European IP Address Space Request Form ____________________________________________________ European IP Address Space Request Form Document ID: ripe-137 Obsoletes: ripe-129 See also: ripe-136, ripe-138 Overview This document contains the set of templates to be used when submitting an IP assignment request. This set of forms 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 tem- plates are found in the accompanying document "Sup- porting Notes for the European IP Address Space Request Form (ripe-138). Internet Service Providers: Submit the form via e- mail to "." (If the ISP is not a Local Internet Registry, the form should be sub- mitted to the upstream provider.) Network Administrators: Send the form to the Inter- net 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 ID will be returned to the sender. Further, any modifications to the templates may result in a delay in handling. ____________________________________________________ ripe-137.txt Page 1 European IP Address Space Request Form ____________________________________________________ I. General Information #[OVERVIEW OF ORGANIZATION TEMPLATE]# #[REQUESTER TEMPLATE]# reg-ID: name: organisation: country: phone: fax: (optional) e-mail: #[USER TEMPLATE]# name: organisation: country: phone: fax: (optional) e-mail: #[CURRENT ADDRESS SPACE USAGE TEMPLATE]# Addresses Used Prefix Subnet Mask Size Current 1-yr 2-yr Description ____________________________________________________ ripe-137.txt Page 2 European IP Address Space Request Form ____________________________________________________ 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 ____________________________________________________ ripe-137.txt Page 3 European IP Address Space Request Form ____________________________________________________ III. Database Information #[NETWORK TEMPLATE]# netname: descr: descr: descr: descr: country: admin-c: tech-c: changed: source: RIPE #[PERSON TEMPLATE]# person: address: address: address: address: address: address: phone: fax: nic-hdl: changed: source: RIPE #[TEMPLATES END]# ____________________________________________________ ripe-137.txt Page 4 European IP Address Space Request Form ____________________________________________________ IV. Optional Information: ____________________________________________________ ripe-137.txt Page 5