ASRPD_ID Registration Request

EMVCo ASRPD ID Registration Form EMVCo ASRPD ID Registration Request New, Contact Information Change Introduction An Application Selection Registered Proprietary Data (ASRPD) Identifier (ID) is an ID assigned to a defined entity and maintained by EMVCo. For further details and definitions, please refer to the document “EMV® Specification Bulletin No. 175” and related EMVCo bulletins as may be updated and supplement from time to time by EMVCo. Submission Process This form should be completed in full and submitted to EMVCo via email at IDRegistration@emvco.com. Prerequisites The request for obtaining an ID allocated by EMVCo shall meet the following criteria: Registrant is a company or governmental entity that is engaged in, or demonstrating intent to be engaged in, contact and/or contactless EMV® payment transactions and has a legitimate need to use an ID consistent with EMV® Specification Bulletin No. 175. Publication The ID will be maintained by EMVCo and published on its website – www.emvco.com (unless Registrant has selected in the registration request form not to have it published). Information will be published in two separate ways: an HTML-based table and a downloadable Letter of Registration. A sample table is below, and a sample Letter of Registration can be found in Appendix A of this document. Sample HTML based Table Publication Sample Company A Company Address, City, Country Contact: Company_contact@Company.com, Telephone: +123 45 67856 ID Registration Number Renewal Date Letter of Registration NNN NNNNN 22-Oct-2016 NNN NNNNN 05-Jul-2017 EMVCo ASRPD Registration Form, Version 2.0, August 2024 EMVCo ASRPD ID Registration Form This sample table is for illustration only. The actual table and/or content, format and methods of publishing the ID are subject to change. Fee Structure The Registration Fee charged by EMVCo is intended to cover the administrative expense incurred by EMVCo in managing the ID registration process. This process includes, but is not limited to: • Review of registration and ID Registrant criteria; • Updates to the ID registration process; • Maintenance of the ID list; and • Publication of the current ID list. The following one-time registration fee shall be paid to EMVCo by the ID Registrant: • $2,850 (Two Thousand Eight Hundred Fifty USD) for issuing the ID, payable to EMVCo prior to review of the application. An ID will not be provided until the registration fee has been paid. The fee is non-refundable except in limited circumstances Note: Payers are responsible for any bank charges associated with remittance. Each registrant must work with its bank to ensure that EMVCo receives the full amount of the fee. Note: The fee table assumes no deductions will be made on payments to EMVCo for tax withholdings, bank fees, or other amounts (“Deductions”). If any Deductions are to be made, then the fee payable will be increased by such amount as necessary to ensure that the amounts that EMVCo actually receives, excluding taxes that EMVCo is required to collect, reflects the amounts in the above table. In such case, written notice of the revised fee amount and Deductions must be given to EMVCo at least thirty (30) days before the date the payment is due, so that EMVCo can issue a revised invoice reflecting the fee and Deductions. The issuance of a revised invoice will not change the original due date for payment. Change in Contact Information EMVCo may reissue an existing Letter of Registration on explicit request as a result of company name change, address change or contact information change. Disclaimer Issuance of an ID alone is not sufficient for a Registrant to provide its Service. Note that EMVCo does not accredit, approve, endorse or evaluate the Service provided by the registrant, but rather, merely maintains this listing service. EMVCo ASRPD Registration Form, Version 2.0, August 2024 Registration Process EMVCo ASRPD ID Registration Form EMVCo ASRPD Registration Form, Version 2.0, August 2024 EMVCo ASRPD ID Registration Form EMVCo ASRPD ID Registration Request New, Contact Information Change A.1 To be Completed by Registrant Please return the completed and signed form via DocuSign. Submit questions to IDRegistration@emvco.com. Date: We hereby request registration of ________________________________________________ ("Organisation") with EMVCo, in order to obtain an ASRPD ID. For all correspondence between EMVCo and our Organisation please utilise the contact name and information below. Sincerely, Name: Title: Date: EMVCo ASRPD Registration Form, Version 2.0, August 2024 EMVCo ASRPD ID Registration Form All yellow fields are mandatory and must be completed. I. Contact Information Organisation Information Organisation Name1 Address1 Postal Code1 City1 Country1 Main Contact First Name Last Name Email1 2 Phone1 Fax Invoicing Details ☐ Invoicing contact is the same as the main contact ☐ All invoices shall be sent to the following contact: First Name Last Name Email Phone Fax ☐ Invoicing address is the same as above ☐ All invoices shall be issued using the following details: 1 This information may be included in future EMVCo publications and on the EMVCo website. 2 Many important communications with EMVCo will be done by email. Please make sure that you provide correct email addresses and that your firewall does not block emails coming from EMVCo. All email notifications sent from EMVCo will be sent to the ‘main contact’ email address, copying the concerned ‘additional contact’ email addresses. Invoices will be sent to the ‘main contact’ email address. EMVCo ASRPD Registration Form, Version 2.0, August 2024 EMVCo ASRPD ID Registration Form Organisation Name Address Postal Code Country Additional Contact First Name Email Phone City Last Name Fax Business Information This form is for a: ☐ New Registration ☐ ☐ Contact Information Change Is your organisation a3: - Financial Institution ☐ Yes - Payment System ☐ Yes - Other ☐ No ☐ No (please specify) 3 This information may be included in future EMVCo publications and on the EMVCo website. EMVCo ASRPD Registration Form, Version 2.0, August 2024 ASRPD ID usage How will the ID be used? (Please briefly explain your use case) EMVCo ASRPD ID Registration Form In which country(s) would this be implemented in? Please select “Yes” if you want EMVCo to publish your ID in the EMVCo website? Yes / No If you select ‘No’, your assigned ID will not be publicly shown on the EMVCo website. Signature Name (please print) Date (please print) EMVCo ASRPD Registration Form, Version 2.0, August 2024 A.2 To be completed by EMVCo Registration Number Assigned ASRPD ID EMVCo ASRPD ID Registration Form Date Signature (End of the form) EMVCo ASRPD Registration Form, Version 2.0, August 2024