CBT Examination Registration Form - ISC

EXAM REGISTRATION FORM - CBT 

BUSINESS CONFIDENTIAL 

Please print clearly, incomplete registration forms will be returned. 

SECTION 1: APPLICATION INFORMATION 

Mr. Ms. Mrs. Dr. 

Family Name/Surname: 

First Name/Given: 

Other: 

Middle Initial: 

Address: 

City: State/Country: Postal Code: 

Home Email: 

Date of Birth: 

Home Phone: 

Home Fax: 

Employer: 

Title/Position: 

Industry Type: 

Business Address: 

City: 

State/Country: 

Postal Code: 

Business Email: 

Please contact me at (indicate your preferred email address): 

Have you taken an (ISC)² examination before? 

Business Phone: 

Home Email Address 

Business Email Address 

No Yes If so, what is your existing Member/Candidate ID? 

SECTION 2: EXAMINATION INFORMATION (Please indicate the examination you wish to sit for:) 

CISSP ® Certified Information Systems Security Professional 

those candidates who do not have the required practical 

experience required for full certification: 

CSSLP ® 

Certified Secure Software Lifecycle Professional 

ISSEP ® Information Systems Security Engineering Professional register-now.aspx) for our complete policy on special arrangements. 

CAP ® Certified Authorization Professional 

Associate of (ISC)²: CISSP SSCP 

SSCP ® Systems Security Certified Practitioner 

CSSLP 

CAP 

ISSAP ® Information Systems Security Architecture Professional 

I have a physical or other disability that may require special 

arrangements. Please refer to the (https://www.isc2.org/certification- 

For 

ISSMP ® Information Systems Security Management Professional 

SECTION 3: APPLICATION REQUIREMENTS 

(Complete the appropriate section related to the certification/concentration you checked in Section 2) 

Applicant must meet the following requirements to qualify to sit for the CISSP ® /SSCP ® examination: 

A) Subscribe to the (ISC)² Code of Ethics 

B) Have the minimum year(s) of professional experience indicated below. Please refer to the (ISC)² Website (www.isc2.org) for comprehensive guidelines regarding what 

constitutes professional information security experience. CISSP's may be eligible to waive One Year of Professional Experience: 

CISSP ® - 5 years of direct full-time information security professional experience in 2 or more of the 10 domains of the (ISC)² CISSP CBK ® 

SSCP ® - 1 year of direct full-time information security professional experience in 1 or more of the 7 domains of the (ISC)² SSCP CBK ® 

CAP ® - 2 years of direct full-time information security professional experience in 1 or more of the 7 domains of the (ISC)² CAP CBK ® 

CSSLP ® - 4 years of direct full-time information security professional experience in 1 or more of the 8 domains of the (ISC)² CSSLP CBK ® 

To qualify for a concentration examination, you must be a CISSP in good standing, Please enter your member ID Number 

©Copyright 2004-2013 (ISC)², Inc. All rights reserved. All contents of this form constitute the property of (ISC)², Inc. and may not be copied, reproduced or distributed without prior written permission. Page 1 of 9 

All marks are the property of ISC². 

(ISC)² Examination Registration Form 2012-81-03 Version 1.1

PROFESSIONAL EXPERIENCE 

List information that qualifies for your required year(s) of professional experience. If your experience is not clearly information security or certification and accreditation 

related as required, provide further details on an attached sheet of paper. (ISC)² may, at its sole discretion, require more information and/or reject any candidate's application. 

By registering for the examination to become an Associate of (ISC)², you have chosen a career path in information security and will work toward meeting the requirements for 

professional certification you also therefore, agree to subscribe to the (ISC)² code of ethics. 

