FOR THE ISSUANCE/RENEWAL OF THE CERTIFICATE FOR

POŠTA CG - CA

Slobode 1 - 81000 Podgorica

Customer service:

tel. 020-403922, 403981, email: [email protected], www.postacg-ca.me

APPLICATION number _____

FOR THE ISSUANCE/RENEWAL OF THE CERTIFICATE FOR SMARTLOGON ISSUED ONTO CRYPTOGRAPHIC TOKEN

MICROSOFT WINDOWS DOMAIN CONTOLLER (DC) SERVER

FOR THE CERTIFICATE STATUS CHANGE

Data on the Signatory: *

NAME NAME OF

FATHER OR

MOTHER

SURNAME PIN

John Theresa Diggle 1 2 3 4 5 6 7 8 9 10 11 12 13

ADDRESSS ID DOCUMENT

Street Number ZIP code, City, Country ID Card:6589214 Issued by

Green Alley 58 10032 Paris France Passport: ABC

Telephone Contact E-mail address User account

(e.g.:[email protected]) or

Full domain controller name and

MSGUID is certificate is for MS DC

Server

DOB

+12356891516 [email protected]

* Data on the natural person to whom the certificate is issued

Data on legal entity: **

Registered full name of legal entity Organizational

unit (not

mandatory)

Unique registration

number from the

Central Registry of

Business Entities

TIN

ABC Corporation 15984911982 1 2 3 5 6 6 7 8

ADDRESS CONTACT

Street Number ZIP code, City, Country Tel. +34588421194524

Green Alley 58 10032 Paris France E-mail [email protected] ** Data on a legal entity shall be filled only if the signatory is identified as a person authorized by a legal entity to obtain a certificate.

CERTIFICATE DATA (mark one of the media):*

Token Smart-card Smart-card + reader no media If the signatory requires the CERTIFICATE STATUS CHANGE he/she can choose one of the offered options (by checking the box in the field by the desired option).

Extension/renewal of the certificate Certificate revocation. Reason for revocation ___________________________________ or Compromised

or doubt of compromised private cryptographic key. Date of compromise or suspicion of compromise: ___/___/201_.

For the issuance/renewal of the Certificate, which is issued for the above listed type of media, the Applicant pays a fee in the amount of € _____ in advance to Pošta CG – CA, as established by the price list of Pošta CG - CA.

Delivery shall be done at the counter of the post office where the Application is submitted.

By his/her signature, the signatory of the Application confirms to be aware of the terms and conditions for the issuance

and use of the certificates printed on the back of this Application, and that all the entered data is correct. APPLICANT ________________________ (signature ) Date: ___/___/201_

Place of stamp

On behalf of POŠTA CRNE GORE _____________________________ Application received by (name and surname and signature) Date: ___/___/201_

Place of stamp

mailto:[email protected]

1

POŠTA CG - CA Slobode 1 - 81000 Podgorica Customer service: tel. 020-403922, 403981 email: [email protected] www.postacg-ca.me

A G R E E M E N T ON ISSUANCE AND USE OF A QUALIFIED DIGITAL CERTIFICATE

Entered into between:

1. Pošta Crne Gore AD – Podgorica – Pošta CG-CA Certification Authority, Slobode 1, represented by the Chief Executive Officer, Mr. Milan Martinović, dipl. ing. (hereinafter: Pošta CG-CA Certification Authority)

and

2. User User information:

First name* John

Last name* Diggle

Citizens Register Number (JMBG) 12345678910111213

Address – street and number Green Alley 58

Legal entity - organization ABC Corporation

Address of the legal entity Green Alley, Paris

Tax ID number (PIB) 12345678

e-mail address [email protected]

telephone and fax +123 5 4784816198 * first and last name of the authorized person within the legal entity

Article 1 This Agreement shall regulate all terms and conditions under which Pošta CG-CA Certification Authority issues a qualified digital certificate (hereinafter: certificate) for use to a certificate User. The parties also agree, while fulfilling obligations under this Agreement, to comply with the provisions of «Rulebook on the Certificate Issuance Procedures and Certification System Protection» (hereinafter: Rulebook) published on the website www.postacg-ca.me and any noncompliance with a provision of the mentioned document shall be treated as a breach of this Agreement.

Article 2 The User, under this Agreement, shall be a physical person authorised by the above mentioned legal entity to obtain a certificate.

