FUJ00232619 - RMGA Information Security Management System Manual

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FUJ00232619
FUJ00232619

RMGA Information Security Management System (ISMS) Manual

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Document Title: Fujitsu Services RMGA Information Security Management System

(ISMS) Manual

Document Reference: SVM/SEC/MAN/0003

Document Type: MANUAL

Release: Not Applicable

Abstract: An approach and framework to implementing, maintaining,
monitoring and improving information security on the RMG Account

Document Status: APPROVED

Author & Dept: CS Security

External Distribution: Sue Lowther

Approval Authorities:

Name Role Signature Date
Tom Lillywhite ciso T Lillywhite 21 July 2010

Note: See Royal Mail Group Account HNG-X Reviewers/Approvers Role Matrix (PGM/DCM/ION/0001)
for guidance.

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0 Document Control

0.1 Table of Contents

0 DOCUMENT CONTROL.........cscscsssesesssssssesesssnssssssssssesseseassesesceeenenseeseesenesessasacenee 2

0.1 Table of Contents

0.2 Document Control

0.3 Review Details

0.4 Associated Documents (Internal & External)
0.5 Abbreviations

0.6 Glossary

0.7 Changes Expected

0.8 Copyright

1 INTRODUCTION.

2 INFORMATION SECURITY POLICY...

3 — ISMS DOCUMENT STRUCTURE...........ccscscssssssssseseesessssteesessetscseseesseseseseeeeseee

OBJECTIVES OF THE ISMG..........cccccsesssssesssesssssssscsssesessssssrsesensensnessesesssseeeeecen

44 Objective Measures & Effectiveness

5 ORGANISATION AND SCOPE.........ccssessssssssssesesssseseesesesessesssesssssenseeeesasaesenees

5.1 RMGA Organisation

5.2 Management Commitment
5.3 Statement of Scope

5.3.1 Excluded from Scope:

5.4 Boundaries and Interfaces
5.5 External Parties

5.6 Other Fujitsu Business Units.

6 INFORMATION SECURITY RISK ASSESSMENT..........cccscssssssessessnsseseseneenenes

6.1 Risk Management Approach (Methodology & Tools)
6.2 Risk Treatment Plan

6.3 Risk Treatment Options

6.4 Statement of Applicability

7 ORGANISING INFORMATION SECURITY........s:ssssscsssssssesereseneesetssesessssenesenenseeee

NNNOOREND

i)

7.1.1 Information Security Management Review
7.1.2 Information Security Service Review
8 DOCUMENT AND RECORD MANAGEMENT..........ccscsscseseseesessereeseesessesseeeeeeeeee
8.1 Key ISMS Documents and Records
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KEY PERSONNEL.

1.1. Fujitsu Services RMG Account Director

1.2 Fujitsu Services RMGA Operations Director
1.3. Fujitsu Services RMGA Programme Director
1.4 Quality Manager

1.5 Chief Information Security Officer (CISO)
1.6 Staff Responsibilities

1.7 Other Responsibilities

10 COMPLIANCE AND REPORTING

10.1 1$027001 Compliance Audits

10.2 Reporting

10.3 Supporting Post Office Ltd Compliance
10.4 Legal Compliance

11. COMMUNICATION AND AWARENESS.

12 OPERATIONAL SECURITY.

12.1. User Administration

12.2 Administration of Changes

12.3 Acceptance into Service

12.4 Analyse Security Logs

12.5 Anti-Virus and Malicious Software Management
12.6 Security Incident Management

12.7 Cryptographic Key Management

12.8 Information Retrieval and Prosecution Support
12.9 Physical Access Control

13. BUSINESS CONTINUITY MANAGEMENT............
14 ELECTRONIC MAIL.
15 APPENDIX A - SITE, FUNCTIONS, STAFF.......

16 APPENDIX B - ASSETS.

25
25
26
26
26
26
27
27
27

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POST
OFFICE

0.2 Document Control

Version No. Summary of Changes and Reason for Issue Associated Change -
CPIPEAKIPPRR
Reference

on Initial Draft

02 19/02/08 Updated with information from service description

02 19/02/08 Issued for Review

1.0 30/04/08 Issued for Approval after updating with review comments

1A 30/04/09 Review Amendments

12, 14/12/09 Updates to reflect HNG-X

13 16/12/09 Risk Approach updates

14 Review and update

15 8/04/10 Update following review following organisational changes. And

initial meeting with BSI

16 01/06/10 Changes arising from Document Review

17 16/06/2010 Changes from Quality Review

18 24/06/2010 Additional Risk Management Changes

2.0 21/07/2010 Issued for Approval following review comments

0.3 Review Details

Review Comments by :

“GRO

Review Comments to : CISO & RMGADocumentManagemert_

Mandatory Review

Account Director Gavin Bounds
Operations Director James Davidson
Chief Information Security Officer (CISO) Tom Lillywhite
Service Director Gaeten van Achte
Programme Director Alan D’Alvarez
Commercial Director Guy Wilkerson
Security Services Manager Donna Munro
Quality Manager David Parker
Issued for Information - Please restrict this

distribution list to a minimum

Head of Information Security, POL ‘Sue Lowther
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( * ) = Reviewers that returned comments

0.4 Associated Documents (Internal & External)

Reference Version Date Title Source
PGM/DCM/TEM/0001 20 16-Apr- RMGA HNG-X Generic Master Dimensions
(DONOT REMOVE) o7 Document Template

SVM/SEC/PRO/0033 Risk Management Procedures Dimensions
SVM/SEC/MAN/0001 8.0 RMGA Statement of Applicability Dimensions
SVM/SEC/POL/0003 5.0 RMGA Information Security Policy Dimensions

Unless a specific version is referred to above, reference should be made to the current approved versions of the documents.

