% AS Number Request Form
% RIPE NCC members (LIRs) and Direct Assignment Users 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 think it will help us understand
% this request.
% If you require a 16-bit AS Number instead of a 32-bit AS Number,
% please indicate this below and tell us why. For more information,
% see http://www.ripe.net/news/asn-32-guide.html
AS Number Type: 32-bit [change as required]
% If this request is being sent by a sponsoring LIR on behalf of
% an End User, please attach a copy of the signed
% "End User Assignment Agreement" and the company registration papers
% of the End User.
% You can also attach a network diagram or other supporting documentation.
% Have you attached any files/documents to this request? (Yes/No)
% Please complete all of the fields below
as-name: <add name for the AS>
descr: <add AS Number User name>
org: <add org-ID>
import: <specify the outgoing routing policy for the first peer>
export: <specify the incoming routing policy for the first peer>
import: <specify the outgoing routing policy for the second peer>
export: <specify the incoming routing policy for the second peer>
admin-c: <add nic-handle of administrative contact>
tech-c: <add nic-handle of technical contact>
mnt-by: <add mntner name>
mnt-routes: <add mntner name>
changed: hostmaster _at_ ripe _dot_ net
#[END of REQUEST]#