Number of Months CBK ® Domain Industry Type 

Associates - When do you expect to obtain the number of years of experience required for certification? (Date) 

CISSP DOMAINS 

Access Control 

Telecommunications & Network Security 

Information Security Governance & Risk Management 

Software Development Security 

Cryptography 

Security Architecture & Design 

Operations Security 

Business Continuity & Disaster Recovery Planning 

Legal, Regulations, Investigations and Compliance 

Physical (Environmental) Security 

CSSLP DOMAINS 

Secure Software Concepts 

Secure Software Requirements 

Secure Software Design 

Secure Software Implementation/Coding 

Secure Software Testing 

Software Acceptance 

Software Deployment, Operations, Maintenance 

and Disposal 

Supply Chain and Software Acquisition 

CAP DOMAINS 

Understand the Security Authorization 

of Information Systems 

Categorize Information Systems 

Establish the Security Control Baseline 

Apply Security Controls 

Assess Security Controls 

Authorize Information System 

Monitor Security Controls 

ISSAP-CISSP DOMAINS 

Access Control Systems and Methodology 

Communications & Network Security 

Cryptography 

Security Architecture Analysis 

Technology Related Business Continuity Planning 

(BCP) & Disaster Recovery Planning (DRP) 

Physical Security Considerations 

ISSEP-CISSP DOMAINS 

Systems Security Engineering 

Certification and Accreditation (C&A)/Risk Management 

Framework (RMF) 

Technical Management 

U.S. Government Information Assurance Related Policies 

and Issuances 

ISSMP-CISSP DOMAINS 

Security Leadership and Management 

Security Lifecycle Management 

Security Compliance Management 

Contingency Management 

Law, Ethics and Incident Management 

SSCP DOMAINS 

Access Controls 

Security Operations and 

Administration 

Monitoring and Analysis 

Risk, Response, and Recovery 

Cryptography 

Networks and Communications 

Malicious Code and Activity 


All marks are the property of the ISC² 


INDUSTRY TYPES 

Aerospace 

Agriculture/Forestry 

Banking/Financial/Accounting 

Communications/Networks 

Computer Services/Systems 

Construction/Engineering 

Architectural Education 

Federal Government 

Fishing 

Government & Military 

Healthcare/Medical/Pharmaceutical 

Hospitality 

Insurance 

Legal 

Local Government 

Management Consulting 

Manufacturing 

Media 

Merchandising 

Natural Resources 

Public Utilities 

Real Estate 

Retail 

Self-employed 

State Government 

Service 

Transportation/Shipping 

Wholesale 

CISSP's: Are you claiming a 1 year waiver of the 5-year experience requirement in accordance with the published policy on the (ISC)² Website? 

CSSLP's: Are you claiming a 1 year waiver of the 4-year experience requirement in accordance with the published policy on the (ISC)² Website? 

Yes 

No (No more than 1 year total can be waived.) 

One-year waiver of the professional experience requirement for education. 

4- Year Degree 

University/College: 

Master's Degree in information Assurance Education/information security from U.S. National Center of Academic Excellence in 

IA Education (CAE/IAE) or regional equivalent; see list at: http://www.isc2.org/credential_waiver/default.aspx 

Degree / Diploma Granted: 

Date: 

OR One-year waiver of the professional experience requirement for holding a credential on the (ISC)²-approved list; see list at www.isc2.org/credential_waiver 

Approved Credential(s) per list on (ISC)² Website: 

Section 4: EXAMINATION PREFERENCES 

New date(s) you wish to attend - please see the Exam Schedules page at www.isc2.org for a current list of exam dates and locations. Please note the rescheduling policies at 

(https://webportal.isc2.org/Custom/ExamsSearch.aspx) prior to selecting your preferences. 

Exam Date: 

(MM/DD/YY) Exam Location: 

The CISSP Concentrations exams CSSLP, and CAP exams are available in English only.) 

All non-English exams include each question in both English and chosen language. 

CISSP Exam Language: 

SSCP Exam Language: 

English (US) French (Standard) German Japanese Korean Spanish (International) 

English (US) Japanese Portuguese Bahasa Indonesia Private Event Code (if applicable): 

Brazilian Portuguese 




Section 5: APPLICATION AGREEMENT & POLICIES 

By registering for an International Information Systems Security Certification Consortium, Inc. ("(ISC)²") certification examination, I hereby affirm that I 

understand and agree to abide to the terms, conditions, and policies attached to this application (pages 1-9) and incorporated by reference. 