0.5 Abbreviations

IS Information Governance
ISMR Information Security Management Review
IsMS Information Security Management System
NCN Non-Conformity Notice
RMGA Royal Mail Group Account
ToR Terms of Reference
Fujitsu Fujitsu Services RMG Account,
ciso Chief Information Security Officer
RTP Risk Treatment Plan
IsP Information Security Policy
SOA Statement of Applicability
ARQ Audit Request Query
SLA Service Level Agreement
OLA Operational Level Agreement
0.6 Glossary

0.7 Changes Expected

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0.8 Copyright

© Copyright Fujitsu Services Limited 2010. All rights reserved. No part of this document may be
reproduced, stored or transmitted in any form without the prior written permission of Fujitsu Services.

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1. ‘Introduction

Information is an asset which, like other important business assets, has value to an organisation
and consequently needs to be suitably protected. Information security protects information from
a wide range of threats in order to safeguard customers and staff, ensure business continuity,
minimise business damage and maximise operational efficiency.

Information can exist in many forms. It can be printed or written on paper, stored electronically,
transmitted by post or using electronic means, shown on films, or spoken in conversation.
Whatever forms the information takes, or means by which it is shared or stored, it should always
be appropriately protected and is subject to the provisions of this policy document.

Information security is characterised here as the preservation of:

e Confidentiality: ensuring that information is accessible only to those authorised to have
access;

e Integrity: safeguarding the accuracy and completeness of information and processing
methods;

e Availability: ensuring that authorised users have access to information and associated
assets when required.

Information security is achieved by implementing a suitable set of countermeasures, including
policies, practices, procedures, organisational structures and technical measures. Therefore by
using an Information Security Management System (ISMS), this provides a systematic approach
to managing sensitive company information so that it remains secure. It also encompasses
people, processes and IT systems

2 Information Security Policy

1. The purpose of this policy is to define how Information Security is managed, within the
framework of this ISMS

2. The purpose of Information Security Management is to provide an appropriate level of
protection for information assets from relevant threats, whether internal or external,
deliberate or accidental. The implementation of this policy is important to maintain our
integrity as a supplier of services to stakeholders.

3. It is the policy of the RMG Account to ensure that:
a. The requirements of ISO27001:2005 are effectively addressed
b. Information will be protected against unauthorised access.
Confidentiality of information will be maintained.

d. Information will not be disclosed to unauthorised persons through deliberate or
careless action.

e. Integrity of information is assured through protection from unauthorised modification.
f. Information is available to authorised users when needed.

g. Regulatory and legislative requirements will be met.

h. Information security training will be provided to all staff.

4. This policy is set within the context of the ISMS and interfaces the following Fujitsu Services
Master Policies:

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Property and Physical Security [CPM3]
Legal Compliance [CPM6

Security [CPM20)

Intellectual Property [CPM21

Risk Policy [CPM27.

Business Continuity [CPM31

Fujitsu Services (UK & !) Security Manual

Any member of Staff failing to adhere to the Security Policy and associated procedures will
render themselves liable to disciplinary action in accordance with Fujitsu Conduct Guidelines

3 ISMS Document Structure

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mi>r>wz2ovzmodod

I OmMACOMOOAY & HM-O-r-OD

4

Superset

ISMS Policy/Objectives/Scope

Risk Assessment Methodology
Risk Identification “STREAM”
Risk Analysis
Risk Treatment Evaluation

Risk Register

atement of
Applicability

Audit Reports
Incident Reports

Education Records

Minutes...etc...ete

Information Security
Management Forum (ISMF)

Information Security Management
Review (ISMR)

Objectives of the ISMS

The objectives of the ISMS are to:

1. Provide an information security framework within which the programme is developed,
delivered and implemented to all relevant areas of the business;

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2. Provide an organisational and responsibility framework for security activities and
allocate security roles and responsibilities;

3. Identify risks associated with the provision of the POL Service, through formal risk
assessment techniques, and prioritise and implement appropriate controls and security

measures;

4. Ensure appropriate security and business continuity procedures and controls are in place
to support Services provided;

5. Provide a basis for review, governance, assessment and improvement of the ISMS;

6. Ensure that information security controls are appropriate to the sensitivity of the
information processed and stored;

7. Ensure contractual, legal & regulatory compliance across the scope of Service provision;
8. Identify the security awareness and education requirements for employees and

subcontractors.

41 Objective Measures & Effectiveness

No Objective

Measures

Measurement

4 I Amanagement system, based on an
information security risk approach,
exists to establish, implement, operate,
monitor, review, maintain and improve
information security.

Demonstrated through _the
ongoing maintenance of the ISMS
per registration to
1$027001:2008, under the
auspices of the Plan, Do, Check
Act cycle, and through the review
of audit coverage & results;
corrective actions; security
incidents; risk assessment and
reviews

Existing and management approved
information security management system,
based on a viable risk assessment
methodology (STREAM), with attendant
records

2 _ I Anorganisational framework has been
established, and approved by RMGA, to
identify and allocate security roles and
responsibilities,

Demonstrated through
appointment of appropriately
competent personnel identified;
who are in post (with relevant and
approved TORs)

The organisational framework is
under constant —senior
management review, with records
maintained by PMO and security
roles and responsibilities are
subject to regular review & update
by the ISMF and ISMR.

