IPv6 End User Site Assignment Request Form RIPE NCC Document ID: ripe-373 Date: April 2006 Obsoletes: ripe-308 ------------------------------------------------------------------------------- % IPv6 End User Site Assignment Request Form % RIPE NCC members can use this form to request a large % IPv6 Assignment for an End User. Please see ripe-374 for % instructions on how to complete this form. #[GENERAL INFORMATION]# % % Please add your RegID. request-type: ipv6-enduser-assignment form-version: 1.1 x-ncc-regid: #[REQUIRED INFORMATION]# % % Do you and the End User accept the IPv6 Address % Allocation and Assignment Policy? (Yes/No) confirmation: % Why does the End User site need more than a /48? reason: #[OVERVIEW OF ORGANISATION TEMPLATE]# % % Who will use the requested address space? organisation-name: organisation-location: org-description: website-if-available: % Will the whole organisation use this assignment? If % another part of the organisation will request separate % IPv6 address space, please inform us below. (Whole/Part) for-whole-or-part-of-the-organisation: #[USER TEMPLATE]# % % Who is the contact person for this organisation? name: phone: fax-no: e-mail: nic-hdl: #[IPv6 ASSIGNMENT USAGE PLAN]# % % When will the End User use this IPv6 assignment? % % Subnet Within Within Within % size (/nn) 3 months 1 year 2 years Purpose subnet: subnet: % Which netname will you use for this assignment? netname: #[INSERT SUPPLEMENTAL COMMENTS]# % % Please add more information if you think it will help us % understand this request. #[END of REQUEST]#