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APNIC Document identity
Short title: asn-request
Title: APNIC Autonomous System Number Request Form
Document ref: APNIC-092 Version: 002
Approved: n/a Active: 17 December 2002
Review scheduled: n/a Obsoletes: APNIC-066
Status: Active Comments: This document also
exists as an online web form (with
appropriate modifications).
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APNIC Autonomous System Number Request Form

What is this form used for?
---------------------------

http://www.apnic.net/docs/policy/asn-policy.html

Eligibility for an AS number
----------------------------

Organisations requesting an AS number should see RFC 1930 to determine
whether an AS number is justified.



Fees and accounts
-----------------

http://www.apnic.net/member

Help guide for this form
------------------------

A full help guide for this form is available at:

http://www.apnic.net/services/help/asn-txt


Questions
---------

If you have other questions, please contact us at:

< This e-mail address is being protected from spambots. You need JavaScript enabled to view it >

Or, if you would prefer to phone or fax us with your questions,
please refer to our contact details and office hours at:

http://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:

< This e-mail address is being protected from spambots. You need JavaScript enabled to view it >

Please note that this form will first be parsed by machine.
Therefore, you must ensure that:
- your account name is included in the subject line. For example,
SPARKYNET-ID
- 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 - - - - - - - - - - - - - - -

#[REQUESTOR TEMPLATE]#

name:
email:
acct-name:
org-relationship:


#[AUTONOMOUS SYSTEM TEMPLATE]#

prefix:
date:
peer-as-contacts:

#[AUT-NUM TEMPLATE]#

as-name:
descr:
country:
import:
export:
default:
remarks:
admin-c:
tech-c:
notify:
mnt-by:
mnt-routes:


Additional information:

If you are an APNIC member, are you requesting this AS number on
behalf of a customer>

If yes, do you agree to return the AS number to APNIC if your
customer ceases to receive connectivity from you?

Note: If you do not agree, APNIC cannot approve your request.

If you are an APNIC non-member or requesting an AS number for your
own network, you may leave this section blank.

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