* Information Security Policy, approved by
Account Director (Version 5)

+ ISMR (Quarterly and Weekly) and ISMF
(Monthly) Minutes (8 senior managers invited)

+ PMO Records ~ 315 Personnel on Account

+ Personal Terms of Reference

3 _ I A formal risk management process has
been established whereby relevant risks
will have been identified, measured and
appropriate controls and
countermeasures implemented

‘Afully documented risk
management process including a
control framework, risk registers
and associated risk
treatment/security improvement
plans which are reviewed on a
regular basis.

Demonstrated through the risks
being reviewed on a regular (at
least monthly) basis as part of the
Business Review Process and
shown to be effective (+ risk
mitigations closed off); linkage to
managed change processes,
incident management and audit;

* STREAM risk assessment tool and
associated records.

+ STREAM Dashboard
+ Last risk assessment update May 2010.
* Monthly risk assessment meeting

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STREAM dashboard

4 I Controls relevant to the identified asset

risks are in place

Demonstrated through, for
example, the completeness of BC
plans, together with associated
review schedules/tests. Assigned
asset owners, asset registers,
test schedules and scripts which
are subject to regular review and
test (as applicable)

+ ISMS Document set

+ Approved Risk Management Process
(SVM/SEC/STD/0006);

+ STREAM Records in respect to asset
classes, asset owners, risks etc

5 I Aninformation Security Management
Forum (ISMF) has been approved and
established to oversee the review,

governance, assessment and
improvement of the ISMS

Demonstrated through schedule
(at least monthly) of meetings;

+ In RMG Account top level forum is the
Information Security Management Review —
records/minutes of quarterly and weekly
meetings; evidencing top management
commitment and attendance.

+ ISMR Terms of Reference

6 _ I A Statement of Applicability (SoA) has
been prepared that describes the control
objectives and controls that are relevant
and applicable to the organisation

The SoA, which can be affected
by changing business
circumstances, is reviewed at a
minimum on an annual basis, and
updated where applicable.

SoA Version 1 (Dimensions), managed
through STREAM updates

7 _I The handling of information will be in
strict compliance with all relevant
contractual, legislative and regulatory

requirements

Training, Awareness and
‘Communication programs are
established to ensure all
stakeholders are apprised of the
requirements. The requirements
themselves are visited on a
regular basis to ensure currency.

Demonstrated throught audit
results and incident reviews and
records of those who have
undergone Fujitsu services and
RMGA training

* RMG Account Security Communications
Plan (last review May 2010)

+ May/June 2010 Corporate Security CBT
Course - RMG Account recorded 94%
attendance

+ RMG Account Induction Course (all joiners)
approved and established by ISMR -
commences July 2010.

* Audit results of personnel security and
awareness highlighted incomplete

documentation only; no security reports
(2009/2010) indicate personnel security
failings leading to data loss/compromise

8 _ I Allpersonnel who are assigned
responsibilities defined in the ISMS
have documented records of training,
skills, experience and qualifications.

Demonstrated through
maintenance and regular review
of staff records to ensure
compliance with ISMS. Ongoing
CBT training is monitored and
reported, with relevant records
maintained. Appraisal processes
are designed to determine
training/skills needs

* Staff Records (inc training and
qualifications); appraisal system

5 Organisation and Scope

5.1 RMGA Organisation

The diagram below represents the RMGA Account organisation structure. Detailed organisation

charts are maintained by PMO.

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Account Director

5.2 Management Commitment

RMGA management is committed to Information Security. This is demonstrated by:

Finance
Sourcing Controller
[ ]
[Sales / MarketingI niet Technology}
I I I
Account Operations ‘Commercial Programme Programme
Management Director Director Director Office
Information , ‘Applications Infrastructure
Security LL [Service Transttion Delivery Ii Delivery
I
Service I : ;
Management ssc Test Delivery I_I I Design Authority
Migration I I Quality HNGRI HING RO
Governance {1} Management I
HNcR3 II I PoLsaP

approval of this ISMS Manual which describes the establishment, implementation, operation,
monitoring, review, maintenance and improvement of the ISMS;

approval of the RMGA Information Security Policy

e the provision of resources and approval of roles and responsibilities for information security,
including ensuring adequate skills and competencies;

*® an ongoing communications and awareness strategy; and

e Participation in the Information Security Management Review (ISMR) for the oversight of
information security, including risk management escalation and approval, internal audits and
the sponsorship of management reviews.

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5.3 Statement of Scope

The operation and maintenance of the Royal Mail Group Account (RMGA) on-shore
and off-shore services provided by Fujitsu to Post Office Ltd (POL) and incorporating
the Horizon on Line Service and POL Financial Systems (SAP and Management
Information). In accordance with the Statement of Applicability Version 8

(Associated sites, functions, staff and assets are recorded in Appendix A (15) and Appendix B
(16) respectively)

5.3.1. Excluded from Scope:

Activities, processing, and management carried out by PO Ltd users, or non-Fujitsu assets (not
managed by RMGA) located at PO Ltd sites, e.g. Post Office Branches, Mobile Offices or PO
Ltd. 3rd party sites.

