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© Copyright 2012 GS1 AISBL All Rights Reserved. 1
MDID Assignment Request Form
An EPC Global Tag Identification memory bank shall contain an 8 bit ISO/IEC 15963 allocation class
identifier of E2h at memory locations 00h to 07h for EPC Global Applications. TID memory locations 08h to
13h contain a 12 bit Tag mask designer identifier (MDID) obtainable from EPCGlobal using this form.
Company: _________________________________________
Address:
________________________________________
City: _____________________________________________
Country: __________________________________________
Company Website: _________________________________
Product data sheets URL: ____________________________
Contact Person
First Name: _______________________________________
Family Name: _____________________________________
email: ___________________________________________
Tel: ____________________________
Upon receipt of this form EPCGlobal will assign two MDIDs to each mask designer, one with bit 08h set to one
and one with it set to zero and will publish all relevant information on its website at
http://www.epcglobalinc.org/standards/mdid/
After completion email the form to:
Date: _____________ Signature: ____________________________
