Seal Server HSM Certificate - QCP-L

Order

The following informations will be used in the Docusign France invoice.

You must add a purchase order to your request.

Add it to section "Attachments".

Attachments

Use this section to attach supporting documentation requested throughout the form.

You can add as many files as necessary.

Instructions regarding attachments quality (especially for scanned documents):

  • Please ensure that the document is readable, to ease data verification.
  • Do not attach high definition scans.
  • An image format '200 PPP printing' should be enough.

Option(s)

Selecting this option, I choose to delegate the key management aspects to Docusign France, for the legal entity identified in this certificate request.

Docusign France technical contact is responsible for the following operations:

  • Key pair generation, in a Certification Policy compliant cryptographic device.
  • Completion of the certificate request by including the CSR, corresponding to the public key to be certified, in accordance with the information filled in the present certificate request.
  • Transmission of the completed and signed certificate request to Docusign France Registration Authority.

Docusign France is responsible for designating the Technical Contact, in compliance with its certification practice statements implementing th Certification Policy.

Certificate

Validity

I certify that I have generated the Private Key associated with the above CSR within a Cryptographic Resource (HSM) that complies with ANSSI French “Qualifié Renforcé” qualified product as a minimum.

Applicative service name, organizational unit name...

Organization

Company / Administration legal name, as stated on Kbis extractor equivalent
  • NTR: National trade registry for identification based on an identifier from a national trade register (SIREN/RCS in France, company number in company house in UK,...)
  • VAT: for identification based on a national value added tax identification number where the organization is set
  • LEI: for a global Legal Entity Identifier as specified in ISO 17442 and available on https://www.gleif.org

You must attach a document proving the organization's existence (registration document like french Kbis extract or SIRENE situation notice, ...).

Add it to section "Attachments".

Legal representative or authorized person

Representative type
Please provide a nominative/individual email address (no generic address like 'contact@mydomain.com' ou 'mycity@gmail.com')
Enter a mobile phone number

Technical Contact

If you have several firstname, write only one

Your lastname must be written on your ID

Please provide a nominative/individual email address (no generic address like 'contact@mydomain.com' ou 'mycity@gmail.com')

Enter a mobile phone number

Company / Administration legal name, as stated on Kbis extractor equivalent

  • NTR: National trade registry for identification based on an identifier from a national trade register (SIREN/RCS in France, company number in company house in UK,...)
  • VAT: for identification based on a national value added tax identification number where the organization is set
  • LEI: for a global Legal Entity Identifier as specified in ISO 17442 and available on https://www.gleif.org

You must attach a copy of the Technical Contacts ID.

Add it to section "Attachments".

This ID must at least have a 3 month validity, starting from the present request submission date.

For a National ID or a Residence Permit, the copy must be two sided.

ID type

Billing contact

  • NTR: National trade registry for identification based on an identifier from a national trade register (SIREN/RCS in France, company number in company house in UK,...)
  • VAT: for identification based on a national value added tax identification number where the organization is set
  • LEI: for a global Legal Entity Identifier as specified in ISO 17442 and available on https://www.gleif.org