<<< back | suporting document

8<---------------------------------------------->8

#######################################
#  Resource return Form  #
#######################################

Document Name: 	afrinic-returc
Date: 		Jan. 2005
Ver: 		1.01


# DETAILS ABOUT YOUR ORGANISATION
#
org: *if applicable
org_name: 
contact person:
e-mail:
phone:
country: 
website: 

# DETAILS ABOUT THE RESOURCES TO BE RETURNED:
#

address_space:    # Duplicate where necessar
AS_Number:	 # Duplicate where necessary					


# DETAILS ABOUT CURRENT RESOURCES

where did you get this address space from:

When did you get this address space?

Do you still have other ressource allocated 
by AfriNIC: Yes/No

Space in use:  

Additional information:

########### END OF REQUEST #################################