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# IPv4 End-User Assignment Request Form (PI)
################################################

Document Name: afrinic-ipv4-enduser-ass
Date: Jan. 2005
Ver: 1.01

# MEMBER INFORMATION:
# Please enter an org_handle and the legal organisation name.
# In case you do not have an organisation handle but if you are still 
# in the new-membership application process, please indicate below 
# the ticket number of the relevant membership application requests. 

org_id:             
org_name:                
new_member_ticket_number: (If you have'nt received yet your org_id)

country:
website:

# REQUESTED PREFIX SIZE:
#
# What size of initial allocation would you require?

prefix_requested:

# ADDRESSING PLAN:
#
# One year addressing Plan: (List in CIDR Notation):
# __________________________________________________
# size           Immediate   1yr   Purpose
# --------------------------------------------------

eg.
  /25              /26       /25   LAN - Port Louis Office
  /26              /26       /26   LAN - Grand Baie Office

  totals:          /25     /25,26
# __________________________________________________

# NETWORK DESCRIPTION:
#
# Network Description - Any additional Info that will help
# Hostmaster understand your addressing plan. This would
# quicken the process within which request is evaluated.

# DATABASE TEMPLATES:
#
# AfriNIC Whois Database Templates
#
# 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.

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