RIPE NCC

Doc-ID: RIPE-311
Date: 26 April 2004 


% IPv4 First Allocation Request Form

#[GENERAL INFORMATION]#
request-type: ipv4-first-alloc
form-version: 1.1
x-ncc-regid: 

#[REQUESTER TEMPLATE]#
%
% Please enter the details of the person at your Local 
% Internet Registry (LIR) who is submitting this request.
name: 
phone: 
fax-no: 
e-mail: 
nic-hdl:

 
#[CURRENT ADDRESS SPACE]#
%
% Does the organisation (LIR) that is submitting this 
% request have address space in use for infrastructure 
% Enter "Yes" or "No".
current-address: 

#[CURRENT ADDRESS SPACE PREFIX TEMPLATE]#
%
% If you have answered "Yes" to the question above please 
% list prefixes currently used:
actual-prefix
 

#[DATABASE TEMPLATE(S)]#
%
% Please fill in the necessary details below so that the 
% Hostmaster can create an inetnum object after allocating 
% a block to you. If it is necessary to create a maintainer object 
% please include that template too. 

inetnum:    
netname:   
descr:      [Provider / Enterprise] Local Registry
descr:      *specify the name of the LIR's organisation* 
country:    *specify the country code*
org:	      *specify org ID here*
admin-c:    *insert nic-handle of administrative contact*
tech-c:     *insert nic-handle of technical contact*
status:     ALLOCATED PA
mnt-by:     RIPE-NCC-HM-MNT 
mnt-lower:  *specify mntner name here*
mnt-routes: *specify mntner name here*
notify:     *specify e-mail address*
changed:    hostmaster@ripe.net
source:     RIPE 

mntner:      *specify mntner name here*
descr:       *descriptive comments*
admin-c:     *insert nic-handle of administrative contact*
tech-c:      *insert nic-handle of technical contact*
upd-to:      *specify e-mail address*
mnt-nfy:     *specify e-mail address*
auth:        *specify authorisation*
mnt-by:      *specify mntner name here*
referral-by: RIPE-DBM-MNT
changed:     hostmaster@ripe.net
source:      RIPE

#[INSERT SUPPLEMENTAL COMMENTS]#
%
% Please add any supplementary information that you think 
% may facilitate the evaluation of this request below.

% Please give an explanation of how much address space you
% expect to assign within the next three months. This information
% will facilitate the evaluation of your first allocation size.

#[END of REQUEST]#