User Interface Details: Company Legal Name Company Address (including Country and ZIP/Postal Code) Contact Name Contact Email Address Contact Telephone Number User Interface Name and Version Ver. Solution Type Cloud based SE based Card artworks are provisioned by MDES? Label Wallet? Single or Multiple cards wallet implementation? Co-badge support? (complete section 4) Registration number, CCS or LoA of previously registered/approved MPA/eSE/UICC (if any) Is this UI based off of another currently or previously assessed UI? (complete the “Derivative If please proceed to . “Yes”, UI” section only)
User Interface Details: Company Legal Name Company Address (including Country and ZIP/Postal Code) Contact Name Contact Email Address Contact Telephone Number User Interface Name and Version Solution Type Card artworks are provisioned by MDES? Label Wallet? Single or Multiple cards wallet implementation? Co-badge support? (complete section 4) Ver. Cloud based SE based Registration number, CCS or LoA of previously registered/approved MPA/eSE/UICC (if any) Is this UI based off of another currently or previously assessed UI? (complete the “Derivative UI” section only) If “Yes”, please proceed to .
Mobile%20Payment%20Application%20-%20User%20Interface%20Evaluation%20Form%20v1.4.docx