Passport number and issuing authority 6589214 ABC

Postal code and place 10032 Paris

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Article 3 Pošta CG-CA Certification Authority shall issue a qualified digital certificate for advanced electronic signature to the User to be used for a period of 3 (three) years. By signing this Agreement, the User acknowledges that he has personally received the certificate in the requested medium from the authorized person of Pošta CG-CA Certification Authority in accordance with the submitted application.

Article 4 Pošta CG-CA Certification Authority shall:

1. verify the identity of the User participating in the procedure of issuing or changing the status of the certificate, and verify correctness of the status of the certificate in line with the Rulebook,

2. issue the certificate in line with the terms and conditions defined under law and the Rulebook,

3. ensure that the certificate contains all necessary data in line with the applicable regulations,

4. enter the basic information on its identity and the User’s identity into the certificate, as well as the User’s cryptographic key,

5. provide visible information in the certificate on the exact date and time (hour and minute) when the certificate was issued,

6. execute the application for change in the status of the certificate in line with the terms and conditions defined under law and the Rulebook,

7. keep updated, accurate and secured register of revoked certificates and make it publicly available,

8. provide visible information in the register of revoked certificates on the exact date and time (hour and minute) when the certificate was revoked,

9. conduct supervision over the activities of the registration authorities, 10. perform its activities in line with the applicable regulations and the internal

acts of Pošta CG-CA Certification Authority.

Article 5 The certificate User shall:

1. provide accurate and reliable information on his identity, information on the physical address or attributes describing how the User can be contacted and other information included in the certificate and the application.

2. be physically present during the verification of the User’s identity, 3. inform Pošta CG-CA Certification Authority on any change in the identity

information and other information included in the certificate, within 48 hours after the change occurs,

4. check the information included in the certificate and inform Pošta CG-CA Certification Authority if it is in line with the applicable regulations,

5. use the qualified electronic signature creation devices provided by Pošta CG-CA Certification Authority if it is in line with the applicable regulations,

6. use the certificate solely for the purposes specified in the Rulebook on the Certificate Issuance Procedures and Certification System Protection,

7. keep the private cryptographic key confidential, 8. keep the password for access to the private cryptographic key confidential, 9. in case of loss, damage or misuse of technical devices (hardware or software)

or the private cryptographic key, or compromising or suspected compromising of the private cryptographic key, file an application to revoke the certificate without delay. The User shall be responsible in the event of use of the certificate after the expiry of the certificate validity period, its revocation or suspension, and in other cases of unauthorised use of the certificate. The User shall be responsible for any damage caused by unauthorised use of the certificate.

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The User shall be responsible if he deletes the certificate or the cryptographic keys intentionally or out of negligence from the advanced electronic signature device, if he causes damage to the device in any manner or blocks the device permanently (PUK Status – LOCKED), thus making its use impossible. The User agrees that his personal data may only be used for the purpose of issuing the certificate.

Article 6 Pošta CG-CA Certification Authority shall not be responsible for any damage (direct or indirect), losses, costs and claims arising from or caused by the use of the certificate: - if the certificate has been used contrary to the Rulebook of Pošta CG-CA Certification Authority for qualified electronic certificates as well as contrary to other regulations governing this field, - if the certificate has been altered by the User in any manner, - in case of any abuse of technical devices (hardware or software) or the private cryptographic key by the User, or compromising of the private cryptographic key by the User, - in case of non-functioning or an error in the functioning of technical devices (hardware or software) of the User or a third person in which case Pošta CG-CA Certification Authority shall not have the obligation to provide technical support to remove the problem in the functioning of the technical devices of these entities. Pošta CG-CA Certification Authority shall not be responsible for any damage occurring due to noncompliance with the contractual obligations, if the noncompliance occurred due to circumstances outside the control of Pošta CG-CA Certification Authority.

Article 7 Pošta CG-CA Certification Authority shall initiate the User registration procedure, creation of individual Agreements and issuing certificate to the User, based on the Agreement on provision of the services of Pošta CG-CA Certification Authority previously concluded between Pošta CG-CA Certification Authority and the legal entity or organization authorising the User to obtain the certificate, upon previously received application of the User for the issuance of the certificate and the performed reliable identification of the User, as well as submitted evidence of payment of the fee, in line with the Decision on Prices of the Services of Pošta CG-CA Certification Authority.

