Provider Aggregatable (PA) Assignment Request Form

Please note: all email-based request forms have been archived on the website and are available through the LIR Portal. You can find an announcement about this here.

To request resources from the RIPE NCC, members should now use the request forms in the LIR Portal.

The Resource Request API and accompanying documentation is available for members with workflows that prevent them from using the LIR Portal request forms.

% Provider Aggregatable (PA) Assignment Request Form


% RIPE NCC members can use this form to request a PA assignment. Please see 
% ripe-584 for instructions on how to complete this form.


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

request-type: pa-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: 

% Does this End User already have address space that can be
% used for this assignment? (Yes/No)

space-available: 




#[ADDRESSING PLAN]#
% 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: 

% Which netname will you use for this assignment?

netname:

% 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>


#[NETWORK DIAGRAM]#
%
% Have you attached a network diagram to this request? (Yes/No)

diagram-attached:


#[END of REQUEST]#