Product Provider Registration

Existing Registration
For company and/or contact details update please provide here your existing registration number.

Registration Number

Company Information (The company name and its primary address)

Company Legal Name*

Company Legal Name Change

Note: If the Company Legal Name has been changed please provide a few details about the context (eg. Just a name change and the legal entity remains unchanged. Change in ownership without corporate restructuring. Name change as result of re-incorporation, assignment, merger, corporate restructuring, etc.)

Address of registered office

Address Line 1*

Address Line 2

Address Line 3

City*

ZipCode

State

Country*

Officer of the Company who will sign all agreements with EMVCo (Please list someone who has signing authority)

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Mailing Address (if different from registered address)

Company Name

Address Line 1

Address Line 2

Address Line 3

City

ZipCode

State

Country

Primary Contact for Approval (This is the main contact for all questions EMVCo may have about products submitted for approval.)

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Mailing Address (if different from registered address)

Company Name

Address Line 1

Address Line 2

Address Line 3

City

ZipCode

State

Country

Secondary Contact for Approval (Primary Contact backup)

Same as Primary Contact

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Mailing Address (if different from registered address)

Company Name

Address Line 1

Address Line 2

Address Line 3

City

ZipCode

State

Country

Contact for Legal Notices (If different from Primary Contact, please list someone having authority to answer questions from EMVCo Legal department)

Same as Primary Contact

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Mailing Address (if different from registered address)

Company Name

Address Line 1

Address Line 2

Address Line 3

City

ZipCode

State

Country

Contact for Invoicing (EMVCo will generate bills for Compliance Testing and Letter of Approvals. If different from Primary Contact, please list someone to whom invoices will be mailed or addressed to.)

Same as Primary Contact

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Mailing Address (if different from registered address)

Company Name

Address Line 1

Address Line 2

Address Line 3

City

ZipCode

State

Country

Website Contact (to be listed on EMVCo website with the list of approved products)

Same as Primary Contact

Title of Courtesy

First Name*

Last Name*

Title

Email address*

Telephone Number

Mobile Number

Facsimile Number

Request for registration type

Type of Registration*

3-D Secure Approval
Card/Mobile Type Approval
Terminal Type Approval Level 1 (Contact and Contactless)
COTS Early Adopter Programme
Terminal Type Approval Level 2 (Contact and Contactless Product)

For 3-D Secure Approval only

Test Platform information (if available at the time of registration)

Test Platform Product Provider ID

For Chip, Card or Mobile product providers only

It is your company business plan to (check all that apply):*

Submit a chip product for Chip Security Evaluation
Submit a chip product for Platform Security Evaluation
Submit an SBMP component or product for Security Evaluation
Submit a chip card product for CCD Approval
Submit a chip card product for CPA Approval
Submit a mobile product for PPSE/AAUI Approval
Submit a mobile product for Contactless L1 Approval
Submit a PPSE applet for Type Approval

For Terminal Type Approval Level 2 only

Digital format LoA downloadable on website:*

Yes, I agree for EMVCo to publish all my EMVCo Letters of Approval in electronic format online on the EMVCo website www.emvco.com
No, I do not agree for EMVCo to publish all my EMVCo Letters of Approval in electronic format online on the EMVCo website www.emvco.com

Notes:

If your company never registered with EMVCo you may select multiple types of request for registration (assuming that all company and contact details provided are valid for the selected types).
If your company has already registered before with EMVCo as a product provider and you are requesting an update of company and/or contact details please, provide the current registration number as requested at the top of this page and select the corresponding type of registration (only one type of request for registration per existing registration number assigned by EMVCo).

The new information provided in this form will supersede previous information in EMVCo database.