Upon obtaining the certificate on a smart card or a USB token, the authorised person of Pošta CG-CA Certification Authority shall identify the User by inspecting the User’s personal identity document.

Article 8 Communication with the User and notifications on all matters relevant for the implementation of the Agreement shall be done in writing. Written communication shall include publishing notification on the website of Pošta CG-CA Certification Authority or sending a notification through electronic mail from the official e-mail address of Pošta CG-CA Certification Authority: [email protected].

Article 9 Use of certificates may be contracted for the period prescribed in the Rulebook and the applicable Pricelist. The certificate issuing date shall be the date when it is created in Pošta CG-CA Certification Authority and entered in the qualified digital certificate device for advanced electronic signature.

mailto:[email protected]

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Article 10 A change in the status of the certificate shall include: - renewal of the certificate, - revoking of the certificate due to compromising or suspected compromising of the secret cryptographic key, change in the data in the certificate, noncompliance with the User’s obligations, termination of employment, or termination of the User’s engagement in the legal entity/other organization. Use of the certificate may be extended if, prior to the expiry of the contracted period of time for the use of certificate, the legal entity/other organization makes payment of the fee for renewal of the use of the certificate, provided that the total period of time of the use of the certificate does not excess the period of 3 (three) years, and the User files an application for renewal of the certificate. If the User fails to file an application and the legal entity/other organization fails to make payment of the fee for renewal of the certificate, Pošta CG-CA Certification Authority shall revoke the User’s certificate. Revocation shall be done free of charge.

Article 11 The User may not transfer his rights and obligations under the Agreement to a third person. To that regard, the User’s application stating personal data of another person instead of his own personal data from the Agreement shall not be admitted. Pošta CG-CA Certification Authority shall have the right to transfer its rights and obligations under this Agreement to another registered Certification Authority registered in Montenegro or the relevant state authority without the consent of the User in accordance with law.

Article 12 If any rules regulating issue and use of electronic certificates differently are adopted, an annex to the Agreement shall be concluded.

Article 13 Any disputes that may arise under this Agreement shall be settled amicably between the parties, and if it is not possible to reach an agreement, the dispute shall be settled before the relevant court in Podgorica.

Article 14 The Agreement shall come into effect upon signing by user.

Article 15 This Agreement is done in 2 (two) identical copies, one copy for each party. ______________, on ___.___. 201__

U S E R Pošta CG-CA Certification Authority

__________________________

POŠTA CG - CA Slobode 1 - 81000 Podgorica Customer Service: Phone: 020-403922, 403921 e-mail: [email protected] www.postacg-ca.me

AUTHORIZATION FOR

ISSUANCE/RENEWAL OF QUALIFIED DIGITAL CERTIFICATE

We hereby authorize:

NAME SURNAME PERSONAL ID NO.

John Diggle 1 2 3 4 5 6 7 8 9 10 11 12 13

ADDRESS IDENTIFICATION DOCUMENT

street number postal code identity card: 6589214 issuer

Green Alley 58 10032 Paris passport: ABC ABC

telephone fax contact e-mail comment

to be awarded QUALIFIED DIGITAL CERTIFICATE on behalf and for the purposes of legal

entity:

Name of legal entity Unique registration No. from

Central Registry of Business

Entities

Taxpayer’s No.

ADDRESS CONTACT

street number postal code and place telephone +123 5 4784816198

date: ___.___.201_.

__________________________ L.S. signature __________________________ name and surname

+123569891516 [email protected]

ABC Corporation 65987121696-658 1 2 3 4 5 6 7 8

Green Alley 58 10032 Paris e-mail [email protected]

http://www.postacg-ca.me/

POŠTA CG - CA Slobode 1 - 81000 Podgorica Customer Service: Phone: 020-403922, 403921 email: [email protected] www.postacg-ca.me

Authorization for taking a digital certificate

I hereby authorize:

Table A*


Aleksandar Drašković 0 2 0 6 9 8 9 2 6 0 0 1 1


street number postal code and

post

identity card:

057048665

issuer

IV Crnogorske 5E 81400 Nikšić passport: PJ Nikšić


Central Registry of Business Entities Taxpayer’s No.

