QUESTIONNAIRE TO ASSIST PREPARATION FOR AN ISMS CERTIFICATION

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: 1 of 7 Questionnaire to prepare for a Certification Audit for Information Security Management Sytem (ISMS) 1 Purpose With the help of this questionnaire you can provide a detailed description of your company. The questionnaire will be used by the certification body to establish whether the prerequisites of a certification audit have been fulfilled. It is either filled in by the company and/or completed by the auditors during the stage 1 audit. 1.1 Company Data Please enclose company brochure. Company Address Contact Person QM Representative Telephone Fax 1.2 Company Structure Extension Email Legal Form Multi sites certification? List or name of sites: Industrial Sector Main Products/Services Shift Operation? Temporary sites (i.e installation sites, project locations etc.) :

: 2 of 7 Number of employees at the following locations: Shift 1 Shift 2 Shift 3 Research / Development / Design Production Administration Quality/Testing Maintenance Marketing HRD IT... Total an organisational chart of the entire company or the organisational units to be audited has been attached yes no Have you received consultancy services? yes no If yes, by whom? Is the Information Security Management System integrated in an existing management system? If yes, in which? Is there a separate manual for the Information Security Management System an integrated management manual for all systems (QMS,EMS and ISMS)? Is there a group wide manual? yes no not applicable Have the manuals of the subsidiaries been derived from the group manual? yes no not applicable What type of audit are you interested in? a certification audit according to ISO 27001 : 2013 a certification audit of an integrated management system (QMS,EMS & ISMS) a certification audit of combined with audit of other management system (QMS&EMS) not yet decided Scope of The Information Security Management System Total site Number :... Sites Interested in Multisite/Sampling Certification Not interested in Multisite/Sampling Certification

: 3 of 7 Which organisational units are to be certified? Organisational Unit Entire company including all locations and branches Entire company except the following organisational units/locations/branches Only the following organisational unit(s): For how long has the ISMS been practised? Please state your requirements for the certification date? Do you request a pre-audit? yes no Please submit the documents listed below are already on hand? Document Type Management review report Remarks (e.g. document title, revision etc..) Internal audit report Information Security policy Information Security objectives Information Security planning Quality manual Statement of Applicability Please also answer the questions in Annex 1 and Annex 2, Signed by: Place/Date Stamp/Signature

: 4 of 7 ANNEX 1 MULTISITE CERTIFICATION The following questions only need to be answered if your management system covers several locations, sites or branches which should be covered by the certification: The completion of these questions allows us to determine whether the multi-site certification procedure may be used for the audit. List of Site Head Office Total Employees In Scope Location Site 1 Site 2 Site 3 Site 4 Etc... Shall all locations / sites/ branches listed above of this questionnaire be included in the certification? Do all locations / sites/ branches operating under the same ISMS, which is centrally administered and audited and subject to central management review? Yes no partially Have all locations / sites/ branches been subject to a complete internal audit, and are the results of these audits available? Are there any differing legal requirements for all locations / sites/ branches? Are there any variation of design & operation of controls and activities undertaken for all locations / sites/ branches? Is there potential interaction with critical information system or information system processing sensitive information for all locations / sites/ branches?

: 5 of 7 ANNEX 2 ISMS SCOPE COMPLEXITY Please answer the customer data and customer description on the table below to classify the ISMS scope complexity. data (H / M / L) description Complexity factor # of sites (head and branch offices) Category High (H) Medium (M) Low (L) >= 5 >= 2 <=1 Complexity of the ISMS (Processes and tasks) Complex processes; many units included in scope; (high number of products and services) Standard but non-repetitive processes; (high number of products and services) Standard processes with standard and repetitive tasks; (few products and services) The type(s) of and regulatory. High risk with (only) limited regulatory requirements. Organisation works in critical sectors. High regulatory requirements. Organisation has costumers in critical sectors. Low risk without regulatory requirements. Previously demonstrated performance of the ISMS. No other MS implemented at all, ISMS is new and not established Some elements of other MS are implemented, others not ISMS is already is well established and/or other MS are in place. IT infrastructure complexity: # of IT Assets (server, workstations, PCs, network, external interfaces, smartphones,...) Few or high standardized IT platforms, servers, OSs', databases, networks, >5000 Several different IT platforms, servers, OSs', databases, networks, >500 Many different IT platforms, servers, OSs', databases, networks, >50 Extent of outsourcing and third party (including Cloudservice) High dependency on outsourcing or suppliers with large impact on important activities; or unknown amount or Several partly managed outsourcing No outsourcing and little dependency on suppliers; or well-defined, managed and monitored outsourcing

data (H / M / L) description Complexity factor Category : 6 of 7 High (H) Medium (M) Low (L) extent of outsourcing; or several unmanaged outsourcing Outsourcer has a certified ISMS. Relevant independent assurance reports are available. Information System developement Extensive inhouse or outsourced system and application development for important purposes Some inhouse or outsourced system and application development für some important purposes None or very limited inhouse system and application development Total number of sites and number of Disaster Recovery sites High availability requirements e.g. 24/z services. Medium or High availability requirements and no or one DR site Low availability requirements and no or one alernative DR site. For survailance or re-certification audit and only in case of changes of the organization or the Scope: Is the extent of changes relevant to the ISMS iin accordance with notices changes by the certified client? Major changes in scope or SoA of ISMS, e.g. new processes, new units, areas, risk assessment management methodology, policies, documentation, risk treatment, Minor changes in scope or SoA of ISMS, e.g. some policies, documents, etc. No changes since last (Re)- certification audit.

Evaluation by the Certification Body : 7 of 7 1. Company details complete? ο yes ο no ο Remarks / additionally required information: 2. Attached documents complete? ο yes ο no ο Remarks / additionally required information: 3. Implementation and application of the management system sufficient? (Based on the results of the details given in the annex) ο yes ο no ο Remarks / additionally required information: 4. In case of multisite certification Number of sample site need to be audited: sites Jakarta, Place / Date Auditor / Head of CB Signature