Certificate Request
Name of Requestor: ______________________________________
Certificate Primary Contact: _______________________________
Certificate Secondary Contact: _____________________________
Department Name: ______________________________________
Department Email: _______________________________________
Name of Application: _____________________________________
Application URL: _____________________________________
Application Support Contact: _______________________________
Application Support Email: _________________________________
CICS Region Name: _____________________________________
Environment (Dev, QA, PROD) : ___________________________
Please submit your Certificate Signing Request (CSR) via an email attachment to
Mainframe@ucop.edu the CSR should be generated using a ‘Base64 encoded
PKCS#10’ format. All CSR must have the server domain name as the Common
Name in the distinguished name field. See the following signed format for each of
the required information fields in the CSR.
Common name (CN):
Must be server domain name
Title (T):
Name of application
Organization Unit (OU): Name of organization
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Organization (O):
UCOP or a campus name
Locality (L):
City where server is located
State/Province (SP):
California
Country (C):
US
To be completed by Mainframe Support
Completed By : ______________________________________
Userid Name : ______________________________________
Label Name: _______________________________________
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