Changes to European Internet Network Number Application Form And Supporting Notes

This insert: <img src="./resolveuid/1f075ef0-1420-4b37-95a9-b77d6721138b" alt="" class="image-inline" title="" data-val="1f075ef0-1420-4b37-95a9-b77d6721138b" data-linktype="image" /> insert: </p>

 % Provider Aggregatable (PA) Assignment Request Form  insert: <br /> 
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 %  RIPE Document is available in ASCII  NCC members can use this form to request a PA assignment. Please see  insert: <br /> 
 %  insert: <a data-val="b6ab7306a037e84cef7bf1a1aa9d5e2f" href="resolveuid/b6ab7306a037e84cef7bf1a1aa9d5e2f" data-linktype="internal" class="internal-link">  ripe-489  insert: </a>  for instructions on how to complete this form.  insert: <br /> 
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 #[GENERAL INFORMATION]#  insert: <br /> 
 %  insert: <br /> 
 % Please add your RegID.  insert: <br /> 
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 request-type: pa-ipv4  insert: <br /> 
 form-version: 1.2  insert: <br /> 
 x-ncc-regid:  insert: <br /> 
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 #[ADDRESS SPACE USER]#  insert: <br /> 
 %  insert: <br /> 
 % Who will use the requested address space?  insert: <br /> 
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 legal-organisation-name:  insert: <br /> 
 organisation-location:  insert: <br /> 
 website-if-available:  insert: <br /> 
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 % Does this End User already have address space that can be  insert: <br /> 
 % used for this assignment? (Yes/No)  insert: <br /> 
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 space-available:  insert: <br /> 
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 #[ADDRESSING PLAN]#  insert: <br /> 
 % As of 1 January 2010 assignments are for a period of up to 12 months.  insert: <br /> 
 % As of 1 July 2010 assignments are for a period of up to 9 months.  insert: <br /> 
 % As of 1 January 2011 assignments are for a period of up to 6 months.  insert: <br /> 
 % As of 1 July 2011 assignments are for a period of up to 3 months.  insert: <br /> 
 %  insert: <br /> 
 % How will the End User use this address space?  insert: <br /> 
 %  insert: <br /> 
 % Subnet Immediate Intermediate Entire Purpose  insert: <br /> 
 % size (/nn) Requirement Requirement Period  insert: <br /> 
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 subnet:  insert: <br /> 
 subnet:  insert: <br /> 
 totals:  insert: <br /> 
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 number-of-subnets:  insert: <br /> 
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 % Which netname will you use for this assignment?  insert: <br /> 
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 netname:  insert: <br /> 
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 % Will the End User return any address space?  insert: <br /> 
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 address-space-returned:  insert: <br /> 
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 #[EQUIPMENT DESCRIPTION]#  insert: <br /> 
 %  insert: <br /> 
 % What equipment will be used  and PDF  how will it use the requested  insert: <br /> 
 % address space?  insert: <br /> 
 insert: <br /> 
 equipment-name:  insert: <br /> 
 manufacturer-name:  insert: <br /> 
 model-number:  insert: <br /> 
 other-data:  insert: <br /> 
 insert: <br /> 
 equipment-name:  insert: <br /> 
 manufacturer-name:  insert: <br /> 
 model-number:  insert: <br /> 
 other-data:  insert: <br /> 
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 #[NETWORK DESCRIPTION]#  insert: <br /> 
 %  insert: <br /> 
 % Please add more information if you think it will help us understand  insert: <br /> 
 % this request.  insert: <br /> 
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 <add more information>  insert: <br /> 
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 #[NETWORK DIAGRAM]#  insert: <br /> 
 %  insert: <br /> 
 % Have you attached a network diagram to this request? (Yes/No)  insert: <br /> 
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 diagram-attached:  insert: <br /> 
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 #[END of REQUEST]#  insert: </pre> 

insert: <img src="./resolveuid/93c82862-6241-4309-8d0f-9d4355eeded7" alt="" class="image-inline" title="" data-val="93c82862-6241-4309-8d0f-9d4355eeded7" data-linktype="image" />