which
lack a proper registry ID will be returned to
the sender. Further, any modifications to the
templates may result in a delay in handling.
____________________________________________________
ripe-137.txt Page 1
European IP Address Space Request Form
____________________________________________________
I. General Information
#[OVERVIEW OF ORGANIZATION TEMPLATE]#
#[REQUESTER TEMPLATE]#
reg-ID:
name:
organisation:
country:
phone:
fax: (optional)
e-mail:
#[USER TEMPLATE]#
name:
organisation:
country:
phone:
fax: (optional)
e-mail:
#[CURRENT ADDRESS SPACE USAGE TEMPLATE]#
Addresses Used
Prefix Subnet Mask Size Current 1-yr 2-yr Description
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European IP Address Space Request Form
____________________________________________________
II. The Request
#[REQUEST OVERVIEW TEMPLATE]#
request-size:
addresses-immediate:
addresses-year-1:
addresses-year-2:
subnets-immediate:
subnets-year-1:
subnets-year-2:
inet-connect:
country-net:
private-considered:
request-refused:
PI-requested:
address-space-returned:
#[ADDRESSING PLAN TEMPLATE]#
Relative Addresses Used
Prefix# Subnet Mask Size Immediate 1yr 2yr Description
____________________________________________________
ripe-137.txt Page 3
European IP Address Space Request Form
____________________________________________________
III. Database Information
#[NETWORK TEMPLATE]#
netname:
descr:
descr:
descr:
descr:
country:
admin-c:
tech-c:
changed:
source: RIPE
#[PERSON TEMPLATE]#
person:
address:
address:
address:
address:
address:
address:
phone:
fax:
nic-hdl:
changed:
source: RIPE
#[TEMPLATES END]#
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European IP Address Space Request Form
____________________________________________________
IV. Optional Information:
____________________________________________________
ripe-137.txt Page 5