Application for certification

Applicant

Developer
address
telephone	teleFAX	E-MAIL
Point of Contact	name
signature

Sponsor
address
telephone	teleFAX	E-MAIL
Point of Contact	name
signature

Certification Identification

product , System or pp
ST or PP name
PP conformance
toe name
Toe version
TOE Type
target eal
claimed sof
evaluation standard
evaluation methodology
Software version
hardware version
firmware version
country of manufacture

Certification Authority

company	Norwegian IT Security Certification Authority (SERTIT)
address	P.O. Box 814, 1306 Sandvika, NORWAY
telephone	+47 67 86 40 00	teleFAX	+47 67 86 40 09	E-MAIL	post@sertit.no

Evaluation Facility

company
address
telephone	teleFAX	E-MAIL

Short description of TOE

Embodied certified products

name	version	eal

Requirements for certification

SERTIT requires that the applicant always complies with the provisions of the Norwegian it security certification scheme. the applicant shall provide sertit with documents relevant to the security evaluation, and if deemed necessary, access to the toe. Claims regarding certification are to be conducted only in respect of the scope for which the certification has been granted. The certification cannot be used in such a manner as to bring the certification authority into disrepute, and statements regarding certification shall not be made in a way the certification authority may consider misleading or unauthorised. Upon suspension or cancellation of certification, the applicant shall discontinue its use of all advertising matters that contain any reference to the certification. The applicant shall also return any certification documents as required by the certification authority. The certification shall only be used to indicate that the toe is certified as BEING in conformity with specified standards and methodology. The applicant shall endeavour that no certificate or report nor any part thereof is used in a misleading manner. In making reference to its certification in communication media such as documents, brochures or advertising, the applicant shall comply with the requirements of the certification authority.

Signature

The signatory ACKNOWLEDGES that the applicant fully understands and will comply with the requirements stated in this application, and according to the scheme documentation. specifically, in the event of successful certification, the applicant understands that the st (or pp) and cr will be published.
Developer	Sponsor
Company
Name
title
Date/Signature