RIPE NCC
Document ID: ripe-467
Date: May 2009
________________________________________
% IPv6 PI Assignment Request Form

% RIPE NCC members (LIRs) and Direct Assignment Users can use this form
% to request an IPv6 PI assignment. Please see 
% Supporting Notes for the IPv6 Provider Independent (PI) Assignment
% Request Form for instructions on how to complete this form.
% http://ripe.net/ripe/docs/ipv6-pi-support.html
% 
%
% Please note that the End User should have a signed "End User  
% Assignment Agreement" with either the sponsoring LIR or the RIPE NCC.

#[GENERAL INFORMATION]#
%
% Please add your RegID.

request-type: pi-ipv6
form-version: 1.0
x-ncc-regid:


#[ADDRESS SPACE USER]#
%
% Who will use the requested address space?

legal-organisation-name:
organisation-location:
website-if-available:

% Is this request being sent by a sponsoring LIR on behalf of 
% an End User? (Yes/No)

end-user-of-sponsoring-lir: 

% If yes, please attach a copy of the signed "End User Assignment
% Agreement" and the company registration papers of the End User.

% Also please confirm that the "End User Assignment Agreement" 
% contains all of the elements listed in paragraph 2.0 of "Contractual
% Requirements for Provider Independent Resource Holders in the 
% RIPE NCC Service Region".(Yes/No)

confirmation:

% Does this End user already have address space that can be used for
% this assignment? (yes/no)

space-available:

#[INITIAL INFORMATION]#
%
% Why is PI address space required rather than PA address space?

why-pi:

% Is the End User requesting extra address space for routing and/or 
% administrative reasons? (Yes/No)

routing-reasons:

% Is the End User aware of the consequences and disadvantages 
% of PI address space? (Yes/No)

Confirmation:

#[ADDRESSING PLAN]#
%
% When will the End User use this IPv6 PI assignment?
% 
%       Subnet       Within     Within   Within
%       size (/nn)   3 months   1 year   2 years   Purpose

subnet:

% Will the End User return any address space?

address-space-returned: 


#[EQUIPMENT DESCRIPTION]#
%
% What equipment will be used and how will it use the requested
% address space?

equipment-name:
manufacturer-name:
model-number:
other-data:

equipment-name:
manufacturer-name:
model-number:
other-data:


#[NETWORK DESCRIPTION]#
%
% Please add more information if you think it will help us understand
% this request. If the End User is requesting more than a /48 please 
% explain why:


 
#[PEERING CONTACTS]#
%
% Please list the Autonomous System numbers and email contact addresses 
% of the peering partners for the requested IPv6 PI assignment.

peering:
peering:


#[NETWORK DIAGRAM]#
%
% You can attach a network diagram or other supporting documentation, 
% particularly if the End User is requesting more than /48.
%
% Have you attached any files/documents to this request? (Yes/No)

file-attached:


#[DATABASE TEMPLATE(S)]#
%
% Please complete all of the fields below. 

inet6num:      <leave empty>
netname:       <add netname>
descr:         <add End User organisation name>
country:       <add country code>
org:           <add org-ID>
admin-c:       <add nic-handle of administrative contact>
tech-c:        <add nic-handle of technical contact>
status:        ASSIGNED PI
mnt-by:        RIPE-NCC-END-MNT
mnt-lower:     RIPE-NCC-END-MNT
mnt-by:        <add mntner name>
mnt-routes:    <add mntner name>
mnt-domains:   <add mntner name>
changed:       hostmaster@ripe.net
source:        RIPE


#[END of REQUEST]#