Site Registration Questionnaire: Product Providers
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EMVCo's index flattens the document's layout, so this text is best used for searching and comparing versions rather than reading end-to-end.
Instructions : P lease complete all sections. Each development or production site must be submitted on separate forms . F or additional instructions refer to the attached Registration Questionnaire Instructions . Return completed Site Registration Questionnaire , as a PDF , by email to the EMVCo Security Evaluation Secretariat. Email : securityevaluation@emvco.com 1. General Information : Company Name: FORMTEXT Security Lab oratory Name: FORMTEXT Publishing Approval: FORMCHECKBOX Yes please include in the Approved Sites list. FORMCHECKBOX No please exclude from the Approved Sites list. 2 . Site I dentification : EMVCo approves product development and production sites, up to the stage where the product Flash memory is programmed if applicable . Site name: FORMTEXT Site type: FORMCHECKBOX Development FORMCHECKBOX Production Site address : FORMTEXT FORMTEXT 3 . Contact Information : Contact Name: FORMTEXT Contact email: FORMTEXT Date Completed: FORMTEXT 4 . Authorized b y: Name: FORMTEXT E mail: FORMTEXT Date Authorized: FORMTEXT Instruction s for Site Registration Questionnaire 1. Company Name: Enter the name of the company that has registered with EMVCo as a product provider . Security Lab oratory Name: Enter the name of the Security Evaluation Laboratory you plan to use for the security audit of your development or production site . Publishing Approval: Indicate if you want your development or production site listed on the Approved Site list that is posted to the EMVCo "public" website: or if you would like to have your site approval kept "private" and not included in the approved sites list. 2. Site identification : Indicate the name of the site being audited for approval. Specify whether the site is a development or production location for EMVCo products, and specify the full site address (including street and number, zip code, city, country) . 3 . Contact Information: Enter the name and email of the perso n EMVCo should contact if there are any questions related to the information provided on the questionnaire . Please enter the date the questionnaire was completed. 4 . Authorized By: Enter the name of the person who authorize d the audit of the site detailed in the questionnaire .