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% AS Number Request Form

% RIPE NCC members can use this form to request an Autonomous System (AS) Number.
% Please see ripe-355 for instructions on how to complete this form.

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

request-type: as-number
form-version: 1.1
x-ncc-regid: 

#[AS NUMBER USER]#
%
% Who will use the requested AS Number?

legal-organisation-name:
website-if-available: 

#[ADDRESS SPACE TO BE ANNOUNCED]#
%
% Which address prefix will originate from the new AS Number?

prefix:

% If the address assignment is waiting for approval, please
% include the ticket number of the request below.

pending-ticket-ID:

#[PEERING CONTACTS]#
%
% What are the e-mail addresses of the peering
% partners for the requested AS Number?

peering:
peering:

#[DATABASE TEMPLATE(S)]#
%
% Please complete all of the fields below.

aut-num:       ASNEW
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@ripe.net
source:        RIPE

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

<add more information>

#[END of REQUEST]#



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