Product Defect / Vulnerability Report Form

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Contact Point

Contact Point*	Product Defect Vulnerability If your report concerns a cybersecurity vulnerability that may lead to unauthorised access, information leakage, authentication bypass, communication tampering, or a similar issue, please select "Vulnerability". If your report concerns an ordinary fault, malfunction, performance issue, appearance defect, accessory defect, or a similar issue, please select "Product Defect".

Contact Point*

Product Defect Vulnerability

If your report concerns a cybersecurity vulnerability that may lead to unauthorised access, information leakage, authentication bypass, communication tampering, or a similar issue, please select "Vulnerability".
If your report concerns an ordinary fault, malfunction, performance issue, appearance defect, accessory defect, or a similar issue, please select "Product Defect".

Reporter Information

Name*
Email Address*
Verification Code*	*Please click "Send Verification Code" and enter the code sent to your email address.
Phone Number*
Organisation Name*
Department Name
Reporter's Role

Affected Product

Product Name*
Serial Number*
Country or Region of Product Installation/Use
Firmware Version / Software Version*	*If unknown, please enter "Unknown".
OS Version
Place of Purchase*
Purchase Date

Nature of Complaint

①Occurrence Details
Q1: What happened?*

An error was displayed The product does not operate / stopped operating The product behaves unexpectedly The display is abnormal Other

②Occurrence Conditions
Q2: Under what circumstances does the issue occur?*

Always occurs Occurs under specific operations/conditions Occurred only once Occurred once, was resolved, but has recurred Other

Q3: When did the issue start occurring?*

The issue has occurred since immediately after purchase The issue started during use, such as after an update Other

③Current Impact Level 1*

Business operations are completely stopped. The issue is inconvenient, but the product can still be used. The issue is minor and does not affect use. There is no actual impact, but it is a concern.

④Current Impact 2

Number of affected users

Previous enquiries received

⑤Workaround Availability

No workaround is available A temporary workaround is available The issue has been resolved by the user

⑥Steps to Reproduce the Issue*

⑦Free Description

When
Where
What you did
What happened

⑧Attach File*

Choose File Please select a file.

*PDF, PNG, JPG, MP4, TXT, SAV, and INI files only, up to 20 MB.

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Manufacturer
Product Name*
Serial Number*	If multiple units are affected, please provide the details for as many units as possible. If unknown, please enter "Unknown".
Firmware Version / Software Version*	Examples: Software revision 2.x etc. *If unknown, please enter "Unknown".
Discovery date
Vulnerability Type*	Examples: OS command injection, buffer overflow, information disclosure, denial of service (DoS), etc. *If unknown, please enter "Unknown".
Vulnerability Details*	0 / 1000
Is the vulnerability being actively exploited?	Yes - confirmed in the wild application (trigger CRA Notification) Yes - proof of concept exploit publicly available No active exploitation known
Steps to Reproduce the Vulnerability*	0 / 1000
Reproduction Frequency*	always (100%) usually (90%) often (70%) sometimes (50%) rarely (15%)
Severity Assessment	Critical High Medium Low Unknown
Attach File*	Choose File Please select a file. *PDF format only, up to 20 MB. If the information provided above is insufficient, please attach a PDF file containing the following information: 1) Additional details of the vulnerability and reproduction steps that could not be entered in this form 2) Potential threats arising from the vulnerability 3) Workarounds 4) Proof-of-concept code 5) Severity rating (CVSS v3) 6) Other supplementary information

Organisation / Individual*	Organisation Individual
Name*
Organisation Name*
Business Sector*
Department Name
Position
Phone Number*
Email Address*
Verification Code*	*Please click "Send Verification Code" and enter the code sent to your email address.
Country or Region of Product Installation/Use
Request Anonymity	Yes *If you request anonymity, we will make reasonable efforts to respect your request. However, please note that, as stated in our CVD Policy, we may not be able to process your report.

Product Defect / Vulnerability Report Form

Contact Point

Reporter Information

Affected Product

Nature of Complaint

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Reporter Information

Vulnerability Information

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