IPv4 Additional Allocation Request Form

% IPv4 Additional Allocation Request Form

% RIPE NCC members can use this form to request an additional IPv4 Allocation.
% Please see http://www.ripe.net/ripe/docs/add-allocation-support for instructions on how to complete this form.


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

request-type: ipv4-add-alloc
form-version: 1.2
x-ncc-regid:


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

name:
phone:
e-mail:


#[ADDRESS SPACE USAGE]#
%
% Will you make assignment(s) from the requested allocation? (Yes/No)

usage-confirmation:


#[INSERT SUPPLEMENTAL COMMENTS]#
%
% You can add more information if necessary.

<add more information>


#[END of REQUEST]#