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McAfee License Review and Certification Form

Please email this completed form and your ePO report to moleshree_juneja@mcafee.com
On the behalf of [ACCOUNTNAME], I _________________________ (name) certify, I have conducted the McAfee Product Deployment Reporting for all users within the organization that would benefit from the functionality of the McAfee applications, regardless of ownership. I also represent that I will retain the results of this review for a period of three years after the review date. Are the ePO reports/certification run for India/ Bangladesh / Sri Lanka / Pakistan ? __________________________________________________ Please list all company names/entities that this ePO reporting and certification includes? ______________________________________________________________________ _____________________________________________________________________ Review date: _________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________

If you require more space, please include additional product deployment counts on a separate page.

Manual Certification (AntiVirus, Spyware, HIPs, LinuxShield, PortalShield, Groupshield): If you do not use ePO to manage your deployment of McAfee products, McAfee will accept reporting from a third party audit tool you are currently using. No McAfee products may be removed or redacted from the third party report. The report should provide summary information regarding total nodes deployed for each product, or provide details to determine a total deployment count. If you do not use any deployment management tool, please complete this manual certification section providing total node counts installed for all McAfee products installed. Name of third party audit tool used, if applicable: _____________________________ Version number of third party audit tool used: ________________________________ Review Date: _____________________________________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________

If you require more space, please include additional product deployment counts on a separate page.

McAfee License Review and Certification Form

Non-ePO Related Product Certification: If you are using any additional non-ePO related McAfee products such as Safeboot, Foundstone, DLP, EBusiness etc. please manually certify license usage. Provide any third party reporting relative to results: Review Date: _____________________________________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________ Product deployed: ____________________________ Total Number of nodes installed for this product: ________________________

If you require more space, please include additional product deployment counts on a separate page.

CERTIFICATION ACKNOWLEDGEMENT: Print name of person certifying: _________________________________________ Signature of person certifying: __________________________________________ Phone number: _________________________ Email address: __________________________