Institution (BSTI)  
Ministry of Industries 
Government of the People’s Republic of Bangladesh 
 
 
 
 
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/sy stem/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 ter ms and conditions of the Halal 
Certificate . 
(……..............…………………) 
Director,Certification Marks Wing, BSTI 
 
Conditions: 
(1)………………………………………………; 
(2) ……………………………………........…...; 
(3) ……………………………………………...; 
(4) ………………………………………..…… . 
 (…………….) 
Director General, 
BSTI 
 QR Code 14854 evsjv‡`k †M‡RU, AwZwi³, AvM÷ 31, 2022 
N.B.: This certificate must be returned if cancelled or w ithdrawn. 
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