<<< back

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


#######################################
# IPv4 First Allocation Request Form                             
#######################################


Document Name: 	afrinic-ipv4-first-alloc
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)


# UPSTREAM ISPs:
#
# List ISPs providing your connectivity in the format below.
# Duplicate the entry if necessary.
#
# ISP                           Block (a.b.c.d/e)


# RETURNING ADDRESS SPACE:
#
# If any address space is being returned, please list 
# the prefixes below and return date(duplicate this line
# if necessary):
#
# format: a.b.c.d/e yyyymmdd

address-space-returned: 


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

prefix_requested:

# NETNAME
#
# Which network name (net_name) will be used when registering 
#this network in the AfriNIC WHOIS?

netname: 

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


# ADDITIONAL COMMENTS:
#
# If you have any other comments that you would like to put
# to the hostmaster's attention, please include them below:


#######################################################
#  LIR First PA Assignment Request Form                                                            
#######################################################
#
# PLEASE REPEAT THE FIRST THREE SECTIONS OF BELOW IF
# REQUESTING FOR MORE THAN ONE ORGANISATION.
#

# END-USER ORGANISATION:
#
# Organisation to which the requested address space
# will be assigned. If it is for your own infrastructure 
# please use your organisation name.


organisation: 
country: 
website: 


# ADDRESSING PLAN:
#
#  Addressing Plan: (List in CIDR Notation):
#  __________________________________________________
#  size       Immediate   1yr   Purpose
#  --------------------------------------------------
#  /24           /24      /24   Dynalic Dialup - Flic en Flac
#  /23           /24      /23   Dynamic Dialup - Port Louis
#  /24           /24      /24   Point-2-Point LS
#  totals:      /23,/24   /22
# __________________________________________________
#


# NETNAME:
#
# Which netname will be used when registering this assignment in 
# the AfriNIC WHOIS?

netname: 

# NOTE: after approval of the Assignment request, you should enter it 
# yourself in the WHOIS DB by filling the inetnum form which can be 
# found at: http://


#########################################################
#  AfriNIC Database Templates for IPv4 First Allocation
#
# 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. Please duplicate the person
# Template for several contacts.
    

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:      AFRINIC-HM-MNT 
mnt-lower:   *specify mntner name here*
notify:      *specify e-mail address*
changed:     hostmaster@afrinic.net
source:      AFRINIC

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*               
changed:     hostmaster@afrinic.net       
source:      AFRINIC

person:       *full names
address:      *address line1
address:      *address line2
address:      *address line3
Country:      *Country
phone:        *phone
nic-hdl:      *enter a nic-handle
changed:      hostmaster@afrinic.net
source:       AFRINIC


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