Приложение В
(справочное)
ГОСТ ИСО/МЭК 15459-2—2008
Форма бланка заявления на получение кода агентства выдачи (IAC)
Оригинал формы бланка заявления на получение кода агентства выдачи (/АС):
This application is submitted in accordance with ISO/IEC 15459
A. TO BE COMPLETED BY APPLICANT (Issuing Agency)
Name of organisation (maximum 40 characters). Abbreviate where necessary
Address (maximum 60 characters), starting street, city. Abbreviate where necessary
Principal contact in organisation
Position
E-mail
Telephone numberFax number
Legal status of organisation
Anticipated date of first use of IA
Expected number of Issuers of unique Identifiers
Expected number of unique identifiers Issued annually
List the countries in which you are represented (attach separate sheet)
Confirmation of not for profit status (If requesting a single character IAC)
Address 1or correspondence/bllllng
(On separate sheet) For each class for which usage is requested, provide details of provisions made by the
application to safeguard conformance with this part of ISO/IEC 15459 (required to ensure compliance with the IA
responsibilities (subctause 4.1)). For example: functional description of application, structure, rules, to prevent re-issuing of
unique Identifiers by another issuer and re-lssue period.
(On separate sheet) Details of fees and conditions Imposed upon users of the IAC (required to ensure compliance
with the IA responsibilities (subclause 4.1))
VAT NUMBER OF THE APPLICANT if appltcab/e
We hereby apply for the assignment of an IAC. and state that the use of the IAC will be in accordance with this part of
ISO/IEC 15459
Signature/date
Please return application to:
The (ASSUMED TO BE) Registration Authority
NEN — Nedeilands Normalisabe-instituut — Registration Authority for ISO/IEC 15459
Postbus 5059
2600 GB Delft
THE NETHERLANDS
Fax: ♦ 31 15 26 90 242
E-mail:
RA-ISOI5459@nen.nl
B. TO BE COMPLETED BY THE REGISTRATION AUTHORITY
Form received onIACIAC issued on
Classes permitted
Signature/date
Перевод на русский язык информации в форме бланка заявления на получение кода агентства выдачи
(/АС):
This application is submitted in accordance with ISO/IEC 15459.
[Настоящее заявление представлено в соответствии с ИСО/МЭК 1S4S9]
7