PO Ltd. has a contract with Prism (a joint venture of CSC and BT). PO Ltd. also have a contract
with Fujitsu Services who's suppliers include BT. There is no overlap between the services BT
sell through Prism and those that they sell to Fujitsu Services.

Communications to Post Office clients; where such connections are the responsibility of PO Ltd.
or its clients as defined by the contract.

RMGA Services provided to RMG (Group rather than PO Ltd),

The Horizon service (predecessor to Horizon on Line) and the Wigan and Bootle Datacentres
since this service and locations are due to be decommissioned within the 1st half of 2010

5.4 Boundaries and Interfaces

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Fujitsu Services ae Fujitsu Services part of PO
Corporate Services eerese Ltd Service
eee . (Non Rio/Eric)
< ee . Managed Service Change
* Desktop Support (Corporate/ . Human Resources (Cpsnisbal chao G
‘ ee Bale) a . Commercial . Data centres (Own ISO 27001)
z ea a ( a pug . Triole for Service (TFS Helpdesk)
seat ae we * Infrastructure Services
‘ jee TERRE (Networks/OS/Databases
(Corporate/Core Print Services) ° Enaibeeting Suppers (coublers)
. Occupational Health (Health and 3 Legal (Contract and Compliance)
Safety) + Sourcing (Suppliers and Kit)
: Finance RMG
(Business Unit)
* Business
Development
5 RMG Account part of PO Ltd
RMG Account 3” Parties for a cevice Service p
PO Ltd Service delivery
Via RIO/ERIC from Core
: Infinite * Operations
+ EMC * Program
Touch * Architecture
+ BE * Design
+ Test
* Application development
* Deployment
* Fourth Line Support
RMGA sk ie
Boundaries

Data Centre and Networks hosts, manages and operates business critical IT systems for Fujitsu
corporate and customers’ businesses.

Fujitsu Group Properties manage the secure building environment and the supporting sub
components, such as the mechanical and electrical systems, resilience of the environment and the
management of building security including media destruction services.

Group Security provides the systems for a) security vetting, and b) the processing, analysis and
reporting of security incidents, including those pertaining to information security.

Human Resources provide the systems for ensuring starters and leavers are processed correctly thus
ensuring all relevant aspects of security are fulfilled, e.g. passes, laptop etc, issued and recovered.

Supply and Lifecycle Services manage and control the relationships with our key services suppliers.

Engineering Services provide advice and guidance as well as incident management and resolution on
servers, desktop and peripherals at a customer's site where such support cannot be provided remotely

5.5 External Parties

RMGA will create and maintain a register of external parties with connections to Services
provided to PO Ltd.

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5.6

In accordance with Section 6.4 of the RMGA Information Security Policy security requirements
must be agreed, documented and defined in agreements with any external parties, who require
access to RMGA information or processing facilities. This agreement may be in the form of an
external contract or internal operational level agreement.

Audits will be carried out periodically by RMGA to confirm that compliance to RMGA security
requirements. RMGA may accept SAS70 type II or BS! 1S027001 registration as evidence of
compliance all or part of the RMGA security requirements where the scope of the external audit
includes all aspects of services provided to RMGA.

In addition Section 10.8 of the RMGA Information Security Policy provides the guidance and
controls on the security requirements for exchange of information between external parties.

Other Fujitsu Business Units.

For the purpose of the RMGA ISMS other Fujitsu business units will be treated as external
parties as per section 4.5 above.

Information Security Risk Assessment

Risks shall be identified, assessed and reviewed as described below and shall be generally

managed in accordance with the Fujitsu Services Business Management System (BMS) Manage
Risk Process.

6.5 Risk Management Approach (Methodology & Tools)
Risk management is a continuous and iterative process which underpins the ISO27001
Risk ¢ }
Assessment Fes
ca Risk
‘Security Management
Requirements Plan Reports
Contractual v Initial Risk Profile
Requirements
Security Residual Risk
$8027001 Control Do ‘Act Improvements & Profile
Asignment Risk
Pcl DSS Scope of
Applicability
POL Policy and
Standards , Risk Treatment
Check Plans
Legislation ES
\ Control
\ Assessment
RMGA has selected the Acuity Stream risk management tool to manage:
e Risk Assessment;
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« Control Assignment;

« Control Assessment;

« Security Improvements and Risk Treatment and
e Risk Management Reporting and Dashboard.

The workflow for Acuity Stream is demonstrated in the diagram below

———_ I

=I

——— el

Rk

Repertng

Aeton ‘Treatment
Ban

beg had

Cheol Comptance Reporting

Information security risks are based upon the identified Information assets and supporting assets
of the functions / services within scope. A list of the identified asset classes can be found in
Schedule B.

66 Risk Treatment Plan

For all risks where the residual risk is identified within Acuity Stream as amber / red an action will
be recorded, for further containment to reduce the residual risk to an acceptable level. These
actions when consolidated into a report will be considered as the risk treatment plan (RTP).

The risk treatment report will identify for each risk requiring treatment:
e its pre-action data is recorded from the risk register;
e the risk option is decided
e risk treatment action[s] are determined and recorded;

* post action scoring is undertaken

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* next review / milestone dates are documented

The RTP is subject to regular review by the RMGA CISO/ISMF, in conjunction with the risk
owners.

