European IP Address Space Request Form
                                              Caslav, Kuehne, Orange

                ____________________________________________________




                       European IP Address Space Request Form

                          P. Caslav, M. Kuehne, C. Orange

                               Document ID: ripe-141
                      Obsoletes: ripe-128, ripe-137, ripe-138


                            See also: ripe-159, ripe-142





    Overview


                This document contains the set of templates to be
                used when submitting an IP assignment request. This
                set of forms must be used by Internet Service
                Providers when submitting a request to the RIPE NCC.
                It may also be used by ISPs to collect information
                from those managing the networks that will use the
                address space. Instructions for filling out the tem-
                plates are found in the accompanying document "Sup-
                porting Notes for the European IP Address Space
                Request Form (ripe-142).

                Internet Service Providers: Submit the form via e-
                mail to "<hostmaster@ripe.net>."  (If the ISP is not
                a Local Internet Registry, the form should be sub-
                mitted to the upstream provider.)

                Network Administrators: Send the form to the Inter-
                net Service Provider from which you received it.


                     Warning (If submitted to the RIPE NCC):
                     Requests that are sent to the RIPE NCC which
                     lack a proper Registry Identifier (X-NCC-RegID)
                     will be returned to the sender. Please include
                     the Registry Identifier in the header of the
                     message or at the top of this form.
                      Further, any modifications to the templates
                     may result in a delay in handling.





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                ripe-141.txt                                  Page 1
                              European IP Address Space Request Form
                                              Caslav, Kuehne, Orange

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                     X-NCC-RegID:


    I. General Information

                #[OVERVIEW OF ORGANIZATION TEMPLATE]#







                #[REQUESTER TEMPLATE]#

                name:
                organisation:
                country:
                phone:
                fax-no: (optional)
                e-mail:

                #[USER TEMPLATE]#

                name:
                organisation:
                country:
                phone:
                fax-no: (optional)
                e-mail:

                #[CURRENT ADDRESS SPACE USAGE TEMPLATE]#



                                                     Addresses Used
                Prefix        Subnet Mask      Size  Current  1-yr  2-yr  Description
















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                ripe-141.txt                                  Page 2
                              European IP Address Space Request Form
                                              Caslav, Kuehne, Orange

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    II. The Request

                #[REQUEST OVERVIEW TEMPLATE]#

                request-size:
                addresses-immediate:
                addresses-year-1:
                addresses-year-2:
                subnets-immediate:
                subnets-year-1:
                subnets-year-2:
                inet-connect:
                country-net:
                private-considered:
                request-refused:
                PI-requested:
                address-space-returned:

                #[ADDRESSING PLAN TEMPLATE]#


                Relative                          Addresses Used
                Prefix#   Subnet Mask      Size  Immediate   1yr   2yr   Description






























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                ripe-141.txt                                  Page 3
                              European IP Address Space Request Form
                                              Caslav, Kuehne, Orange

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    III. Database Information

                #[NETWORK TEMPLATE]#

                inetnum:
                netname:
                descr:
                descr:
                country:
                admin-c:
                tech-c:
                status:
                mnt-by: (optional)
                notify: (optional)
                changed:
                source: RIPE

                #[PERSON TEMPLATE]#

                person:
                address:
                address:
                address:
                e-mail:
                phone:
                fax-no: (optional)
                mnt-by: (optional)
                notify: (optional)
                nic-hdl:
                changed:
                source: RIPE

                #[TEMPLATES END]#




















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                ripe-141.txt                                  Page 4
                              European IP Address Space Request Form
                                              Caslav, Kuehne, Orange

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    IV. Optional Information:




















































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                ripe-141.txt                                  Page 5