PCI Security Standards Council®

PCI Professional Qualification Registration Form

If you are registering for PCIP requalification please do not fill out this form. You may access the requal registration by clicking here.

Please complete the fields below to register for PCI Professional training, exam only option or to opt-in to the program.
If you have any problems please email pcip@pcisecuritystandards.org

Fields marked * are required.



Your Information

First Name: *
Last Name: *
Primary Email: *
Secondary Email: *
Phone: *
Job Title:
Current Qualifications:
I currently hold this PCI SSC qualification and would like to Opt-in to the PCIP Program.
Company Name:
Industry Category: *
Country: *
Address Line 1: *
Address Line 2:
City: *
State / Province: *
Zip / Postal Code: *

Choose a Training Format

For more information on training formats click here.

A few more details:
My company is a Participating Organization

Want to save on training? Learn more about becoming a PO.
I have a Promotional code:
How did you hear about the PCIP Program? *

What Happens Next?

  • Once we receive your registration, we will supply you with log-in credentials to complete your online application.
    • Access PCIP online application through PCI SSC's secure portal: https://programs.pcissc.org
    • Complete PCIP application (Note: Attestation name, signature and date must be hand written)
  • Applicants will be notified via email of their application status within 2 days of submitting their fully completed application.
  • Following the approval of application, a training invoice will be emailed within 2-3 business days
  • Submit payment

If you have any problems please email pcip@pcisecuritystandards.org