.
European IP Address Space Request Form
1 March 1996
____________________________________________________________
European IP Address Space Request Form
RIPE NCC
1 March 1996
Expiry Date: 31 May 1996
To whom it may concern,
Before you complete this form, please ensure that you read
the information outlined in the This RIPE document has been obsoleted due to the RIPE NCC reaching the last /8 of IPv4 address space. Link: /about-us/news/ripe-ncc-begins-to-allocate-ipv4-address-space-from-the-last-8/
% Provider Independent (PI) Assignment Request Form
% RIPE NCC members (LIRs) and Direct Assignment Users can use this form
% to request a PI assignment. Please seethe
% Provider Independent (PI) Assignment Request Form" for instructions on
% how to complete this form.
% http://www.ripe.net/ripe/docs/pi-requestsupport.html
%
% Please note that statements made in this form 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.
request-type: pi-ipv4
form-version: 1.3
x-ncc-regid:
#[ADDRESS SPACE USER]#
%
% Who will use the requested address space?
legal-organisation-name:
organisation-location:
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:
% Does this End User already have address space that can be used in
consideration of future requests that are made.
Once completed, please return this document to your local
Internet Registry.
IMPORTANT NOTE:
This document is valid until May 31t, 1996. An updated
document will be sent out when due.
Part A - Administrative Details The information supplied for
this section together with the assigned network numbers will
be entered into a database of European network numbers and
their contact information which is accessible by the whole
Internet community.
NETWORK TEMPLATE
netname:
descr:
descr:
country:
admin-c:
tech-c:
changed:
source: RIPE
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 1
European IP Address Space Request Form
1 March 1996
____________________________________________________________
PERSON TEMPLATE
person:
address:
address:
address:
address:
phone:
fax-no:
e-mail:
nic-hdl:
changed:
source: RIPE
PERSON TEMPLATE
person:
address:
address:
address:
address:
phone:
fax-no:
e-mail:
nic-hdl:
changed:
source: RIPE
Please note that you will have to include a separate person
template for each person referenced as a contact unless the
information about the person in the RIPE database is still
valid.
The information given above will be entered into a database
of European network contacts which is accessible by the
whole Internet community. Please refer to the RIPE NCC
leaflet on the "Network Management Database" for details on
how to query the database.
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 2
European IP Address Space Request Form
1 March 1996
____________________________________________________________
Part B - Technical Details
Information supplied below helps us to evaluate and process
your request. It will be kept in strict CONFIDENCE and is
for internal use only. It will NOT be entered into the RIPE
Network Management Database.
TECHNICAL TEMPLATE
request-type:
machine-0:
machine-1:
machine-2:
subnet-0:
subnet-1:
subnet-2:
inet-connect:
country-net:
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 3
European IP Address Space Request Form
1 March 1996
____________________________________________________________
Part C - Network Details
Please submit a description of your network layout, includ-
ing all devices which will require unique IP addresses. The
more detail you supply in this section, the easier it will
be to evaluate your case and allocate you the requested IP
numbers.
Current network layout:
Network deployment plans: (year 1 & year 2)
(Please ensure you have read the "Additional Hints" section
in the "Supporting Notes" on organisations requesting addi-
tional class C numbers or class B numbers). Please describe
your planned allocation of the requested address space.
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 4
European IP Address Space Request Form
1 March 1996
____________________________________________________________
Addressing plan:
Please give an overview of your addressing plan.
Number of hosts per subnet for
Subnet Subnet mask Max Now Year-1 Year-2 Remarks
--------------------------------------------------------------------
Totals:
Part D - Enterprise Allocation History
If any part of your organisation (including subsidiaries and
the parent company) has received address space in the past,
please specify the actual network numbers allocated. Please
also give details, if any applications for additional
address space have been rejected in the past. Finally please
include a brief overview of your company structure, includ-
ing details of the parent company, subsidiaries and contact
persons. Please continue on a separate sheet if necessary.
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 5
European IP Address Space Request Form
1 March 1996
____________________________________________________________
Part E - Contact Details Complete the section below *ONLY
IF* you are making an application on behalf of another
organisation.
This application is made by:
name:
organisation:
country:
phone:
fax-no:
e-mail:
On behalf of the following organisation:
name:
organisation:
country:
phone:
fax-no:
e-mail:
Part F - Non European Requests
If your request is for the Asian-Pacific Region you should
sent your application form to: AP-NIC, c/o United Nations
University, 3-70 Jingumae 5-chome, Shibuya-ku, Shibuya-ku,
Tokyo 150, Japan, Telephone: +81-3-5276-3973, Fax:
+81-3-5276-6239, Email: <[email protected]>
The InterNIC serves as default for the rest of the world.
Their contact details are: Network Solutions Inc, Attention:
InterNIC Registration Service, 505 Huntmar Park Drive, Hern-
don, VA 22070, USA. Telephone: +1 703 742 4777, fax: +1 703
742 4811. Email: <[email protected]>
____________________________________________________________
ripe-129.txt Expires 31-May-96 Page 6 for
% this assignment? (Yes/No)
space-available:
#[INITIAL INFORMATION]#
%
% Why is PI address space required rather than PA address space?
why-pi:
% Is the End User requesting extra address space for routing and/or
% administrative reasons? (Yes/No)
routing-reasons:
% Is the End User aware of the consequences and disadvantages
% of PI address space? (Yes/No)
confirmation:
#[ADDRESSING PLAN]#
% As of 1 January 2010 assignments are for a period of up to 12 months.
% As of 1 July 2010 assignments are for a period of up to 9 months.
% As of 1 January 2011 assignments are for a period of up to 6 months.
% As of 1 July 2011 assignments are for a period of up to 3 months.%
% How will the End User use this address space?
%
% Subnet Immediate Intermediate Entire Purpose
% size (/nn) Requirement Requirement Period
subnet:
subnet:
totals:
number-of-subnets:
% Will the End User return any address space?
address-space-returned:
#[EQUIPMENT DESCRIPTION]#
%
% What equipment will be used and how will it use the requested
% address space?
equipment-name:
manufacturer-name:
model-number:
other-data:
equipment-name:
manufacturer-name:
model-number:
other-data:
#[NETWORK DESCRIPTION]#
%
% Please add more information if you think it will help us understand
% this request.
<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.
% 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.
inetnum: <leave empty>
netname: <add netname>
descr: <add End User organisation name>
country: <add country code>
org: <add org-ID>
admin-c: <add nic-handle of administrative contact>
tech-c: <add nic-handle 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]#
