Product Assurance 2023 Application FormIan Samuels2023-02-17T12:26:00+00:00 Product Assurance 2023 Section 1 - Applicant Information.Company Name:(Required) Company Address:(Required) Street Address City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country General Contact:Name(Required) First Last Email(Required) Contact Telephone(Required)Technical Contact:Name(Required) First Last Email(Required) Contact Telephone(Required)Section 2 - Applicant software information.Manufacturer Name:(Required) Product Name:(Required) Version of software:(Required) Version of user manual:(Required) Section 3 - NIST and IEEE Sanitisation OptionsOther Standards or Guidelines can be assessed on request. Contact adisarc@adisa.global.Standard / Guideline to be assessed against?(Required)NIST 800-88IEEE 2883- 2022BothOther (ADISA will contact you to confirm)Magnetic Hard DrivesATA-PATA (clear) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for clear. ATA-PATA (purge) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for purge. ATA-SATA (clear) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for clear. ATA-SATA (purge) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for purge.SCSI - SAS (clear) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for clear. SCSI - SAS (purge) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for purge. Solid State DrivesATA-SATA (clear) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for clear. ATA-SATA (purge) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for purge. SCSI - SAS (clear) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for clear.SCSI - SAS (purge) Please state the option within your product which should be selected to meet NIST and / or IEEE requirements for purge.Application Submitted By:(Required) Please provide a contact name.I confirm that the product submitted for testing is an automated solution for data sanitisation of the media listed within this document.(Required) I confirm