6.7 Risk Treatment Options

There are several options available to senior management when considering what to do about
identified risks. The chosen option (or mix of management techniques) will depend on the
nature and level of the risk.

The key options are:
e Risk Acceptance:

For low-frequency, low-impact risks, where the cost of control is greater than the potential
risk, CU management will choose to accept such risks.

e Risk Avoidance:

Where an activity generates a risk, and the CU has the option to cease the particular activity
or to conduct the process in a different way, then they may choose to do so in order to avoid
the risk concerned.

e Risk Reduction/Mitigation:

Where the level of risk is unacceptable, management will employ controls in order to
manage that risk down to acceptable levels, either by mitigating the impact, or reducing the
vulnerability/likelinood. Lower impact risks will be kept under review to ensure that the trend
is not increasing, or the cumulative impact is not unacceptable.

e Risk Transfer:

In circumstance of potential catastrophic loss, with low probability (such as complete loss of
data centre), management will opt to transfer the risk to other parties, facilities or services.

6.8 Statement of Applicability
The ISMS Statement of Applicability illustrates the:
1) control objectives and controls selected together with the reasons for their selection;
2) control objectives and controls currently implemented; and

3) exclusion of any control objectives and controls and the justification for their exclusion.

7 Organising Information Security

The information security organisation within RMGA is, under the leadership of the Account
Director, through his role as chair of the RMGA Information Security Management Review

(ISMR). The ISMR is made up of a core membership representing key areas of the RMGA
account business..

Information security liaison between Post Office Ltd and RMGA is conducted through the
Information Security Forum (ISMF). Whose core membership comprises the RMGA CISO and
Post Office Ltd. Security Manager.

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The CISO is responsible to the Account Director for management of all information security
matters within the scope of the registration; He is also a member of both the ISMR and ISMF
and maintains contact with the Fujitsu Security Management Forum (SMF)

At Both the ISMR and ISMF information security reports, risks, metrics and incidents are
considered. The ISMR in addition is considered the acceptance body for RMGA account
security policies. Minutes are taken of actions and decision for both these forums and are stored
in Dimensions.

The CISO is a member of both forums and as such acts as liaison between both of these
information security oversight bodies.

In terms of precedent the ISMR is considered as the authoritative body for the RMGA account..

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SMB

‘Security Management Board
Corporate Policy
Risk

Engineering Board

eae Process Strategy

Metrics

!

en i}
SMF 1

Security Management Forum j
Risk
Incidents

T
n

Post Office Ltd.

ISMF
Joint RMGA/ POL Security Forum
POL Security Manager and
RMGA CISO

ISMR
RMGA Security Forum
‘Account Management
‘and CISO
+ Seourty reports
= Account policy
= Risk
= Metrics
- Incidents

. Director

\ Programme Operations
\ Director Director
1 Service
1 Director
t— ee Hae - iso
Reporting Lines
- ISMR Core Members
— — — ISMF Core Members
— — = Escalation within Fujitsu
RMGA Account

‘Securty Operations SOM

Risk and Compliance

Manangement

7.5.1

To ensure that areas of security risk or concern are assessed,

Information Security Management Review
, appropriate controls are defined

and effectively implemented and to manage levels of security risk to an appropriate level there is
a Management forum, the RMGA Information Security Management Review meeting. Objectives
and responsibilities of the meeting are documented in “Fujitsu Services RMGA ISMR Terms of

Reference (SVM/SEC/STD/0027)’. Also included in the document is a membership list, mode of

operation and deliverables
The RMGA ISMR is responsible for:

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e Approval for strategies and master policies supporting the Objectives.

e Identifying and reviewing metrics measuring the effectiveness of Security activities
across the RMG Account

* Ownership of ISMS Management Review Change Control processes

7.5.2 Information Security Service Review

Regular reviews of the RMGA Information Security Service are conducted through the ISMF
which is attended both by the RMGA CISO and the PO Ltd. Security Manager

8 Document and Record Management

All documents required by the ISMS are controlled through the Fujitsu Services Control of
Documents Policy

Records are established and maintained to provide evidence of conformity to requirements and
the effective operation of the ISMS.

8.5 Key ISMS Documents and Records

The following key documents support the ISMS:

Document Location Retention
Description
ISMS Manual (this Dimensions Life of the ISMS
document)
Statement of Dimensions Life of the iSMS
Applicability
RMGA Dimensions Life of the ISMS
Information
Security
Management
Forum TOR's
Risk Registers Dimensions Life of the ISMS
Risk Treatment Dimensions Life of the ISMS
Plans
Integrated Audit Dimensions Current year +1
Plan
Audit Reports Dimensions 7 years
Reports of Dimensions 7 years
Security Incidents
ISMF Minutes Dimensions Life of the ISMS
Information Dimensions Life of the ISMS
Security Monthly
Report
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9 Key Personnel

All staff have a responsibility to protect RMGA assets and some play a specific role in the
running and management of its ISMS.

Full details of key Fujitsu Services RMGA Security responsibilities are contained within the
Information Security Policy. In summary the key roles and associated responsibilities are as
follows:

9.5.1 Fujitsu Services RMG Account Director

The information security-related responsibilities of the Fujitsu Services RMG Account Director
include:

e Overall control and management of information security throughout the Fujitsu Services
RMG Account;

¢ Chairmanship of the ISMR
e Provision of adequate resources for information security;

e Appointing an experienced security professional responsible for managing and
coordinating security across the complete RMGA domain.

e Approval authority for the Fujitsu Services RMGA Information Security Policy;
e Establishing the information security interface with the customer; and
e Establishing the information security interface with all Fujitsu Services subcontractors

Senior management is supported by the Information Governance staff which consists of
experienced specialists with specific expertise in the areas of IT security and risk management.

