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Forms to be downloaded (for Certification Application)

Last Updated 2017-07-20

The following are the forms needed for the certification application. Make sure to follow the notes and instructions when submitting application forms.

  • Forms may be changed for application and administrative convenience. Make sure to use the latest versions of the forms when needed.
  • For completing the documents, refer to the Requirements and Guidance on IT Security Certification (CCM-02, CCM-02-A) and follow the sample forms and additional information for your reference.
  • In the case that the submitted documents are not complete, the documents will be returned to the applicant because insufficient documents cannot be accepted.
    If there are any unclear items about submitting application, feel free to contact with the Certification Body in advance.

If the product area is "hardware(such as smart cards)", please use the application forms of CCM-02-AH.

CCM-02-A Forms to be downloaded

All forms are provided by Word files ,and Sample forms by PDF files.

Document name

FormWord
(the latest version)
Sample form
PDF

Procedures for Certification Application

Application for Certification

*The certification applications that apply the previous version of the CC/CEM, namely, CC/CEM Version 3.1 Release 4, will be accepted by January 19th, 2018.

Form 1-1(TOE)
Form 1-2(PP)
(2017-07 version)

Sample form: Form 1-1
Sample form: Form 1-2

Written Oath

Form 3
(2016-01 version)

Sample form

Evaluation Work Plan

Form 4
(2015-06 version)

Sample form

Checklist for Impartiality and Independence of Evaluation

Form 5-1(Evaluation Facility)
Form 5-2(Evaluator)
(both 2013-04 version)

Sample form: Form 5-1
Sample form: Form 5-2

Non-Disclosure Agreement (NDA)

Form 12-1 (for the applicant)
Form 12-2 (for the disclosing party)
(2016-01 version)

Sample form: Form 12-1
Sample form: Form 12-2

Request for Publication of Product in Evaluation

Form 11
(2016-10 version)

Sample form

Procedures for Changing Record in Application Form

Request for Changing Record in Application Form

Form 6
(2016-10 version)

Sample form

Procedures for Withdrawal of Application

Request for Withdrawal of Application

Form 7
(2016-01 version)

Sample form

Procedures for Changing Record in Certificate, etc.

Request for Changing Record in Certificate, etc.

Form 8
(2016-10 version)

Sample form

Procedures for Reissuing Certificate, etc.

Request for Reissuing Certificate, etc.

Form 9
(2016-10 version)

Sample form

Procedures for Issuing English Version of Certificate

Application for Issuing English Version of Certificate

Form 10
(2016-10 version)

Sample form

Procedures for Publication of English Version of Certification Report and ST

Request for Publication of English Version of Certification Report and ST

Form 18
(2016-10 version)

Sample form

Procedures for Preliminary Review of Assurance Continuity

Request for Preliminary Review of Assurance Continuity

Form 20
(2016-10 version)

Sample form

Checklist for Assurance ContinuityApplication

Checklist
(2014-04 version Japanese only)

Procedures for Application for Assurance Continuity

Application for Assurance Continuity (Application for Subset Evaluation)

Form 2
(2016-10 version)

Sample form

Procedures for Changing Record in Certified Product List

Request for Changing Record in Certified Product List

Form 17
(2016-10 version)

Sample form

Procedures for Discontinuance of Certified Products
and Withdrawal of Certificate

Notification of Discontinuance of Certified Products and Withdrawal of Certificate

Form 19
(2016-10 version)

Sample form

Provision of Vulnerability Related Information of Certified Products

Report on Vulnerability Related Information

Form 21
(2016-10 version)

Sample form

Procedures for Changing Person in Charge of Application for Certified Products

Request for Changing Person in Charge of Application for Certified Products

Form 22
(2016-10 version)

Sample form