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Electronic Communications and Transactions Act, 2002 (Act No. 25 of 2002)

Regulations

Cryptography Regulations

Annexure: Department of Communications

Application Form: Registration as Cryptography Provider

 

Annexure

 

Department of Communications

 

Application Form: Registration as Cryptography Provider

 

(Where there is insufficient space for the recording of information, the rest of the information should be contained in Annexures and marked as Annexures that are annexed to the application form and referred to in the appropriate space)

 

 

 

1. Full name of applicant:





2. Street address:





3. Postal address including postal code:





4. Telephone number including area code:


5. Facsimile number:


6.        Cellular telephone number:

7.        Web site and e-mail address:




8.        Detailed description of type of cryptography service and/or product:




9. The following constitutive documents of the applicant are Annexed to this application:





10. Detailed profiles of trusted personnel of the applicant that have supervisory or managerial responsibilities





11. Physical address where cryptography product is or will be produced, manufactured,       created or distributed from:





12. Physical address where cryptography service is or will be rendered, delivered, sold, made available or distributed from:





13. Full details of cryptography operations outsourced:





14. Name, address and contact details of any other cryptography provider that provides a cryptography service or product to the cryptography provider:





15. Particulars in section 29 of the Act and regulation 2(a), to identify and locate an entity to whom cryptography operations have been outsourced:





16. Certification practice statement and certificate policy if applicable:





17. Whether the cryptography provider provides encrypted and debugging equipment:





NAME (PRINT):

 

 

 

SIGNATURE:

 

 

 

 

DATE:

 

 

 

 

CAPACITY: