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% AS Number Request Form
% RIPE NCC members (LIRs) and Direct Assignment Users can use this form 
%
to request an Autonomous System (AS) Number. % Please see ripe-355 for For instructions on how to complete this form.

% complete this form see:
%"Supporting Notes for the Autonomous System Number Request Form"
% http://www.ripe.net/ripe/docs/asnsupport.html Link: http://www.ripe.net/ripe/docs/asnsupport.html
%
% 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]#
%
% Please add your RegID. 
RegID
request-type: as-number
form-version: 1.1
 1.2 x-ncc-regid: 
 
#[AS NUMBER USER]#
%
% Who will use the requested AS Number?
legal-organisation-name:
website-if-available: 
AS Number being requested?

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

% 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:
 
#[ADDRESS SPACE TO BE ANNOUNCED]#
%
% Which address prefix will originate from the new AS Number? 
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 Please list the email contact addresses of 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:       [email protected]
source:        RIPE
#[INSERT SUPPLEMENTAL
Number.

peering:
peering:

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

Why 16-bit:

#[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.
% You can also attach a network diagram or other supporting documentation.
%
% Have you attached any files/documents to this request? (Yes/No)

file-attached:

#[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: RIPE-NCC-END-MNT
mnt-by: <add mntner name>
mnt-routes: <add mntner name>
changed: [email protected]
source: RIPE
 
#[END of REQUEST]#



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