This Application Agreement (the "Agreement") is between you and International Information Systems Security Certification Consortium, Inc. ("(ISC)²") and sets forth the terms and conditions of you 

being allowed to take the (ISC)² examination and subsequent certification, if any. 

You agree that your obligations under this Agreement shall continue in effect after the Examination and, if applicable, after termination of your Certification, regardless of the reason(s) for termination, 

and whether such termination is voluntary or involuntary. Any claim, issue, or cause of action arising out of or related to this Agreement, the Examination, or any Certification awarded, (“Claims”) shall 

be finally resolved by arbitration in accordance with the International Institute for Conflict Prevention and Resolution Rules for Non-Administered Arbitration by a sole arbitrator, who shall be qualified 

as an attorney at law with experience relevant to the dispute. The arbitration shall be governed by the Federal Arbitration Act, 9 U.S.C. §§ 1 et seq., and judgment upon the award rendered by the 

arbitrator shall be entered by any court having jurisdiction thereof. The arbitrator is not empowered to award damages in excess of compensatory damages, except in cases involving breach of nondisclosure 

or intellectual property, and each party expressly waives and foregoes any right to punitive, exemplary or similar damages unless a statute requires or permits that compensatory damages be 

increased in a specified manner. Arbitration shall proceed solely on an individual basis without the right for any Claims to be arbitrated on a class action basis or on bases involving Claims brought in a 

purported representative capacity on behalf of others. The arbitrator's authority to resolve and make written awards is limited to Claims between you and (ISC)² alone. Claims may not be joined or 

consolidated unless agreed to in writing by all parties. No arbitration award or decision will have any preclusive effect as to issues or claims in any dispute with anyone who is not a named party to the 

arbitration. 

Notwithstanding the foregoing, either party may file and prosecute an action for injunctive or similar equitable relief and the filing of such an action shall not constitute a waiver of the parties' rights to 

require arbitration of any other dispute. Violation of any of these provisions may cause irreparable harm to (ISC)² for which monetary remedies may be inadequate, and (ISC)² may take all appropriate 

actions to remedy or prevent such disclosure or misuse, including, without limitation, obtaining an immediate injunction without being required to post bond. Furthermore, any violation of these 

provisions may result in the immediate and permanent termination of your Certification at the discretion of the Executive Director. Neither this Agreement nor any right granted hereunder shall be 

assignable or otherwise transferable by you. This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. This Agreement is supplemental to, and integrated 

with, the (ISC)², Examination Agreement. BY TAKING THE EXAMINATION, I AM AGREEING THAT I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND ACCEPT THE 

OBLIGATIONS IMPOSED UPON ME. NO PROMISES, THREATS, OR REPRESENTATIONS HAVE BEEN MADE TO ME TO INDUCE ME TO ENTER INTO THIS AGREEMENT. 

I ACCEPT THIS AGREEMENT VOLUNTARILY AND FREELY. 

I HAVE READ AND UNDERSTAND THESE STATEMENTS AND INTEND TO BE LEGALLY BOUND BY THEM. 

Authorized Signature: 

Date: 

Section 6: FORM INSTRUCTIONS 

Mail or fax this completed form to the (ISC)² office nearest to the examination event location: 

AMERICAS 

(ISC)² Registration 

311 Park Place Boulevard, Suite 400 

Clearwater, FL 33759 

USA 

Ph: +1.727.785.0189 

(Toll Free):1.866.331.ISC2 (4722) 

Fax: +1.727.683.0785 

EUROPE / MIDDLE EAST / AFRICA 

(ISC)² EMEA 

3 More London Riverside, 1st Floor 

London SE1 2RE 

United Kingdom 

Ph: +44 (0)203.283.4383 

Fax: +44 (0)203.283.4384 

ASIA - PACIFIC 

(ISC)² Asia - Pacific 

Suite 514, 5/F, South Tower 

World Finance Centre 

Harbour City, Kowloon 

Hong Kong 

Ph: +852.2850.6951 

Fax: +852.2850.6959 

You will be contacted at your preferred email address (as indicated on page 1) regarding your exam registration. 




