% Internet Exchange Point Assignment Request Form
% RIPE NCC members (LIRs) and Direct Assignment Users can use this
% form to request an IPv4/IPv6 Assignment for an Internet Exchange
% Point (IXP).  Please see ripe-565 Link: /publications/docs/ripe-565/  for instructions on how to
% complete this form.
%
% Please note that the End User should have a signed "End User
% Assignment Agreement" with either the sponsoring LIR
% or the RIPE NCC.


#[GENERAL INFORMATION]#

request-type: ixp-assign
form-version: 1.0

% Please add your RegID.
x-ncc-regid: 


#[OVERVIEW OF ORGANISATION]#

% Is this request being sent by a sponsoring LIR on behalf of an End
% User?  (Yes/No)
end-user-of-sponsoring-lir: 

% 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)
confirmation:

% Which IXP will use the requested address space? 
org-description: 


#[OVERVIEW OF THE USER]#

% Who is the contact person for this IXP?
Name:
Organisation:
Country:
Phone:
Email:


#[EXISTING ADDRESS SPACE USAGE]#

% If the IXP has any IPv4 ranges(s) for their peering LAN, list them
% below.  If any such space is being returned, then the return date
% should be specified.
subnet-ipv4:

% If the IXP has any IPv6 assignments, list them below.
subnet-ipv6:



% The next two sections (IPv4 and IPv6) will give us an overview of
% the detailed usage of the resources. Please fill in only the
% relevant section as per the resource being requested and remove the
% section that is not applicable.


#[IPv4 ADDRESS SPACE USAGE]#

% How will the IXP use the requested IPv4 address space? 
%
% ADDRESSING PLAN
% 
%       Subnet       Immediate    Intermediate  Entire   Purpose
%       size (/nn)   Requirement  Requirement   Period
subnet:

totals:
number-of-subnets: 

#[IPv6 ADDRESS SPACE USAGE]#

% How will the IXP use the requested IPv6 address space?
%
% ADDRESSING PLAN
% 
%       Subnet       Within     Within   Within    Purpose
%       size (/nn)   3 months   1 year   2 years   
subnet:


#[SUPPLEMENTAL COMMENTS]#

% Please add more information if you think it will help us understand
% this request. You can attach a network diagram or other relevant
% supporting documentation.  If the IXP has an online list of members,
% please add the URL below.

<add more information>


#[SUPPORTING DOCUMENTATION]#

% 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.

% Have you attached any files/documents to this request?  (Yes/No)
file-attached:


#[IPv4 DATABASE TEMPLATE]#

% If you are requesting IPv4, complete this IPv4 database template.
% If you are not requesting IPv4, please remove this IPv4 database
% template. 

inetnum:      <leave empty>
netname:       <add netname>
descr:         <add IXP organisation name>
country:       <add country code>
org:           <add org-ID>
admin-c:       <add nic-hdl of administrative contact>
tech-c:        <add nic-hdl of technical contact>
status:        ASSIGNED PI
mnt-by:        RIPE-NCC-END-MNT 
mnt-lower:     RIPE-NCC-END-MNT
mnt-by:        <add mntner name>
mnt-routes:    <add mntner name>
mnt-domains:   <add mntner name>
changed:       [email protected]
source:        RIPE 


#[IPv6 DATABASE TEMPLATE]#

% If you are requesting IPv6, complete this IPv6 database template.
% If you are not requesting IPv6, please remove this IPv6 database
% template. 

inet6num:      <leave empty>
netname:       <add netname>
descr:         <add IXP organisation name>
country:       <add country code>
org:           <add org-ID>
admin-c:       <add nic-hdl of administrative contact>
tech-c:        <add nic-hdl of technical contact>
status:        ASSIGNED PI
mnt-by:        RIPE-NCC-END-MNT 
mnt-lower:     RIPE-NCC-END-MNT
mnt-by:        <add mntner name>
mnt-routes:    <add mntner name>
mnt-domains:   <add mntner name>
changed:       [email protected]
source:        RIPE 

#[END of REQUEST]#

This RIPE Document is available in ASCII and PDF