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What Is Your Restaurant Name?

Owner's Name

What's Your Type of Restaurant?

Phone

What's Your Average Price Range?

What's Your Estimated Average Number of Muslim Orders per Day?

Do You Have Halal Certificate?

Yes No

What's Your Date of Issuance of Halal Certificate?

What's Your Date of Expiry of Halal Certificate?

Do You Offer Vegetarian Options?

Yes No

Your Operating Hours

Bank Name: (for banking information)

Account Holder's Name:

Account Number:

Address

Upload Your Documents here:

Additional Information: (optional)