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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.


inetnum: 
netname:    *specify a netname here* 
descr:      *specify the name of the 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:     ASSIGNED PI 
mnt-by:     *specify mntner name here*
mnt-by:     AFRINIC-HM-MNT
mnt-lower:  *insert your mantainer-id here*
changed:    hostmaster@afrinic.net
source:     AFRINIC


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