Annexure I: Application Form

Application form

Website Quality Certification Scheme

1. Contact details:
Contact Name:

Job title / Position in Company:

CEO Name:

Ministry/Deptt./Company Name:

Address:

e-mail address:

Telephone number:

Fax number:

Website address (URL):

2. Website Quality /Capability Approval Level applying for ( any one):

Level I Level II Level III

3. Have your organization certified as per ( all applicable):

ISMS (ISO 27001) QMS (ISO 9001) / IS 15700

ITSM (ISO 20000-1) Other

Note: Enclose copy of certificate(s)

4. Have your application software(s) tested as per ISO 9126 ( appropriately):

Yes No
5. Whether your website involves transactions ( appropriately):

Yes No

6. For capability Approval, whether your processes are established and

necessary tools and skill sets available as per ISO/IEC 23026: 2006
( appropriately):

Yes No

7. Checklist for applicants:

Level Document Attached Tick Mark

( )
I / II /III Application form

Website Quality Manual/Capability Manual

Certification charges

8. Payment details:

Enclosed DD no. dated for Rs.

Drawn in favour of `Pay and Accounts Officer, DIT, New Delhi`

9. Declaration
I hereby agree with the `Terms and Conditions` as defined in Certification Agreement of the
STQC `Website Quality Certification Scheme`.

Date :
Place :
( )
Name of signatory:

Please submit duly filled in form along with certification charges and website quality manual
at:
STQC Website Certification Cell,
STQC Dte., Deptt. Of IT, Govt. of India
Electronics Niketan,
6, CGO Complex, Lodi Road, New Delhi 110003
________________________________________________________________

For official use:

Name of Lead Assessor (Mr./Ms.):

Payment details: Rs. Receipt number: Date: