RIPE NCC Doc-ID: RIPE-336 Date: October 2004 Obsoletes: ripe-219, ripe-285, ripe-317 See also: ripe-337 % Provider Independent (PI) Assignment Request Form #[GENERAL INFORMATION]# request-type: pi-ipv4 form-version: 1.1 x-ncc-regid: #[ADDRESS SPACE USER]# % % Who will use the address space being requested? legal-organisation-name: organisation-location: website-if-available: % % Does the organisation already have address space that % can meet the needs for this request? Enter "Yes" or "No". space-available: #[INITIAL INFORMATION]# % % Please read the following information and answer the % questions. % % 1. Why is PI space required rather than PA space? % why-pi: % % 2. Please check that you are not requesting extra address % space for routing or administrative reasons. For more information % please refer to the RIPE Document "IPv4 Address Allocation and % Assignment Policies in the RIPE NCC Service Region". % routing-reasons: % % Please confirm whether you have made the End User aware of the % consequences of PI address space. For more information please refer to % the RIPE Document "IPv4 Address Allocation and Assignment Policies % in the RIPE NCC Service Region", Section 9.0 "PA vs. PI Address Space". % confirmation: % % You are required to confirm that the points mentioned % above have been read and understood and that the % organisation requesting the PI address space is fully % aware of the disadvantages of PI address space. % #[ADDRESSING PLAN]# number-of-subnets: address-space-returned: % % Size % in CIDR Immediate 1yr 2yr Purpose subnet: totals: #[EQUIPMENT DESCRIPTION]# % % Please describe the equipment that will be used in the % network. Indicate the function of the equipment and provide % information regarding the way it uses IP address space. equipment-name: manufacturer-name: model-number: other-data: #[NETWORK DESCRIPTION]# % % If your description does not allow the Hostmaster to % understand the request you may be asked additional % questions. Please add any additional information that you % think may facilitate the evaluation of this request below. #[NETWORK DIAGRAM]# % % Please enter "Yes" or "No" if you have attached a network % diagram in JPEG or PostScript format to this e-mail % request. diagram-attached: #[DATABASE TEMPLATE(S)]# % % Please include database template(s) here so that the % Hostmaster can register the assignment in the RIPE % Database. 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: RIPE-NCC-HM-PI-MNT mnt-lower: RIPE-NCC-HM-PI-MNT mnt-routes: *specify mntner name here* mnt-domains: *specify mntner name here* changed: hostmaster@ripe.net source: RIPE #[END of REQUEST]#