9.5.2 Fujitsu Services RMGA Operations Director

The information security-related responsibilities of the Fujitsu Services RMGA Operations
Director include:

« Line management for the Chief Information Security Officer; (CISO);

« Ownership and overall control and management of operational security throughout
RMGA;

e Day to day management of security related risks;
e Chairing the RMGA Information Security Management Review Board;

e Acting as the approval authority for Royal Mail Group Account’s Security Procedures;
and

© Overall control of risk management and audit functions, including deciding the criteria for
accepting risks and the acceptable levels of risk.

9.5.3 Fujitsu Services RMGA Programme Director

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9.5.4

9.5.5

The information security-related responsibilities of the Fujitsu Services RMGA Programme
Director include:

« Ensuring that responsibilities and procedures for the management and operation of all
information processing facilities are established, documented and maintained; and

e Ensuring that changes to information processing facilities and systems are controlled.
Quality Manager

The information security-related responsibilities of the Fujitsu Services RMGA Programme
Assurance Manager include:

e Overall control of risk management and audit functions;

e Co-ordinating all audit related activities;

e Providing a point of contact for external audit personnel;

e Planning and carrying out audits of RMGA’s business functions; and

e Maintaining an integrated audit plan.

Chief Information Security Officer (CISO)

The CISO is responsible for the overall design of RMGA’s security control framework. The
CISO_ will lead the engagement with customer stakeholders with an interest in governance,
control and security matters. The CISO will ensure the responsibilities of the Information
Governance and Operational Security Teams are met. Full details are contained within
the “RMGA CISO Terms of Reference” (Ref SVM/SEC/STD/0026) and include:

Developing and publishing all security-related policies and guidelines applicable at RMGA level;
e Reviewing and approving information security policies and procedures owned and
implemented at business level;
e Providing a point of contact for POL Head of Information Security
Ensuring that security incidents are recorded and investigated;
Monitoring for compliance with the RMGA Information Security Policy;

Ensuring all RMGA Staff are screened in line with contractual requirements, FS Group Policy
and this policy;

Ensuring that security relevant events are recorded
Ensuring that system audit trails are analysed on a regular basis;
Defining the information security risk assessment approach of RMGA:

Analysis and evaluation of information security risks and evaluating options for the treatment of
tisks; and

Co-ordinating the implementation and operation of the Information Security Management
System.

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9.5.6

9.5.7

Staff Responsibilities

All RMGA Staff have an Information Security related objective to ensure awareness of their
security responsibilities and security procedures. Security Induction Training ensures all staff
know where to find security procedures, are familiar with their contents, and understand their
own responsibilities for compliance.

The information about which staff should be aware includes:

Physical security controls and visitor procedures

Clear desk policy, careful communications and storage

Protecting Fujitsu documents and media and protecting RMGA information
Reporting security incidents

Responsibilities for the protection of personal data

Acceptable use of Fujitsu equipment, Internet and email

Working at home and out of the office

eee eeee

Other Responsibilities

The following table identifies other key roles, responsibilities and, where appropriate, authority
levels and training requirements:

ROLE RESPONSIBILITIES AUTHORITY COMPETENCIES

Asset Owners Management & control of the Executive & line General ISMS
asset for which they have management Awareness + BMS
primary ownership

Line Management I Commitment to ISMS ISRB General ISMS
Reporting and investigation of Awareness + BMS.

security incidents, contribution
to BC plans, testing and lessons
learnt

10

Compliance and Reporting

10.5 1SO27001 Compliance Audits

In support of the 15027001 compliance requirements, and to provide ongoing assurance of
compliance, regular compliance audits will be conducted. As directed by the CISO, the scope
and terms of reference for each of these audits will be determined in advance and agreed with
the manager of the area(s) to be audited.

For each 1SO27001 control within the scope of the ISMS the following is reviewed:

Clear, accepted responsibility for the aspect of Information Security which is subject to that
control;

Confirmation from the organisation that the relevant control is in place, documented and
effective;

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Documentary evidence (records/logs etc. in either electronic or hardcopy format), which can be
inspected to confirm the controls are in place and functioning as intended. Inspection is on a
sampling basis.

All findings are logged on the Fujitsu Services Assessment Database and updated as action is
taken.

All audits will be carried out by suitably trained auditors with auditing qualifications e.g.
BS7799/1SO27001 Lead Auditor/ Auditor.

Audits are carried out as part of the RMGA Internal Audit Plan (PGM/PAS/PLA/0005). Additional
audits are carried out on a regular basis by the FS Manage Information Security Process
Champion and Fujitsu Services Business Assurance. As part of 15027001 registration,
independent external audits will be conducted as determined by the audit body.

10.6 Reporting

Information Governance staff provide a monthly Information Security Reporting Pack which
informs the Management Team, as an input to the Fujitsu Services RMGA ISMR, of RMGA
1SO27001 compliance status, results of audits and current risk status. It is intended that the
details contained in this report will expand over time. This includes reports from the Operational
Security Team such as a summary of the types and numbers of incidents that may impact on the
confidentiality, integrity or availability of RMGA systems.

