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Digital Certificate Revocation Form

This 3 sentence summary provides the key details from the digital certificate revocation form document: The digital certificate revocation form collects information needed to revoke a digital certificate, including the certificate holder's name, organization, email, certificate type, contact number, and reason for revocation such as a private key compromise or change to the certificate information. The registration authority fills in their name and date and adds any remarks before the certificate holder signs and dates the form.

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JAHYRAH BARTOLOME
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221 views1 page

Digital Certificate Revocation Form

This 3 sentence summary provides the key details from the digital certificate revocation form document: The digital certificate revocation form collects information needed to revoke a digital certificate, including the certificate holder's name, organization, email, certificate type, contact number, and reason for revocation such as a private key compromise or change to the certificate information. The registration authority fills in their name and date and adds any remarks before the certificate holder signs and dates the form.

Uploaded by

JAHYRAH BARTOLOME
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Digital Certificate Revocation Form

DIGITAL CERTIFICATE REVOCATION FORM

Instructions:

1. Please fill-out this form legibly preferably using BLUE INK.


2. Incomplete applications are subject to rejection.

Date and Time


Name of the Certificate Holder
(Surname, First Name, Middle Name)

Organization

Email Address
Certificate Type
Signing Authentication SSL
(Please check all that applies)

Contact Number
Private Key Information on the Cer- Forgot password to the
Compromise tificate has changed certificate
Reason for revocation
Others (please specify):

To be filled out by the RA

Name of RA

Date

Reference Number

Remarks

Signature over Printed Name of the Certificate Holder

Date Revised: January 2020

DICT Building, C.P. Garcia Avenue, Diliman, Quezon City, 1101, Philippines
+63 (02) 8920-0101 [Link]/pnpki

DIGITAL CERTIFICATE REVOCATION FORM Instructions: 1. Please fill-out this form legibly preferably using BLUE INK. 2. Incomplet

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