5. Postal code of the Owner’s management address 4. Management address of the Owner 3. Name of the Owner 2. Work E-mail of the Administrator Spektar Org ® Revision: 1.4/29.01.08 Form 2.6 Application form for Spektar WebServerNonUniversal Certificate FORM 2.6 APPLICATION APPLICANT REGISTRATION NUMBER given at registration on the certification services provider’s website To be filled in by the Date / / ã. Spektar WebServerNonUniversal Certificate ². Electronically certificated information FIELD CONTENT 1. Name of the Server-FQDN www.spektar.org for example for example for example: str,¹,block,entr,town webmaster@spektar.org Spektar AD Karnegi 11A,Sofia 1 for example Please use Latin letters: 6. Country UK for example

2 II. Additional data concerning the SIGNATORY, which are not certified electronically Permanent address as in ID card: Region , country town str./quarter , ¹ , block , entr. , floor , app./flat Postal code ID card ¹, date of issue (dd,mm,yyyy), valid until ¹ , issued on 20 , valid until 20 III. Additional data concerning the OWNER Responsible Person Invoice addressee Contact phone number of the invoice addressee IV. Information for additional identification/check The PROVIDER uses this password (between 4 and 8 symbols) for authentication in case of forgotten log in password in the personal profile and in case of application for termination of the certificate. Password For example: R2DI5N78 Owner’s SIGNATURE: . . . . , Spektar Org ® Revision: 1.4/29.01.08 Form 2.6 Application form for Spektar WebServerNonUniversal Certificate Name in full, Personal Identification Number of the Administrator or date of birth (yymmdd) Work phone number of the Administrator *Reason for representative powers Capacity notary public No Document No dd/ / , /mm /yyyy