Food Label

Page 1

Form C

Food Label Name of Dish: _______________________________________

Country of Origin: __________________________________

Please tick: 

Halal

Peanuts

Milk

Vegetarian

Tree nuts

Eggs

Soy

Fish

Wheat (Flour)

Shellfish

Any other ingredients you would like to mention: ___________________________________

-------------------------------------------------Please Cut---------------------------------------------------

Food Label Name of Dish: _______________________________________

Country of Origin: __________________________________

Please tick: 

Halal

Peanuts

Milk

Soy

Fish

Vegetarian

Tree nuts

Eggs

Wheat

Shellfish

Any other ingredients you would like to mention: ___________________________________


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