A subset of this monthly report is included in the Service Review Book which is provided monthly
to the customer.

10.7 Supporting Post Office Ltd Compliance

The RMGA CISO is responsible for supporting Post Office Ltd in its compliance to information
security regulatory and contractual information security requirements, through:

e Achieving 1S027001 compliance and registration
e Ensuring agreed information security controls are managed and effective
« Completing security questionnaires from POL and any of its clients.

e Participating, following a formal written request from POL, in routine audits such as
those conducted by POL's Internal Audit team or as part of an overall audit of POL’s PCI
compliance.

10.8 Legal Compliance

The Fujitsu Servcies Corporate Legal Department monitors legislation which is applicable to the
Fujitsu UK & I business. They will provide information, advice and guidance to the UK & I
Divisions to ensure corporate compliance is maintained with statutory requirements.

Within Core Division, the Information Assurance Group publish and maintain the Fujitsu UK&l
Corporate Information Services Security Policy ( ITS/M1) and all of the related sub-policies
specific to the use of corporate assets and corporate network activity.

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ITS/17 provides a specific policy statement on the review of processes against current legislation
and standards and contains a link to a sub-document of the legislation and standards relevant to
IT processes.

11 Communication and Awareness

A programme of security awareness training, including Information Security overviews, is
provided to all new Fujitsu arrivals, as part of induction training. The service covers the
provision of periodic awareness activities as defined in the RMGA communications plan..

12 Operational Security

12.5 User Administration
The Operational Security Team will be responsible for:

e The administration, issuing and audit of Two Factor authentication used by system
administrators and support staff accessing the Live Service;

e Ensuring that Fujitsu users of POL Services are validated before being given access to
the live Service.

The Operational Security Service Delivery Manager is responsible for ensuring that these tasks
are carried out in accordance with the Security Policy and for authorising physical access rights
requiring strong authentication for secure access.

12.6 Administration of Changes

Operational Change Management is the responsibility of the Change Management Team within
Service Management.

The Operational Security Team is responsible for reviewing change requests and assessing the
impact of changes for compliance with Security Policy and Controls and for any impact on the
Confidentiality, Integrity and Availability of Services. They are supported in the technical aspects
of these assessments by the Technical Security Architect.

12.7 Acceptance into Service

Responsibility for accepting new Services rests with the Service Transition Management Team.
who are responsible for ensuring that new services identify their security requirements and that
the security elements of Acceptance into Service have been met.

12.8 Analyse Security Logs

The Operational Security team is responsible for providing a number of security event
management and firewall event analysis activities:

Managing and operating the audit mechanisms and security event management system
(including firewall events) to monitor, detect, track, record and report events that might threaten

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the security of the Service Infrastructure (security weaknesses). This includes the review of
security event filter to optimise performance;

Regularly analysing audit trails to identify trends and to assist the investigation of security
incidents/breaches;

Establishing and monitoring adequate firewall policies / rule bases based on the output of risk
assessments as appropriate;

Where potential attacks, or areas of vulnerability, are identified ensuring prompt investigation
and providing advice for any remedial action (as part of security incident management) to
minimise the impact of any security breach

Any successful attacks will be subject to the RMGA Customer Service Incident Management
Process.

12.9 Anti-Virus and Malicious Software Management

The Operational Security team provides a number of anti-virus and malicious software
management activities. For HNG-X, the updated version of Sophos cover malware as well as
anti-virus.

Managing the distribution of updated anti-virus software across the live estate to protect the
Services from malicious software, including regular DAT updates to identify and cleanse new
and emerging virus strains;

Configuring, and maintaining, alerting mechanisms and event filters to provide automatic
notification and prompt virus incident response (in accordance with security incident response
procedures);

Regular checking of emerging viruses and other malicious software to determine any required
defensive measures;

12.10 Security Incident Management

The Operational Security Team participate in the RMGA Customer Service Incident
Management Process (SVM/SDM/PRO/0018)and RMGA Customer Service Problem
Management Process (SVM/SDM/PRO/0025) with regard to Security related Incidents and
Problems.

The Operational Security Manager is the prime point of contact for information security related
events, incidents and breaches and is responsible for communicating relevant security incident
details to POL, as well as attending the monthly ISMF meeting to review information security
incidents.

12.11 Cryptographic Key Management

The Operational Security Team provide a key management service to control the certification
and distribution of cryptographic key material used to protect the confidentiality and integrity of
Post Office business data. This consists of three primary activities:

Managing cryptographic key suppliers;

Manual cryptographic key management - creating, distributing, auditing and replenishment of
manual cryptographic keys;

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Managing an automated Key Management System (KMS) - creating, distributing and
replenishment of cryptographic material as well as assisting support teams with error resolution
and problem management related to the KMS.

The KMS is a critical business system and as such is subject to service optimisation and the
provision of business continuity arrangements.

An actual, or suspected, compromise of any keys (including PIN Pads) will be treated as a
security incident and managed accordingly. In particular, key change mechanisms will be
invoked. If a key is identified compromised a corrective action plan will be carried out in
accordance to the agreed correct action response for that key.

An actual, or suspected, compromise of any keys (including PIN Pads) will be treated as a
security incident and managed accordingly. In particular, key change mechanisms will be
invoked.

