Mastercard Derivative UI Review Currently or Previously Assessed UI Registration Number: Declaration of changes: New card Provide all new card artworks here for artworks? branding review: Modified or new Describe what have been changed in the functional flow? derivative UI Other changes? Describe what have been changed in the derivative UI and provide the related screenshots for review Mastercard evaluation conclusion (to be completed by Mastercard) Registration Number : UI Evaluation Decision : Approved Rejected Pending, more information required Approved with corrective action plan UI Comments & Restrictions: CDCVM Evaluation Decision: Approved Rejected Pending, more information required Comments & Restrictions: Date : Reviewer :
Derivative UI Mastercard Review Currently or Previously Assessed UI Registration Number: Declaration of changes: New card artworks? Provide all new card artworks here for branding review: Modified or new functional flow? Describe what have been changed in the derivative UI Other changes? Describe what have been changed in the derivative UI and provide the related screenshots for review Mastercard evaluation conclusion (to be completed by Mastercard) Registration Number : UI Evaluation Decision : Approved Rejected Pending, more information required Approved with corrective action plan UI Comments & Restrictions: CDCVM Evaluation Decision: Approved Rejected Pending, more information required Comments & Restrictions: Date : Reviewer :
Mobile%20Payment%20Application%20-%20User%20Interface%20Evaluation%20Form%20v1.6_V6.docx