Examination Agreement 

Computer-Based Testing 

Effective Date: 1 April 2013 

1.0 CERTIFICATION EXAMINATION INFORMATION AND REQUIREMENTS AGREEMENT (EXAMINATION 

AGREEMENT) 

For information regarding how to become certified please see: 

• https://www.isc2.org/steps-for-certification.aspx 

For information on Exam information and Exam Administration policies please see: 

• Link to the list of Candidate Information Bulletins that have been revised for CBT (e.g. CSSLP)- 

https://www.isc2.org/CIB.aspx 

For Additional Information on related topics please see: 

• Associate of (ISC)² - 

https://www.isc2.org/uploadedFiles/Credentials_and_Certifcation/Associate_of_(ISC)2/Associ 

ate-of-(ISC)2.pdf 

• AMF’s - https://www.isc2.org/amfs-explained/default.aspx 

• Endorsement Time Limits - https://www.isc2.org/New-Time-Limit-Endorsement.aspx. 

• Endorsement - https://www.isc2.org/endorsement.aspx 

• In-Good- Standing - https://www.isc2.org/MembersInGoodStanding.aspx 

• CPE’s - https://www.isc2.org/cpe-policies/default.aspx 

(ISC)² reserves the right to amend this agreement with 90 days’ notice to its members. Notice will be 

posted to the member-only website and sent to each member’s email address of record. 

By registering for an International Information Systems Security Certification Consortium, Inc. (“(ISC)²”) 

examination, I hereby affirm that I understand, acknowledge and agree to the following: 

2.0 EXAMINATION REGISTRATION 

2.1 Candidate Requirements 

To become certified, a candidate must successfully complete two separate processes: Examination 

and Certification. The eligibility requirements to sit for an (ISC)² examination are completely separate 

from the eligibility requirements necessary to be certified. 

2.2 Language Issues 

Some (ISC)² examinations are offered in English only. If English is not your primary language, (ISC)² 

recommends (but does not require) that candidates sit for the TOEFL (Test of English as a Foreign 

Language) examination prior to sitting for an (ISC)² examination. Your scores on the TOEFL will 

provide a useful gauge for you to ascertain whether reading and comprehending English will 

present problems for you on an (ISC)² examination. The TOEFL examination is offered at multiple 

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© 2013 International Information Systems Security Certification Consortium, Inc. All Rights Reserved. Duplication for commercial 

purposes is prohibited. 03082013 Version 1.1




locations both domestically and internationally throughout the year. More information is available at 

www.ets.org. 

2.3 Waiver of privacy right against third parties 

As far as permitted by law, all members of (ISC)² waive any privacy right, whether express or implied, 

against any third party filing a claim against the member for breach of the (ISC)² Code of Ethics. This 

supports the unfettered reporting of unethical activity of members. 

2.4 Examination Agreement 

The Examination Agreement (the "Agreement") is between you and International Information 

Systems Security Certification Consortium, Inc. ("(ISC)²") and sets forth the terms and conditions of 

you being allowed to take the (ISC)² examination. 

The disclosure to you of this examination (the "Exam") and any questions, answers, worksheets, 

diagrams, examples, drawings, the length and/or number of Exam segments and/or questions, or 

any communication, including verbal communications by any party, regarding or related to the 

Exam, the identity of other Exam takers (collectively and any derivatives referred to as the "Exam 

Materials") is subject to the terms and conditions detailed herein. BY TAKING THE EXAMINATION, YOU 

ARE AFFIRMING BY YOUR ACTIONS THAT YOU UNDERSTAND THE TERMS HEREIN AND YOUR INTENT TO 

BE BOUND BY THE TERMS AND CONDITIONS OF THIS AGREEMENT. 

