DECLARATION I, the signed Name Other names Surname: PIN , ID card issued on / / by valid until / / Address of residence town , str. In the capacity of: DECLARE: 1. I have read the requirements of the EDESA and the subdelegated legislation on its application, as well as the rules implemented in the User’s Manual of the Certification Services Provider SPEKTAR AD, Sofia. 2. I agree to take all necessary actions for the issuance and management of a certificate in the meaning of articles 24 and 33 of the EDESA with OWNER – 3. The technical means, software, communications and procedures which I use in distant generation of the private/public key pair are sufficiently secure and reliable and comply with the requirements of the EDESA. In case of security breach I shall immediately inform the certification services provider – SPEKTAR AD, Sofia. 4. I have changed the initial personal code for access to the system of the certification services provider SPEKTAR AD, Sofia. The new personal code, which I have personally changed, in accordance with the security requirements of the certification services provider SPEKTAR AD, Sofia, is known only by myself and I pledge to keep it secret. 5. I shall keep the private key during the whole period of validity of the certificate in a way which protects it from discredit, loss, disclosure, modification and unauthorized use. DECLARER: Spektar Org Revision: 1 / 31.01.06 ® Form 15 Signatory’s Declaration 1 , , , as well as an indication of its nationality 1 and Certification Services Provider – SPEKTAR AD, Sofia and to be the SIGNATORY of electronic messages on behalf of the OWNER. 6. I agree the certification services provider SPEKTAR AD, Sofia to collect, keep and process my personal data. I am aware that the certification services provider SPEKTAR AD, Sofia will use them for its purposes as a provider of certification, cryptographic and consultant services; will process and keep them in electronic format and on paper; the data can be given to the CRC; access to the personal data for application for changes is through the Provider at the address given at the internet website of the Provider: http://www.spektar.org or date of birth: