| <applicant><name> |
Name of applying organisation as it will be published on the Dutch NCCA website and the ENISA website |
| <applicant><address> |
Address of organisation as it will be published on the Dutch NCCA website and the ENISA website |
| <applicant><contact> |
Point of contact as will be published on the Dutch NCCA website and the ENISA website |
| <applicant><website> |
URL as will be published on the Dutch NCCA website and the ENISA website |
| <applicant><telephone> |
Phone number as will be published on the Dutch NCCA website and the ENISA website |
| <applicant><email> |
E-mail address as will be published on the Dutch NCCA website and the ENISA website |
| <applicant><additional_addresses><additional_address...> |
Additional addresses of the organisation as will be published on the Dutch NCCA website and the ENISA website |
| <applicant><logo><logo_reference> |
If you want your company logo published on the Dutch NCCA website, add the name of the file that includes the logo for publication on the Dutch NCCA website and the notification on the ENISA website |
| <request><request_type> |
The licensing request can be categorized in 2 categories, namely a new request, or a scope extension. |
| <request><certification_scheme> |
The certification scheme under the Cybersecurity Act to which the licensing request pertains |
| <request><assurance_level> |
Requested assurance level for licensing in the Netherlands, as stated in the Cybersecurity Act (basic, substantial, high) |
| <request><scope> |
Requested scope for licensing in the Netherlands, corresponding to the level of detail established in the accreditation scope. If relevant, provide additional details. |
| <accreditation><number> |
Registration ID of the accreditation |
| <accreditation><reference> |
Add name of the accreditation report that will be submitted with the completed licensing form |
| <authorisation><authorisation_evidence...><reference> |
Add the name of the attached document which will be used as evidence that additional scheme requirement are fulfilled. If accreditation is done by the RvA, the accreditation report can be referenced as authorisation evidence, since the assessment of the additional scheme requirements is part of the accreditation process. |
| <authorisation><authorisation_evidence...><description> |
Add a short description to explain which additional scheme requirement is fulfilled by the content of the document. If accreditation is done by the RvA, the accreditation report can be referenced as authorisation evidence, since the assessment of the additional scheme requirements is part of the accreditation process. |
| <declaration> <applicant_declaration1> |
Declaration by the applicant that they are aware of all applicable requirements to perform certification and/or evaluation activities under the Cyber Security Act (CSA), the scheme associated Implementing Regulation, the scheme supporting documents and the related Dutch regulations. |
| <declaration> <applicant_declaration2> |
Acknowledgement by the applicant that they understand the information and obligations regarding licensing published by the Dutch NCCA on dutchncca.nl and in their operational documents. |
