Application Security & Secure Code Review
Customer Details Name
Point of Contact
Developer
Query Application 1
Name of the Application
Type of Application Web / Mobile / Webservices
Standard (please provide vendor) /
Nature of Application
Custom
Description
Application Version
Programming Language used PHP
Framework used No framework
No 3rd party libraries on PHP / HTML
3rd Party Libraries used
shall have a few
Integration with 3rd Party API No 3rd party API
No of Pages / Screens 15-20 Screens
Lines of Code (Total) Approx 1000 LOC
Privilege Levels Admin, User
Testing Location Onsite / Offshore
Regulatory Standard requirements
Additional Information
Application Security & Secure Code Review
Contact Phone
Application 2 Application 3
Web / Mobile / Webservices Web / Mobile / Webservices
Standard (please provide vendor) / Standard (please provide vendor) /
Custom Custom
Onsite / Offshore Onsite / Offshore
Email
Application ..n
Web / Mobile / Webservices
Standard (please provide vendor) /
Custom
Onsite / Offshore
Infrastructure VA-PT
Customer Details Name Contact
Point of Contact
Administrator
# Query Customer Response
1 No of Internal IP addresses (Intranet)
Are internal IP address accesible from remote
1.1 Yes / No
via VPN
1.2 Number of Locations
Are internal IP addresses accesible from single
1.3 location Yes / No
2 No of External IP addresses (Internet)
3 Is authenticated testing expected? Yes / No
4 Hosting Type Cloud / On-Prem
5 Cloud Service Provider (If applicable)
6 No of Firewalls
Phone Email
Secure Configuration Audit
Customer Details Name Contact
Point of Contact
Administrator
Query Customer Response
#
Type Make Version
Servers
- Operating System
- WebServer
- Database
Security Devices
- Firewall
- IPS/IDS
- WAF
- DLP
- Proxy
Networking Devices
- Router
Add all varients of servers, devices on separate lines
Phone Email
Qty