现在申请加入TIP.doc

Technology Innovation Program Merchant Participation Application (Visa Client Name) (Visa Business ID) (Merchant Company Name) (Merchant Country) (Date) Instructions for Submission Visa acquirer must complete all applicable sections and submit application to local Visa Payment System Risk team. Note: Incomplete applications or those submitted for merchants not meeting criteria will not be accepted. Merchant Level: Level 1 (check one) Level 2 Level 3 Level 4 Visa Client Confirms: 1) Merchant validated PCI DSS compliance. YES NO (Validation is not a condition for approval.) 2) Merchant confirmed that sensitive authentication data (i.e., full contents of magnetic stripe, CVV2 or PIN data) is not stored on any system subsequent to transaction authorization. 3) Merchant has not been involved in breach of cardholder data. 4) At least 75% of merchant’s transactions originate through one of the following secure acceptance channels: Enabled chip-reading terminals1 (U.S. merchants must use dual interface terminals) % of transactions Validated2 Point-to-Point Encryption (P2PE) Solution % of transactions P2PE Solution Name: 1 Chip-enabled terminals must have current, valid EMV approval and pass Acquirer Device Validation Toolkit (ADVT) / Contactless Evaluation Toolkit (CDET) / Visa payWave Test Tool (VpTT) testing requirements, as applicable. 2 Point-to-Point Encryption solution must be included on PCI SSC’s list of validated solutions or validated by a PCI SSC Qualified Security Assessor P2PE Company. (Signature of Visa Acquirer Officer) (Date) (Acquirer Officer Name) (Title) Discontinuation of the PCI DSS validation exercise is granted at Visa’s sole discretion. All merchants remain required to maintain PCI DSS compliance. Acquirers retain full responsibility for merchants’ PCI DSS compliance, as well as responsibility for any fees, fines or penalties, which may be applicable in the event of a data breach. Visa reserves the right to require full PCI DSS validation of compromised entities or any entity that is determined to present a risk to the Visa system. Program participation may be rescinded in the event participant is determined not to meet all program requirements.