IPv6 End User Site Assignment Request Form

RIPE NCC

Document ID: ripe-373
Date: April 2006
Obsoletes: ripe-308

% IPv6 End User Site Assignment Request Form

% RIPE NCC members can use this form to request a large
% IPv6 Assignment for an End User. Please see ripe-374 for
% instructions on how to complete this form.

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

request-type: ipv6-enduser-assignment
form-version: 1.1
x-ncc-regid:

#[REQUIRED INFORMATION]#
%
% Do you and the End User accept the IPv6 Address
% Allocation and Assignment Policy? (Yes/No)

confirmation:

% Why does the End User site need more than a /48?

reason:

#[OVERVIEW OF ORGANISATION TEMPLATE]#
%
% Who will use the requested address space?

organisation-name:
organisation-location:
org-description:
website-if-available:

% Will the whole organisation use this assignment? If 
% another part of the organisation will request separate
% IPv6 address space, please inform us below. (Whole/Part)

for-whole-or-part-of-the-organisation:

#[USER TEMPLATE]#
%
% Who is the contact person for this organisation?

name:
phone:
fax-no:
e-mail:
nic-hdl:

#[IPv6 ASSIGNMENT USAGE PLAN]#
%
% When will the End User use this IPv6 assignment?
% 
%       Subnet       Within     Within   Within
%       size (/nn)   3 months   1 year   2 years   Purpose

subnet:
subnet:

% Which netname will you use for this assignment?

netname: 

#[INSERT SUPPLEMENTAL COMMENTS]#
%
% Please add more information if you think it will help us
% understand this request.

<add more information>

#[END of REQUEST]#