European IP Address Space Request Form Paula Caslav Miriam Kuehne Carol Orange Document ID: ripe-219 Obsoletes: ripe-128, ripe-137, ripe-138, ripe-141 See also: ripe-185, ripe-220 Contents Overview I. General Information II. The Request III. Database Information IV. Optional Information: Overview This document contains the set of templates to be used when submitting an IP assignment request. This set of templates must be used by Local Internet Registries 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 templates are found in the accompanying document "Supporting Notes for the European IP Address Space Request Form ( ripe-219). Requesters: Submit the form via e-mail to "." (If the ISP is not a Local Internet Registry , the form should be submitted to the upstream provider.) Network Administrators: Send the form to the Internet 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 Identifier (X-NCC-RegID) will be returned to the sender. Please include the Registry Identifier in the header of the message or at the top of this form. Further, any modifications to the templates may result in a delay in handling. X-NCC-RegID: I. General Information #[OVERVIEW OF ORGANISATION TEMPLATE]# #[REQUESTER TEMPLATE]# name: organisation: country: phone: fax-no: (optional) e-mail: #[USER TEMPLATE]# name: organisation: country: phone: fax-no: (optional) e-mail: #[CURRENT ADDRESS SPACE USAGE TEMPLATE]# Addresses Used Prefix Subnet Mask Size Current 1-yr 2-yr Description Totals 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 Totals III. Database Information #[NETWORK TEMPLATE]# inetnum: netname: descr: country: admin-c: tech-c: status: mnt-by: mnt-lower: (optional) mnt-routes: (optional) notify: (optional) changed: source: RIPE #[PERSON TEMPLATE]# person: address: e-mail: phone: fax-no: (optional) notify: (optional) mnt-by: (optional) nic-hdl: changed: source: RIPE IV. Optional Information