TISAX Contact Form (X) Purpose of This Form With this form we collect information about a person. If you are asked to provide a contact in the main forms A-E, please use this form. About This Form An asterisk * indicates that it is mandatory to provide this information. This form is part of a set of forms that are required for a registration process. A signature is only required on the "TISAX Registration Signature Form (E)". However, on that form you must actively mark that this form (TISAX Contact Form) is part of the registration (see E-09). This form expires after June 2017. If you fill out this form after June 2017, please go to www.enx.com/tisax or contact us at [email protected] to obtain a current version of this form. Help If you have questions about this form in particular or the TISAX Registration in general, please don't hesitate to contact us at: X-01 [email protected] or call +49 69 9866927-77 Contact Number * Please assign a sequential number to this contact. Where the main forms A-E ask for a contact, please provide this contact number. Example: Assume this is the contact form to provide the details of Mr John Doe. In our example, he is the "main administrative registration contact" as well as the "main participant contact". You assign the contact number "1" to John Doe in the field directly below. When asked for the contact details of those two contacts in the "General Administration and Invoicing Form (A)" and in the "Participant Registration Form (B)", you simply write "1" in both cases. Thus, you only have to record Mr John Doe's details once, instead of repeatedly entering the information on several forms. X-02 Contact Details * X-03 Salutation * Mrs. X-04 X-05 Mr. Academic Degree Dr. X-06 Ph.D. X-07 Other: X-08 First Name * Example: John X-09 Family Name * Example: Doe X-10 Job Title * Example: Head of IT TISAX Contact Form (X) Version: 2.0, Date: 2017-02-09 Package Version: 2.0.1, Page 1 of 2 X-11 Role (*) This is only mandatory for the "Main Participant Contact" and the "Main Scope Contact". What is your role in relation to TISAX information security assessments? X-12 CEO X-13 CISO X-14 Local ISMS manager X-15 Other: X-16 Department * Example: Information Technology X-17 Phone Number * Format: +<Country Code> <Area Code> <Number> Example: +49 69 71676700 X-18 Mobile Number Format: +<Country Code> <Area Code> <Number> Example: +49 69 71676700 X-19 Email Address * Example: [email protected] X-20 Country * The place where you work. We use this information if we need to call you and then to only attempt calling you during business hours in your time zone. Example: Germany X-21 Preferred Language This information will be used for our communication to you. English is the default language if nothing is selected. X-22 English X-23 German X-24 Languages Which other languages do you speak? We may use this information in particular cases where TISAX-related communication may be available in languages besides those listed at line A-19. Format: <language1>, <language2>, etc. Example: French, Spanish X-25 Comments Please add a comment, if you think there's something else we should know about this contact. Published By ENX Association, Bockenheimer Landstrasse 97-99, 60325 Frankfurt am Main, Germany +49 69 9866927-0, [email protected], www.enx.com TISAX Contact Form (X) Version: 2.0, Date: 2017-02-09 Package Version: 2.0.1, Page 2 of 2
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