European IP Address Space Request Form


 Paula Caslav 
 Miriam Kuehne
 Carol Orange

 Document ID: ripe-141
 Obsoletes: ripe-128, ripe-137, ripe-138

 See also: ripe-185, ripe-142 




 Contents

     Overview 
     I. General Information 
     II. The Request 
     III. Database Information 
     IV. Optional Information: 

 Overview

 This document contains the set of templates to be used when submitting
 an IP assignment request. This set of templates must be used by
 Internet Service Providers when submitting a request to the RIPE NCC.
 It may also be used by ISPs to collect information from those managing
 the networks that will use the address space. Instructions for filling out
 the templates are found in the accompanying document "Supporting
 Notes for the European IP Address Space Request Form ( ripe-142). 

 Internet Service Providers: Submit the form via e-mail to
 "<hostmaster@ripe.net>." (If the ISP is not a Local Internet Registry ,
 the form should be submitted to the upstream provider.) 

 Network Administrators: Send the form to the Internet Service Provider
 from which you received it. 

     Warning (If submitted to the RIPE NCC): Requests that are sent to
     the RIPE NCC which lack a proper Registry Identifier
     (X-NCC-RegID) will be returned to the sender. Please include the
     Registry Identifier in the header of the message or at the top of this
     form. Further, any modifications to the templates may result in a
     delay in handling. 

     X-NCC-RegID: 

 I.   General Information 

 #[OVERVIEW OF ORGANISATION TEMPLATE]# 









#[REQUESTER TEMPLATE]# 

name: 
organisation: 
country: 
phone: 
fax-no:   (optional) 
e-mail: 

#[USER TEMPLATE]# 

name: 
organisation: 
country: 
phone: 
fax-no:   (optional) 
e-mail: 

#[CURRENT ADDRESS SPACE USAGE TEMPLATE]# 


                                     Addresses Used

Prefix       Subnet Mask      Size   Current  1-yr  2-yr  Description







                                                          Totals



II.   The Request

#[REQUEST OVERVIEW TEMPLATE]# 

request-size: 
addresses-immediate:
addresses-year-1:
addresses-year-2:
subnets-immediate:
subnets-year-1:
subnets-year-2:
inet-connect: 
country-net:
private-considered:
request-refused: 
PI-requested: 
address-space-returned:

#[ADDRESSING PLAN TEMPLATE]# 

Relative                          Addresses Used

Prefix#   Subnet Mask      Size  Immediate   1yr   2yr   Description








                                                         Totals





 III.   Database Information

 #[NETWORK TEMPLATE]#

 inetnum:
 netname:
 descr:
 descr:
 country:
 admin-c:
 tech-c:
 status:
 notify:   (optional)
 mnt-by:   (optional)
 changed:
 source: RIPE 

 #[PERSON TEMPLATE]# 

 person:
 address:
 address:
 address:
 e-mail:
 phone:
 fax-no:   (optional)
 notify:   (optional)
 mnt-by:   (optional)
 nic-hdl:
 changed:
 source: RIPE 

 #[TEMPLATES END]# 

 IV.   Optional Information