Please provide the following information regarding the types and quantities of the examinations requested:
Part A - Company
Information |
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| Training Provider Company |
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| Training Provider Address |
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| Please enter the following information of the contact person: |
| Name |
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| Job Title |
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| Email |
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| Telephone number |
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| What is your requested timeframe for examination? |
| Exam Date (MM/DD/YY) |
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| Exam Time |
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Part B - Product Information |
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ITIL® Examinations: (Check all that apply along with specifying quantity requested for each)
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Foundation |
Quantity:
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Service Strategy* |
Quantity:
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Service Design* |
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Service Transition* |
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Service Operations* |
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Continual Service Improvement* |
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Operational Support & Analysis* |
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Planning Protection & Optimization* |
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Release, Control & Validation* |
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Service Offerings & Agreements* |
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Managing Across the Lifecycle* |
Quantity:
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Service Management based on ISO 20K Examinations:
(Check all that apply along with specifying quantity requested for each) |
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Foundation |
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Support of IT Services* |
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Control of IT Services* |
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Management & Improvement of IT Processes* |
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Alignment of IT and the Business* |
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Delivery of IT Services* |
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Consultant Manager in ITSM* |
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Executive Consultant Manager in ITSM* |
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Internal Auditor in ITSM* |
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Executive Auditor in ITSM* |
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Information Security based on ISO 27K Examinations:
(Check all that apply along with specifying quantity requested for each) |
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Foundation |
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Secure IT Services* |
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Governance, Risk & Compliance* |
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Secure Business Environment* |
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ISMS Consultant Officer* |
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ISMS Auditor* |
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*All of the examinations listed in BLUE above have prerequisites that must be proven prior to the exam. |
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| Please enter the following information of the examination location: |
| Company Name |
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| Examination Location Address |
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| Contact person onsite |
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| Email |
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| Telephone number |
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Part C - Services Requested |
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| (Check all that apply.) |
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Basic Level:
(Fee furnished upon request)
Approved administrator receives the exams via email, prints the exam package, proctors the exam session and returns the exams to TÜV SÜD for marking. Email pass/fail information will be available within 48 hours of TÜV SÜD receiving the exam package back for marking. The certificate will be sent within two weeks to the candidates via regular mail.
Please provide Proctor Name and email address below. If he/she has not proctored for TÜV SÜD before, they must sit for a one-hour training course prior to examination taking place, as well as provide an application and a copy of their resume. |
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| Please enter the following information of the Proctor: |
| Proctor Name: |
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| Proctor Email: |
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Professional Level:
(Fee furnished upon request)
Approved Administrator receives the exams via courier, proctors the exam and returns the exams to TÜV SUD for marking in a prepaid courier package. Email pass/fail information will be available within 48 hours of TÜV SÜD receiving the exam package back for marking. The certificate will be sent within two weeks to the candidates via regular mail.
Please provide Proctor Name and email address below. If he/she has not proctored for TÜV SUD before they must sit for a one hour training course prior to examination taking place as well as provide an application and a copy of their resume. |
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| Please enter the following information of the Proctor: |
| Proctor Name: |
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| Proctor Email: |
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Executive Level:
(Fee furnished upon request)
TÜV SÜD Invigilator arrives at the exam location, administers the examination, marks the examination on site, and provides the candidates with their pass/fail rates immediately. Certificates will be sent within two weeks to candidates via regular mail.
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| Please enter the following information of the Proctor: |
| Proctor Name: |
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| Proctor Email: |
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If you have any questions or concerns, please contact:
Tina M. Outerbridge-Moriarty
Account Manager
TÜV SÜD Academy
Mobile: 1-351-201-1081
Office: 1-978-573-2641
Email: touterbridgemoriarty@tuvam.com
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