IPv6 First Allocation Request Form

% IPv6 First Allocation Request Form

% RIPE NCC members can use this form to request their first IPv6 Allocation.
% Please see http://www.ripe.net/ripe/docs/ipv6-first-alloc-support.html
% for instructions on how to complete this form.

#[GENERAL INFORMATION]#
%
% Please add your RegID.

request-type: ipv6-first-alloc
form-version: 1.1
x-ncc-regid:

#[REQUESTER TEMPLATE]#
%
% Please add your contact details.

name:
phone:
fax-no:
e-mail:
nic-hdl:

#[REQUIRED INFORMATION]#
%
% Do you accept the IPv6 Address Allocation and Assignment
% Policy? (Yes/No)

confirmation:

% If you have any online information about your future
% IPv6 services, please add the URL below.

website:

#[OVERVIEW OF ORGANISATION TEMPLATE]#
%
% Please add a short description of your organisation.

org-description:

% If your organisation has IPv6 allocations from any of the Regional
% Internet Registries (RIR), please list the ranges below.

other-allocation:

% Will the whole organisation use the requested allocation? If
% another part of the organisation will request separate IPv6
% address space from any RIR, please inform us below. (Whole/Part)

for-whole-or-part-of-the-organisation:

#[IPv6 ALLOCATION USAGE PLAN]#
%
% When will you use this address space?
%
% Subnet Within Within Within
% size (/nn) 3 months 1 year 2 years Purpose

subnet:
subnet:

#[DATABASE TEMPLATE(S)]#
%
% Please complete all of the fields below.
%
% You can find more information on how to complete these fields
% in the supporting notes (ipv6-first-alloc-support.html).

inet6num: <leave empty>
netname: <leave empty>
descr: <add LIR organisation name>
country: <add country code>
org: <add org-ID>
admin-c: <add nic-hdl of administrative contact>
tech-c: <add nic-hdl of technical contact>
status: ALLOCATED-BY-RIR
mnt-by: RIPE-NCC-HM-MNT
mnt-lower: <add mntner name>
mnt-routes: <add mntner name>
notify: <add email address>
changed: hostmaster@ripe.net
source: RIPE

#[INSERT SUPPLEMENTAL COMMENTS]#
%
% Please add more information if you have specific addressing needs.

<add more information>

#[END of REQUEST]#