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AS Number Request Form


% AS Number Request Form

% RIPE NCC members (LIRs) can use this form
% to request an Autonomous System (AS) Number. For instructions on how to
% complete this form see:
%"Supporting Notes for the Autonomous System Number Request Form"
% http://www.ripe.net/ripe/docs/asnsupport.html
%
% Please note that the End User should have a signed "End User
% Assignment Agreement" with either the sponsoring LIR or the RIPE NCC.

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

request-type: as-number
form-version: 1.2
x-ncc-regid:

#[AS NUMBER USER]#
%
% Who will use the AS Number being requested?

legal-organisation-name:
website-if-available:

% Is this request being sent by a sponsoring LIR on behalf of an
% End User? (Yes/No)

end-user-of-sponsoring-lir:

% If yes, please confirm that the "End User Assignment Agreement"
% contains all of the elements listed in paragraph 2.0 of
% "Contractual Requirements for Provider Independent Resource Holders
% in the RIPE NCC Service Region". (Yes/No)

confirmation:

#[ADDRESS SPACE TO BE ANNOUNCED]#
%
% Which address prefix will originate from the new AS number?

prefix:

% If the address assignment is waiting for approval, please
% include the ticket number of the request below.

pending-ticket-ID:

#[PEERING CONTACTS]#
%
% Please list the email contact addresses of peering
% partners for the requested AS Number.

peering:
peering:

#[SUPPLEMENTAL COMMENTS]#
%
% Please add more information if you th