12.12 Information Retrieval and Prosecution Support

The operational security team is responsible for the management of the day-to-day extraction of
transaction and event data from the audit system, the analysis of supporting information and the
provision of associated investigation / prosecution support. This requires close co-operation with
Audit and Investigation staff in Post Office Ltd, the provision of witness statements and reports,
and possible attendance at Court to give evidence.

Data extracted can be in response to either Transaction Record Queries, or Audit Record
Queries, including APOP Voucher Queries (Reference document SVM/SDM/SD/0017).

12.13 Physical Access Control

The Operational Security Team is responsible for the administration, issue and control of the
Fujitsu Services (Royal Mail Group Account) Ltd Horizon Security Passes. All staff who require
access to a Post Office branch to provide support and maintenance will need to be issued with a
Horizon Security Pass. The Horizon Security Pass allows employees of the Royal Mail Group
Account (RMGA) to be identified as those who have been successfully vetted by Post Office
Limited (POL).

13 Business Continuity Management

Comprehensive Business Continuity Management is in place within RMGA and associated
documentation can be found in Dimensions.

14 Electronic Mail

Information is transmitted in accordance with Fujitsu Services (and where appropriate POL)
policies and procedures for the use and management of email systems.

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15 Appendix A — SITE, FUNCTIONS, STAFF

Site Function Operational Unit No. of
Staff
BRAO1 3rd Line Support - ISP&DSL Network Operations 1
3rd Line Support - Voice Network Operations 1
NOSS Network Operations 1
BRAO1 9
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Total
Business Operations Datacentres 1
HOMg9 Business Operations Datacentres 2
Capacity, GE and Assss Datacentres 6
Data Centres HQ Datacentres 4
Regional DC North Datacentres 1
Sales Engagement Datacentres 1
Strategy and Development Datacentres 1
Data Centres & Networks HQ Datacentres & 2
Networks - HQ
3rd Line Support - FSBN, MWS & Network Operations 2
Shared La
3rd Line Support - Voice Network Operations 2
3rd Party Management - Direct Costs Network Operations 3
Network Operations HQ Network Operations 1
Network Security Support Network Operations 12
HOM99 37
Total
IRE11 Business Operations Datacentres 3
Regional DC North Datacentres 40
3rd Line Support - Northern Ireland Network Operations 7
Network Operations Centre - NI Network Operations 1
IRE11 51
Total
IRE19 Network Operations Centre - NI Network Operations 31
Location 3rd Line Support - Northern Ireland Network Operations 2
x
Network Operations Centre - NI Network Operations 1
Location 3
X total
Location Business Operations Datacentres 1
Y
Capacity, GE and Assss Datacentres 1
Location 2
Y Total
Grand x
Total
BRAO1 Service Delivery Service Delivery 5
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Management

BRA0O1 Service Support Service Delivery 9
Management

BRAO1 Operations Support Service Delivery 4
Management

BRAO1 Release Management Service Delivery 5
Management

STEO4 Service Delivery Service Delivery 2
Management

MAN34 Service Support Service Delivery 1
Management

BRAO1 Reference Data Service Delivery 7
Management

HOM99 Service Delivery Service Delivery 2
Management

BRAO1 Service Transition Service Delivery 4
Management

CRE02 Operation Business Change Service Delivery 6
Management

BRAO1 Commercial Commercial 2
Management

LON22 Commercial Commercial 1
Management

BRAO1 Finance Finance 4
Management

HOM39 Sales Business 1
Development

BRAO1 Account Management Business 2
Development

HOMs9 Architect Business 4
Development

BRAO1 Programme Management Business 1
Development

BRAO1 SSC/ Application Support SSC/ Application 25
Support

HOM99 Security Security & Risk 1
Management

WAR13 Security Security & Risk 1
Management

LON22 Security Security & Risk 1
Management

BRAO1 Security Security & Risk 1

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Management

LON22 Project Management Office (PMO) Project 1
Management

BRAO1 Project Management Office (PMO) Project 4
Management

BRAO1 Deployment Project 7
Management

BRA01 Delivery Project 8
Management

HOM99 Delivery Project 1
Management

BRAO1 Account Leadership CS Operations 5
TOTAL STAFF 345!

16 Appendix B - Assets

The Asset, together with owners, are documented within the Acuity Stream Database. All assets are
grouped by Asset Class. The table below contains the Asset Classes currently configured in Stream.
Details of full assets and their ownership can be output from Acuity Stream.

[ AssetClassName I Description
3rd Party 3rd Party organisation
3rd Party Service Services provided by 3rd Parties
Internal 3rd Party Other Fujitsu Business Units
Application Business & Support Applications
Customer Customer

‘ This figures fluctuates on a regular basis; staff are brought in for a specific item of work, quite short
term sometimes, and then leave the Account

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Counter

FS Corporate Systems
External Connection
Ops Function / Team
Non Ops Function/Team
ISMS

Location / Room

Post Office Counters

External Connections to 3rd Parties and Clients
Operational Functions / Teams

Staff with non operational roles

RMGA ISMS Scope

Locations - includes Rooms and facilities

Media Mobile Storage Devices of any kind

Network Communications Infrastructure

Organisation Organisational Unit

Platform Information System (Hardware and Operating System)

Pcl DSS PCI DSS Scope

Peripherals Other Peripherals Devices attached to platforms or end user devices

PinPad Counter Pin Pad for card payment

Site Buildings

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