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Application for Certification (Hardware)

Last Updated 2012-11-30

Application Forms

If the product area is 'hardware (such as smart cards)', please use the latest version of the forms of CCM-02-AH below.
Otherwise, please use the application forms of CCM-02-A (forms written in Japanese only.)

Application for IT Certification (to be submitted by applicants)

Document Name Remarks
Application for Certifications CCM-02-AH
Form1 EN
 [MS-Word]
The person in charge of application (who has the authority and the responsibility for application) must sign.
CCM-02-AH
sample1 EN
 [PDF]
Evidence indicating the corporate entity Official documentation official body issued. The appropriate document has already submitted on other unrelated business and when there is no change in the content, fill in the reception date of the document and the reception number on the application form.
Covenant CCM-02-AH
Form3 EN
 [MS-Word]
 
CCM-02-AH
sample3 EN
 [PDF]
ST either electronic version or two hard copies The ST is to describe the security requirements and security specifications, and is needed as an input to to evaluate/certify the TOE.
Any incomplete version of ST can't be accepted.
PP either electronic version or two hard copies In case of PP Certification or ST refers PP.
List of the evaluation deliverables Evaluation deliverables list and scheduled date of submission.
Application for the issue of English version of certificate CCM-02-A
Form 10
Request for Publication of "In Evaluation" CCM-02-A
Form 11
When you desire the notification of "In Evaluation" status to JISEC Web.
Nondisclosure Agreement CCM-02-AH
Form12-1 EN
 [MS-Word]
Please use the CCM-02-AH Form 12-2 [MS-Word] when the NDA is required excluding the applicant.
CCM-02-AH
sample12-1 EN
 [PDF]
CCM-02-AH_sample12-2 EN [PDF]
Application for the issue of English version of Certification Report CCM-02-A
Form 18

Application for IT Certification (to be submitted by Evaluation Facilities)

Document Name Remarks
Evaluation Work Plan CCM-02-AH
Form4 EN
 [MS-Word]
Plan must be agreed between the evaluation facility and the sponsor.
CCM-02-AH
sample4 EN
 [PDF]
Checklist for Impartiality and Independence of Evaluation CCM-02-AH
Form 5-1EN

and
Form 5-2EN
[MS-Word]
This document is prepared by Evaluation Facility.
CCM-02-AH
sample5-1 EN

and 
sample5-2 EN
[PDF]

Application for Others

Document Name Remarks
Notice of Change in Application Form CCM-02-A
Form 6
Submitted when there is some changes in "Application for Certifications" (Form 1), "Application for Assurance Continuity" (Form 2) or "Application for the issue of English version of certificate" (Form 10).
Notice of Withdrawal of Application CCM-02-A
Form 7
Notice of Change in Certificate CCM-02-A
Form 8
Request for Reissue of Certificate, etc. CCM-02-A
Form 9
Notification of change of contents on Web CCM-02-A
Form 17

Application Fee

  • The following fees are the unit prices per application.
  • All application fees, once paid, shall not be refunded even when the application has been withdrawn.
  • An applicant might be charged extra in addition to an application fee, if the application requires any additional cost such as traveling expenses paid by the Certified Body for the site visit, etc. as necessary.
Type of application Fees
(tax included)
Application for Certifications PP 399,000 JPY
EAL1 514,500 JPY
EAL2 672,000 JPY
EAL3 787,500 JPY
EAL4 997,500 JPY
EAL5 1,081,500 JPY
EAL6 or Higher negotiable
Assurance Continuity 3,700 JPY
Issue of reissue of English version of Certificate 3,700 JPY
Change of Information in Certificate or Confirmation 3,700 JPY
Reissue of Certification Report or ST Confirmation Report 3,300 JPY
Change of Information in Certification Report or ST Confirmation Report 3,300 JPY

icon Payment procedure of Application Fee

  1. When the acceptance procedure of the application was completed, usually, IPA will send the invoice to the applicant by the middle of next month.
  2. The applicant must transfer the application fee by the due date listed on the invoice (usually by the end of next month of the acceptance of the invoice).
  3. IPA will inform you of the payee's bank account when the invoice is issued.
  4. Any remittance fees will be borne by the applicant.

Submission of application

Please send application forms and related documents to the following address:
Mailing Address:
JISEC Hardware Team, IT Security Center, Technology Headquarters,
Information-technology Promotion Agency (IPA), Japan
Bunkyo Green Court Center Office
2-28-8 Honkomagome, Bunkyo-ku, Tokyo, 113-6591 JAPAN
TEL: +81-3-5978-7545  FAX: +81-3-5978-7548
E-mail: jisec address