BCR CYBER PENETRATION TESTER TECHNICAL PROFICIENCY ACTIVITY REGISTRATION

Company Information

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A2LA Cert. #

Are you registering for a remote or in-person exam?

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Please enter your contact information below:

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Penetration Tester Information

Assessor - Primary Contact?

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Last Name

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Penetration Tester Certification Requirement. Hold the ctrl key on your keyboard and click on each applicable certificate. (Note: Only 1 certification from the list required):

Please enter the license number(s) for the certificates your selected above: (For example, "CISSP #123456, CISA #7890")

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Contact Type

Assessor Status