IPv4 First Allocation Request Form

This document is obsoleted by ripe-608

% IPv4 First Allocation Request Form

% RIPE NCC members can use this form to request their first IPv4 Allocation.
% Please see ripe-362 for instructions on how to complete this form.


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

request-type: ipv4-first-alloc
form-version: 1.1
x-ncc-regid:


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

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


#[CURRENT ADDRESS SPACE]#
%
% Are you currently using any address space? (Yes/No)

current-address:


#[CURRENT ADDRESS SPACE PREFIX TEMPLATE]#
%
% If yes, which address prefixes are you using?

actual-prefix:
actual-prefix:


#[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 (ripe-362).

inetnum: <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 PA
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]#