________________________________________________________________________ Inter-RIR Transfer Template ________________________________________________________________________ Registration Information ------------------------ 1. List the Internet number resources being transferred, their original allocation dates and specify any resources with status “LEGACY”: E.g. 2. Source Organisation Name: 3. Recipient Organisation Name: 4. Recipient Organisation Registration Number and established State/Country: Each organisation upon establishment receives an 'Organisation Registration Number' issued by their local authority. Please list both the registration number and the authority that issued it. For example, , established in/issued by . 5. Recipient Organisation Address: 6. Recipient Organisation Contact Name: 7. Recipient Organisation Contact Phone: 8. Recipient Organisation Contact Email: RIR Information --------------- 9. Source RIR: 10. Recipient RIR: Optional Information -------------------- *Providing this information will expedite the processing of this request. 11. Organisation or Membership/Reg ID of Source Organisation: 12. Organisation or Membership/Reg ID of Recipient Organisation: