Internet Exchange Point Assignment Request Form

% Internet Exchange Point Assignment Request Form
% RIPE NCC members (LIRs) and Direct Assignment Users can use this
% form to request an IPv4/IPv6 Assignment for an Internet Exchange
% Point (IXP).  Please see ripe-565 for instructions on how to
% complete this form.
%
% 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]#

request-type: ixp-assign
form-version: 1.0

% Please add your RegID.
x-ncc-regid: 


#[OVERVIEW OF ORGANISATION]#

% 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:

% Which IXP will use the requested address space? 
org-description: 


#[OVERVIEW OF THE USER]#

% Who is the contact person for this IXP?
Name:
Organisation:
Country:
Phone:
Email:


#[EXISTING ADDRESS SPACE USAGE]#

% If the IXP has any IPv4 ranges(s) for their peering LAN, list them
% below.  If any such space is being returned, then the return date
% should be specified.
subnet-ipv4:

% If the IXP has any IPv6 assignments, list them below.
subnet-ipv6:



% The next two sections (IPv4 and IPv6) will give us an overview of
% the detailed usage of the resources. Please fill in only the
% relevant section as per the resource being requested and remove the
% section that is not applicable.


#[IPv4 ADDRESS SPACE USAGE]#

% How will the IXP use the requested IPv4 address space? 
%
% ADDRESSING PLAN
% 
%       Subnet       Immediate    Intermediate  Entire   Purpose
%       size (/nn)   Requirement  Requirement   Period
subnet:

totals:
number-of-subnets: 

#[IPv