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Contactless Product Implementation Conformance Statement (ICS)

v2.11c Type Approval Forms
Contactless Acceptance Device

Contactless Product Implementation Conformance Statement Version 2.11c ICS Reference Number and Validity Period (for EMVCo administrative use only) ICS Reference Number: Valid from: Valid to: Notice: This ICS f orm shall be completed for products submitted to receive EMVCo Contactless Product testing and compliance/approval. The form shall be completed in its entirety. Part I - Administrative Product Provider Identification M Company Legal Name: (As listed on the Letter of Registration) M EMVCo Registration Number: Laboratory Identification M Company Legal Name: M EMVCo Registration Number: ICS Submission Type M Select submission t ype M Is this ICS a replacement of a previously accepted ICS? Yes No C If Yes. please provide the reference number of the previously accepted ICS C If Yes, please provide the reason for replacing the ICS C If Yes, please provide details of ICS replacement

Type of Submission C For Derivative Submission, select the reason of change:

  • Entry Point change
  • Kernel change
  • Additional C-n Kernel(s)
  • PCD changes. When Adding or changing kernel, please identify the kernel(s) detail in Part IV When changing a PCD, please identify the detail in Part II C For Derivative Submission, provide the EMVCo letter of approval reference numbers of the Kernel(s) of the Parent Product in which the change are made: C For Administrative Submission, provide the EMVCo Letter of Approval Numbers of the Parent Products for all components of this Product submitted: -Contactless Product Letter of Approval Number of the Parent Product of the Book A&B Module used -Contactless Product Letter of Approval Number(s) of the Parent Product(s) of the PCD Module used (multiple entries if multiple PCDs are supported) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 2 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 3 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 4 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C-5 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 6 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 7 (if present) -Contactless Product Letter of Approval Number of the Parent Product of the Kernel C- 8 (if present) C For Renewal, provide the EMVCo letter of approval reference numbers of the Kernels of the Product to renew: Note: In case of Multiple Laboratories involved in the approval, it is the responsibility of the Main Lab to distribute the approved ICS to the other laboratories. 2.11c PART II – Contactless Product Identification Product Name Product Version Family of Product(s) Name Product Hardware and Interface Configuration Identification M Please identify the CPU M Please identify the RAM size M Please identify the OS Name and version M Please identify the Hardware and Software Interface (between Hardware running the Contactless Product Software and the PCD) The Contactless Product software (Book A & B, Kernels C-2 to C -8 software) may be contained within a single location or split across several subcomponents (ECR, PIN pad, server, mobile etc.). These hardware location(s) must be fully described below: In this table at least the first row must be filled. Hardware Product Name Hardware Product Version Type of Compone nt Software module contained in the hardware component(s) OS Name OS Version M Product follows Modular Architecture YES PCD (Contactless Level 1) Approval

References

Nota: Only 1 PCD allowed for an Initial Submission 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. M Has the ‘Contactless Symbol’ present on the PCD of the Product (presence was verified during the PCD Level) been modified? The Entry Point software may be contained within a single physical location or split across several physical subcomponents devices (ECR, PIN pad, server, mobile etc.), these hardware location(s) must be fully described below: Hardware Component Name Type of Hardware Component Component Software Name Component Software Version Component Software Checksum OS name of the Component OS version Applications Value Supported Please identify the Payment System Applications (Kernels) loaded on the device(s) at the time of testing, Specification Version O Kernel C-2 O Kernel C-3 O Kernel C-4 O Kernel C-5 O Kernel C-6 O Kernel C-7 O Kernel C-8 O Proprietary O Proprietary O Proprietary O Proprietary O Proprietary For each application identified above, please identify: Application Name Version Checksum Value Kernel C-2 Kernel C-3 Kernel C-4 Kernel C-5 Kernel C-6 Kernel C-7 Kernel C-8 Proprietary Proprietary Proprietary Proprietary Proprietary For each application identified above, please identify laboratory performing the test session Laboratory Name Laboratory Address Laboratory Contact Kernel C-2 Kernel C-3 Kernel C-4 Kernel C-5 Kernel C-6 Kernel C-7 Kernel C8

For Entry Point (Book A & B) please identify: Application Name Version Checksum Value Book A & B For testing purpose please identify Application Name Version Test kernel 1 Test kernel 2 Test kernel 3 Test kernel 4 Test kernel 5 Test kernel 6 Test kernel 7 Test kernel 8 Test kernel 9 Test kernel 10 Test kernel 11 Test kernel 12 Test kernel 13 Test kernel 14 Test kernel 15 Test kernel 16 Test kernel 17 Note: The Checksum value shall be provided by the Product Vendor to the Main lab (if multiple laboratories involved). Main Lab shall communicate these values to the other Labs.

2.11c PART III – EMV® Specifications Book A & B Specification Version: PART IV – Payment System Applications & Capabilities Contactless Capabilities at Contactless Product level (used for Independency Testing) Value Supported and activated Transaction Type supported and activated at Product level for C-2 (if Kernel is listed present in section II), at least one must be activated O Purchase O Purchase with Cashback O Cash Advance O Refund Transaction Type supported and activated at Product level for C-3 (if Kernel is listed present in section II), Purchase Mandatory, other optional O Purchase O Purchase with Cashback O Cash Advance O Refund Transaction Type supported and activated at Product level for C-4 (if Kernel is listed present in section II), ALL Mandatory except Purchase with Cashback (not supported) O Purchase O Purchase with Cashback O Cash Advance O Refund Transaction Type supported and activated at Product level for C-5 (if Kernel is listed present in section II), At least one must be supported O Purchase O Purchase with Cashback O Cash Advance O Refund Transaction Type supported and activated at Product level for C-6 (if Kernel is listed present in section II), At least one must be supported O Purchase O Purchase with Cashback O Cash Advance O Refund Transaction Type supported and activated at Product level for C-7 (if Kernel is listed present in section II), At least one must be supported O Purchase O Purchase with Cashback O Cash Advance O Refund

2.11c Transaction Type supported and activated at Product level for C-8 (if Kernel is listed present in section II), At least one must be activated O Purchase O Purchase with Cashback O Cash Advance O Refund Multi Interface support O Does the terminal support Contact transaction User Interface request O Does the terminal support Language Preference in User Interface Request? O List the Language preference codes supported List the Unsupported Language preference codes (if possible list three unsupported languages), for testing purpose only M Does the terminal support the Application Selection Registered Proprietary Data (ASRPD)? O Does the terminal support Value Qualifier in User Interface Request? O List the Currency Codes supported as for ISO 4217 Pre processing support O Does the terminal support Status Check Application Selection support O Does the terminal support Extended Selection Autorun Parameter support O Does the terminal support Autorun C If yes at previous question, Can the Autorun be deactivated?

2.11c POI Information support O Does the terminal support the POI Information? Checksum Value Supported M Does the product comply with the Checksum rules as defined in Contactless Product administrative process EMV® is a registered trademark in the U.S. and other countries and an unregistered trademark elsewhere. The EMV trademark is owned by EMVCo, LLC. Part VII - Digital Signatures Product Provider I hereby declare that the above referenced product currently is and will remain in compliance with the above referenced EMV specification for all mandatory and supported optional requirements unless noted as non-compliant on the attached sheets Comments Signature Laboratory I hereby declare that this ICS document has been reviewed, and that all product information is consistent throughout the ICS. Comments Signature EMVCo Approval Secretariat Signature