IF YOU DO NOT AGREE TO BE BOUND BY THIS AGREEMENT YOU WILL BE ASKED TO LEAVE BEFORE THE 

EXAM CAN COMMENCE. YOU WILL NOT OBTAIN CERTIFICATION AND MAY NOT USE ANY 

CERTIFICATION MARK. Because you were presented with these terms at the time of exam scheduling 

and the decision to proceed was made by you, your Exam Application fee will NOT be refunded. 

You understand, acknowledge and agree: 

1. That (ISC)² has spent, and continues to spend, substantial sums in developing, keeping 

current, and administering its Exam Materials and carefully guards their integrity and 

confidentiality; 

2. That the Exam Materials are the exclusive and confidential property of (ISC)² and are 

protected by (ISC)²'s intellectual property rights; 

3. That you may not disclose the Exam questions or answers or discuss any of the content of 

the Exam Materials with any person without prior written approval of (ISC)²; 

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4. Not to remove from the examination room any Exam Materials of any kind provided to 

you or any other material related to the Exam, including, without limitation, any notes 

you may have written; 

5. Not to copy or attempt to copy any Exam Material; 

6. Not to sell, license, distribute, exchange, give away, comment or discuss the Exam 

Materials, questions or answers, whether before, during or after the Examination; 

7. Not to talk with other examinees or behave in a rude or disruptive manner during the 

Examination; 

8. You will not cheat, attempt to cheat, or otherwise attempt in any way to falsely enhance 

your score; and, 

9. You have met the requisite standards to take this Examination. 

You agree that your obligations under this Agreement shall continue in effect after the Examination 

and, if applicable, after termination of your Certification, regardless of the reason(s) for termination, 

and whether such termination is voluntary or involuntary. Any claim, issue, or cause of action arising 

out of or related to this Agreement, the Examination, or any Certification awarded, (“Claims”) shall 

be finally resolved by arbitration in accordance with the International Institute for Conflict Prevention 

and Resolution Rules for Non-Administered Arbitration by a sole arbitrator, who shall be qualified as 

an attorney at law with experience relevant to the dispute. The arbitration shall be governed by the 

Federal Arbitration Act, 9 U.S.C. §§ 1 et seq., and judgment upon the award rendered by the 

arbitrator shall be entered by any court having jurisdiction thereof. The arbitrator is not empowered 

to award damages in excess of compensatory damages, except in cases involving breach of nondisclosure 

or intellectual property, and each party expressly waives and foregoes any right to 

punitive, exemplary or similar damages unless a statute requires or permits that compensatory 

damages be increased in a specified manner. Arbitration shall proceed solely on an individual basis 

without the right for any Claims to be arbitrated on a class action basis or on bases involving Claims 

brought in a purported representative capacity on behalf of others. The arbitrator's authority to 

resolve and make written awards is limited to Claims between you and (ISC)² alone. Claims may not 

be joined or consolidated unless agreed to in writing by all parties. No arbitration award or decision 

will have any preclusive effect as to issues or claims in any dispute with anyone who is not a named 

party to the arbitration. 

Notwithstanding the foregoing, either party may file and prosecute an action for injunctive or similar 

equitable relief and the filing of such an action shall not constitute a waiver of the parties’ rights to 

require arbitration of any other dispute. Violation of any of these provisions may cause irreparable 

harm to (ISC)² for which monetary remedies may be inadequate, and (ISC)² may take all 

appropriate actions to remedy or prevent such disclosure or misuse, including, without limitation, 

obtaining an immediate injunction without being required to post bond. Furthermore, any violation 

7 






of these provisions may result in the immediate and permanent termination of your Certification at 

the discretion of the Executive Director. Neither this Agreement nor any right granted hereunder shall 

be assignable or otherwise transferable by you. This Agreement shall be construed in accordance 

with the laws of the Commonwealth of Massachusetts. This Agreement is supplemental to, and 

integrated with, the (ISC)², Examination Agreement. BY TAKING THE EXAMINATION, I AM AGREEING 

THAT I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND ACCEPT THE OBLIGATIONS 

IMPOSED UPON ME. NO PROMISES, THREATS, OR REPRESENTATIONS HAVE BEEN MADE TO ME TO 

INDUCE ME TO ENTER INTO THIS AGREEMENT. 

