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 CSOS Audit Enrollment

CSOS Audit Certifications

The enrollment form must be completed to register for a CSOS Audit

* The following information is required:


*Company Name:
*Company URL:
*Product Name with Version Number:

*Product Commercial Status: (check one)

*Preferred week for scheduling onsite audit:

*Specify FIPS Cryptographic module-with-version :

*Specify audited product environment:
Computer Language(s):

*Specify operating environment(s):

Which customer(s) are requiring certification?

Administrative Contact

This person is the primary point of contact and is responsible for the overall relationship and commitment of resources.

*First Name:
*Last Name:
*Title:
*Address:
*Phone:
*Fax:
*eMail:

Accounts Payable Contact

If specified invoices will be directed here, otherwise they will be sent to the administrative contact.

Check here if the Accounts Payable contact is the same as the Administrative Contact

Name and Title:
Address:
Phone:
Fax:
eMail:

Technical Contact

(if Application Service Provider fill in Technical Contact)
(If Implementation Service Provider, fill in the name of the person being tested)

This person is required to operate and support your product during the execution of the interoperability test.

Check here if the Technical contact is the same as the Administrative Contact

Name and Title:
Address:
Phone:
Fax:
eMail:
Check here if the Press contact is the same as the Administrative Contact

Name and Title:
Address:
Phone:
Fax:
eMail:

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