PCI Security Standards Council®

Qualified Integrator and Reseller Registration Form

If you are registering for QIR requalification, please do not fill out this form. You may access the requal registration by clicking here. If you need further assistance, please email qir@pcisecuritystandards.org

Please complete the fields below to register for the QIR program.

Fields marked * are required.



Your Information

First and Last Name provided should match government-issued ID.

First Name: *
Last Name: *
Primary Email: *
Secondary Email: *
Phone: *
Job Title: *
Country: *
Address Line 1: *
Address Line 2:
City: *
State / Province: *
Zip / Postal Code: *
Company Name: (if applicable)
Website: (if applicable)

More details

Portal Access
Choose: *
How did you hear about the QIR Program? *

What Happens Next?

  • Once we have reviewed and approved your registration, we will supply you with log-in credentials to complete the online application process.
  • Access the QIR online application through PCI SSC's secure portal: https://programs.pcissc.org
    • Review and accept the QIR Agreement
    • Complete and submit your QIR Professional Application
  • Following the approval of your professional application, a training invoice will be emailed within three (3) business days, and you will receive an email with credentials to access the QIR eLearning course. Access to the online exam will be granted once payment has been received.

If you have any questions, please email qir@pcisecuritystandards.org