Please select the type of systems in scope for testing
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Web Application
Mobile Application
Network (Internal/External)
Social Engineering Assessment
Other
What type of testing needs to be performed?
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White Box
Grey Box
Black Box
Not Sure
Other
List all the domain names and/or IP address blocks registered to your organization:
List all the domain names registered to your organization:
Do we need to perform a configuration audit on the Switches/Routers/Firewalls?
Yes
No
Not Sure
Does your organization have any dedicated connections to other organization’s networks (vendors, business partners or customers)?
Yes
No
Not Sure
If Yes, please list all dedicated connections to other networks:
Does your organization use any remote access services?
Yes
No
Not Sure
If Yes, Specifically, what type of remote access services does your organization use (VPN or Dial-Up RAS)?
Does your organization use site-to-site Virtual Private Network (VPN) tunnels?
Yes
No
Not Sure
If Yes, how many site-to-site VPN tunnels are in use?
How many Microsoft Windows servers does your organization use?
Less than 10
10 to 50
More than 50
Not Applicable
How many Unix servers (AIX, HPUX, Linux, Solaris, etc.) or VMs does your organization use?
Less than 10
10 to 50
More than 50
Not Applicable
List any servers with operating systems other than what is listed above. Please include quantities and list specific operating system versions/distributions.
What other application(s) to be included as part of testing?
Is the payment gateway integrated with the in-scope systems?
Yes
No
Not Sure
What database technologies does your organization use? Please include a brief description of the purpose of each.
What type of authentication do you use for your web services?
Post implementation testing required to validate fixes ?
Yes
No
Not Sure
Provide access information to your web application. Preferably a basic level user account to use for authenticated testing.
Is there anything out of bounds in regard to the scope of the project?
Testing activity has to be conducted one time or recurring ?
One Time
Recurring
Not Sure
If recurring, once in how many months?
Months
Required Deliverables(Select all that apply)
VAPT Report
VAPT Report (Including All Testing Results)
Customer Attestation Report
Presentation
CONTACT INFORMATION
First Name and Last Name
*
Your Organization Name
*
Preferred Method of Contact:
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Phone
E-mail
Contact Phone Number
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Your e-mail address
*
Is your organization subject to any specific regulatory requirements?
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