------------------------------------------------------------------- APNIC Document identity Title: APNIC IPv4 ISP Request Form Short title: isp-address-request Document ref: APNIC-084 Version: 003 Date of original publication: 1 December 2001 Date of this version: 1 December 2002 Review scheduled: n/a Obsoletes: All previous versions Status: Active Comments: This document also exists as an online web form (with appropriate modifications). -------------------------------------------------------------------- APNIC IPv4 ISP Request Form What is this form used for? --------------------------- This form is for use by organisations requesting IPv4 allocations that they will use for addressing their own infrastructure and making assignments to customers. It may be used by APNIC members only. There is also an online web version of this form at: https://www.apnic.net/services/ipv4/index.html Other IP address request forms ------------------------------ If you are seeking a portable address asignment under APNIC's multihoming, IXP or critical infrastructure policies, then use the "APNIC Portable Assignment Request Form", at: ftp://ftp.apnic.net/apnic/docs/portable-assign-request If you are an APNIC recognised confederation, then use the "Confederation Internet Address Request Form", at: ftp://ftp.apnic.net/apnic/docs/confed-address-request If you are seeking an IPv6 allocation, then use the "APNIC IPv6 Allocation Request Form" at: ftp://ftp.apnic.net/apnic/docs/ipv6-alloc-request Eligibility for first IPv4 allocation ------------------------------------- Organisations seeking their first IPv4 allocation must meet the minimum criteria described in "Policies for Address Space Management in the Asia Pacific Region". If the organisation for which you are requesting address space does not meet the minimum criteria, you will be advised to seek address space from a service provider rather than from APNIC. For more information, see: https://www.apnic.net/docs/policy/add-manage-policy.html Fees and accounts ----------------- Allocations are available to current APNIC members only. Membership information: https://www.apnic.net/member A summary of APNIC's fees is available at: https://www.apnic.net/member/feesinfo.html Members making their first Internet address resource request from APNIC are subject to the Resource Services Application Fee. For more information, see: https://www.apnic.net/member/feesinfo.html Help guide for this form ------------------------ A full help guide for this form is available at: https://www.apnic.net/services/help/isp_txt You may also wish to read "Quick tips for requesting IP addresses", at: https://www.apnic.net/info/faq/isp-request-tips.html Questions --------- If you have other questions, please contact us at: Or, if you would prefer to phone or fax us with your questions, please refer to our contact details and office hours at: https://www.apnic.net Submitting this form -------------------- First, complete the form templates below in plain ASCII text. Then, submit the completed templates (not including this introductory information) by email to: Please note that this form will first be parsed by machine. Therefore, you must ensure that: - your email is sent in plain ASCII text only - you do not modify any of the template lines starting with #[ - you do not modify any of the field names in the templates. NOTE: PLEASE DO NOT INCLUDE THIS HEADER WITH YOUR APPLICATION. - - - - - - - - - - - - - FORM STARTS - - - - - - - - - - - - - - - #[NETWORK TEMPLATE]# netname: descr: descr: country: admin-c: tech-c: remarks: changed: mnt-lower: source: APNIC #[FIRST ALLOCATION TEMPLATE]# min-criteria: renumber-date: renumber-org: prefix: #[ISP TECHNICAL TEMPLATE]# acct-name: connectivity: conn-provider: all-0s-subnets: all-1s-subnets: supernets: subnets: cust-network: cust-network: infrastructure: infrastructure: cable-bootstrap: cable-list: network-plan: network-plan: #[TEMPLATES END]# #[ADDITIONAL QUESTIONS]# Please answer the following questions that apply to your request. 1. If this is your first request for IPv4 address space, is there any reason you are not able to get address space from your Internet service provider? 2. If you wish to renumber out of any existing IPv4 address ranges, what are the details of the address ranges, and the name, phone number and email address of the organisation to which you will be returning those ranges. (If you already provided this information in the FIRST ALLOCATION TEMPLATE, please skip this question.) 3. Do you have any additional comments (refer to "Additional Comments" in the help guide for things to include here)? - - - - - - - - - - - - - END OF FORM - - - - - - - - - - - - - - -