############################################### 
# Autonomous System (AS) Number Request Form # 
###############################################
 
 
Document Name: afrinic-as
Date: Jan. 2005 
Version: 1.02 

# 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 haven't received an org_id yet) 

# http://www.afrinic.net/en/library/membership-documents/784-how-to-create-contacts-in-the-afrinic-whois-database 

 
name: 
phone: 
fax-no:
e-mail: 
admin-c:
tech-c: 
website:
 
 
# 4-BYTE ASNs 
# 
# As from January 2011 Afrinic will assign a 4-byte ASN only.
# Please note that 4-byte ASNs are a new standard and that some equipment
# may need a firmware upgrade in order to support 4-byte ASNs.

 
# ADDRESS SPACE TO BE ANNOUNCED 
# 
# Please list the address prefixes that will originate from 
# the new AS Number. Please specify each prefix in a 
# separate "prefix" field below. Repeat "prefix" if necessary. 

 
prefix: 

# < Cette adresse email est protégée contre les robots des spammeurs, vous devez activer Javascript pour la voir. >, please include the ticket number 

 
# AS NUMBERS AND CONTACT EMAIL ADDRESSES OF UPSTREAM PROVIDERS 
# 
# Provide the AS numbers and e-mail contact addresses of your upstream provider or peers.
 
AS_Number: 
contact e-mail:

changed:       Cette adresse email est protégée contre les robots des spammeurs, vous devez activer Javascript pour la voir.