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Application for Approval as an Evaluation Facility (Hardware)

Last Updated 2013-10-29

Application Forms

If the product area is 'hardware (such as smart cards)', please use the latest version of the forms of CCM-03-AH below.
Otherwise, please use the application forms of CCM-03-A (forms written in Japanese only.)

icon Application for Approval as an Evaluation Facility(Hardware)

Document Name Remarks
Application for Approval as an Evaluation Facility CCM-03-AH
Form1 EN
 PDF
 
CCM-03-AH
sample1 EN
 [PDF]
Covenant of Compliance with the Rules for Evaluation Facility Approval CCM-03-AH
Form2 EN
 PDF
 
CCM-03-AH
sample2 EN
 [PDF]
Quality manual and related documents    
Education/Training Program and its Textbooks    
Evaluation Work Plan (EWP) CCM-02-AH
Form4 EN
 PDF
EWP must be approved by the sponsor.
CCM-02-AH
sample4 EN
 [PDF]
Copy of Accreditation or copy of application form for accreditation    
Nondisclosure Agreement CCM-03-AH
Form15 EN
 PDF
 
CCM-03-AH
sample15 EN
 [PDF]

icon Application for Qualification of Evaluator (Hardware)

Document Name Remarks
Application for Evaluator Qualification CCM-03-AH
Form 3EN
 PDF
 
CCM-03-AH
sample3 EN
 [PDF]
Curriculum Vitae CCM-03-AH
Form 4EN
 PDF
 
CCM-03-AH
sample4 EN
 [PDF]
Records of education/training, and its certificates    

Application Fee

  • The following fees are the unit prices per application.
  • All application fees, once paid, shall not be refunded even when the applicant has been withdrawn.
  • Applicant will be charged extra in addition to an application fee, if the application requires any additional costs such as traveling expenses paid by the Certification Body for the assessment of evaluation facility and examination of evaluator, etc. as necessary.
Type of application Fees
(tax included)
Application for Approval as an Evaluation Facility 50,000 yen
Application for Evaluator Qualification 100,000 yen
Application for Maintenance for Qualification as an Evaluator 10,000 yen
Application for Confirmation of Qualification as an Evaluator 30,000 yen
Application for Reissuance of Certificate (Approval of Evaluation Facility, Qualification of Evaluator respectively) 10,000 yen

icon Payment procedure of Application Fee

  1. After checking application documents, IPA will send the reception number via e-mail if acceptable. IPA will send the letter of invoice to the applicant by next month via postal mail.
  2. Applicant shall pay the application fee via wire-transfer to the bank account of IPA by the due date listed on the invoice.
  3. All payments shall be made in Japanese Yen.
  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