Coordinated Auction Office in South

East Europe d.o.o. Podgorica

5-0635601/002 0 2 8 9 0 9 0 9

to take the digital certificate on my behalf.

Table B*


John Diggle 1 2 3 4 5 6 7 8 9 10 11 12 13


street number postal code and

post

identity card:6589214 issuer

Green Alley 58 10032 Paris passport: ABC ABC


Central Registry of Business Entities

Taxpayer’s No.

ABC Corporation 65987121696-658 1 2 3 4 5 6 7 8

date: ___.___.201_. __________________________

L.S. signature

of grantor of authorization

__________________________ name and surname

of grantor of authorization Table A* Data about the person authorized for taking the digital certificate. Table B* Data about the owner of digital certificate, that is, about the grantor of authorization for taking of digital certificate.

http://www.postacg-ca.me/

Sektor za poštansku ekspoataciju, ul.Slobode 1 – 81000 Podgorica, Tel: 403-958, 403-913,403-939, 403-965

fax: 403-937

e-mail: [email protected];[email protected];[email protected];

www.posta.cg.yu

Incoming Payment Instruction Field 56 - Intermediary bank: Swift Address COBADEFF Name Commerzbank AG Frankfurt/Main,

Germany Field 57 - Account with Institution: Party Identifier 400876851700 EUR Swift Address CKBCMEPG Name CRNOGORSKA KOMERCIJALNA

BANKA AD PODGORICA Field 59 - Beneficiary Customer: Account ME25510000000000010904 Name & Address POSTA CRNE GORE ad

UL.SLOBODE 1 81000, Podgorica, MONTENEGRO

Sektor za poštansku ekspoataciju, ul.Slobode 1 – 81000 Podgorica, Tel: 403-958, 403-913,403-939, 403-965

fax: 403-937

e-mail: [email protected];[email protected];[email protected];

www.posta.cg.yu

Our accounts maintained with our main correspondents

Financial Service

Institutions

Locations Swift Address Currency Party Identifier

Commerzbank AG Frankfurt/Main COBA DE FF EUR

USD

400876851700

400876851700

LHB International

Handelsbank AG

Frankfurt/Main LHBI DE FF EUR

USD

9928003

9928300

UBS AG Zurich UBSWCHZH80A EUR

USD

CHF

0230-60001-74A

0230-60001.70P

0230-60001.05Q

CITIBANK N.A. New York CITI US 33 USD 36200039

INTESA BCI SPA Milan BCIT IT MM EUR 9950077.01.82

Nova Ljubljanska

Banka DD

Ljubljana LJBA SI 2X EUR

USD

7010-978-29761/61

7010-840-29761/61

Banka Celje DD Celje SBCE SI 2X MULTI 7010-VAL-46004/52

A Banka DD Ljubljana ABAN SI 2X EUR

051001010002191

Zagrebacka banka DD Zagreb ZABA HR 2X EUR

USD

2690000325-978

2690000325-840

Stopanska banka AD Skoplje STOB MK 2X EUR

USD

CHF

0001002732

0001002727

0001002748

Raiffeisen Zentral Bank Wien RZBA AT WW EUR

USD

000-55.062.301

070-55.062.301

Raiffeisen Bank Zagreb Zagreb RZBH HR 2X EUR

USD

7092-978-910789

7092-840-910789

Privredna Banka DD

Zagreb

Zagreb PBZG HR 2X EUR

USD

709200-978-164553

709200-840-164553

Svenska Handelsbanken

Stockholm

Stockholm HAND SE SS EUR 40361519

Hypo-Alpe-Adria-bank

Ljubljana - Slovenija

Ljubljana KLHBSI22 EUR 33000-0000002707

Bank Austria

Creditanstalt AG

Vienna

Vienna BKAUATWW EUR 510 102 646 / 01

Raiffeisen Bank

Sarajevo-BIH

Sarajevo RZBA BA 2S EUR 600022000 00309

Citibank N.A. Frankfurt CITI DE FF EUR 411/6798/005

ING Bank N.A. Amsterdam INGB NL 2A EUR 0050915576

Unicredito Italiano SPA

Milano - Italy

Milano UNCRITMM EUR

USD

995-3325

995-3324

NovaLjubljanska banka

Trieste – Italy

Trieste LJBAIT2T EUR 000043300398

FOR THE ISSUANCE/RENEWAL OF THE CERTIFICATE FOR

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