% 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"
% Please note that the End User should have a signed "End User
% Assignment Agreement" with either the sponsoring LIR or the RIPE NCC.
% Please add your RegID
#[AS NUMBER USER]#
% Who will use the AS Number being requested?
% Is this request being sent by a sponsoring LIR on behalf of an
% End User? (Yes/No)
% 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)
#[ADDRESS SPACE TO BE ANNOUNCED]#
% Which address prefix will originate from the new AS number?
% If the address assignment is waiting for approval, please
% include the ticket number of the request below.
% Please list the email contact addresses of peering
% partners for the requested AS Number.
% Please add more information if you th