I ACCEPT THIS AGREEMENT VOLUNTARILY AND FREELY. 

3.0 (ISC)² CODE OF ETHICS 

All information systems security professionals who are certified by (ISC)² recognize that such 

certification is a privilege that must be both earned and maintained. In support of this principle, all 

(ISC)² members are required to commit to fully support this Code of Ethics (the "Code"). (ISC)² 

members who intentionally or knowingly violate any provision of the Code will be subject to action 

by a peer review panel, which may result in the revocation of certification. 

There are only four mandatory canons in the code. By necessity, such high-level guidance is not 

intended to be a substitute for the ethical judgment of the professional. 

Additional guidance is provided for each of the canons. While this guidance may be considered by 

the board of directors in judging behavior, it is advisory rather than mandatory. It is intended to help 

professionals identify and resolve the inevitable ethical dilemmas that they will confront during the 

course of their information security career. 

3.1 Code of Ethics Preamble: 

• Safety of the commonwealth, duty to our principals, and to each other requires that we 

adhere, and be seen to adhere, to the highest ethical standards of behavior. 

• Therefore, strict adherence to this Code is a condition of certification. 

3.2 Code of Ethics Canons: 

• Protect society, the commonwealth, and the infrastructure. 

• Act honorably, honestly, justly, responsibly, and legally. 

• Provide diligent and competent service to principals. 

• Advance and protect the profession. 

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3.3 Information Changes 

Members are required to keep (ISC)² informed of updates to their contact information as a 

requirement of certification. Changes to contact information may be submitted through the 

Member’s Website at (https://www.members.isc2.org) or by calling an (ISC)² regional office. 

(https://www.isc2.org/contactus ) 

3.4 Logo Usage Guidelines 

(ISC)² is a non-profit membership organization identified as the leader in certifying individuals in 

information security. All of (ISC)²’s certification programs are ANSI ISO/IEC 17024 accredited with the 

exception of JGISP, which is a regional certification. (ISC)² does not provide information security 

service but focuses on the training, education, and certification of information security professionals. 

Candidates who successfully complete any of the (ISC)2 certification requirements may use the 

appropriate Certification Mark or the Collective Mark, where appropriate, and the logo containing 

the Certification Mark or the Collective Mark, where appropriate (the “Logo”) to identify themselves 

as having demonstrated the professional experience and requisite knowledge in the realm of 

information systems security. Please see the following for more information on logo use: 

https://www.isc2.org/uploadedFiles/(ISC)2_Public_Content/Legal_and_Policies/LogoGuidelines.pdf 

3.5 Certification Disclosure 

As a certifying body, (ISC)² has a duty to the general public to verify those individuals claiming to 

hold its certifications. (ISC)² may make available to third parties and/or the general public 

information verifying your certification. This will be done in such a manner to minimize the amount of 

information disclosed about members, but still assure verification of a member’s certification. This 

may include listing the member’s name, region, and certification type in a public directory on the 

(ISC)² website, providing a listing of members’ name to employers’ upon the written request of your 

employer (if a member has so identified their employer in their member record), verifying the 

members’ possession of an (ISC)² certification to a telephone or e-mail verification inquiry. In no 

instance will any contact information (including telephone, e-mail or mailing address), financial 

information of any type, or any membership information be disclosed other than verifying 

members’certification. 

Correspondingly, in the event of decertification, you permit (ISC)² to notify third parties, as 

necessary, of your decertification, including if by breach of the Code of Ethics. 

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CBT Examination Registration Form - ISC

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