-------------------------------------------------------------------
APNIC Document identity

 Title:    Network Address Application Form
 
 Short title:			  network-address-application
 Document ref:  		  APNIC-002
 Version:   			  002
 Date of original publication:    December 1993     
 Date of this version:   	  16 February 1995
 Review scheduled:  		  n/a                
 Obsoletes: 			  n/a
 Status:  			  Obsolete                        
 Comments:  			  Obsoleted by APNIC-014 and
                                  APNIC-015.
--------------------------------------------------------------------


Request Form                                               December 1993


                Asia Pacific Network Information Center
                    Network Address Application Form

                       Issued:  February 16, 1995
                        Expires: August 1, 1995


          IMPORTANT:  Before attempting to fill out this form, please
          read the explanatory document APNIC-001.  It contains
          necessary information for you to complete your application
          correctly.


     The form appended to this introductory letter is intended to be
used by organizations in the Asia and Pacific Rim regions (not including
North or South America) to request globally unique IP address space.
Currently, the costs of allocating IP address space and maintaining the
APNIC Internet registry is not recovered from requestors, thus, at this
time, there is no charge for address allocations.  However, due to the
rapid growth in the popularity of the Internet and the lack of financial
based limitations on address space consumption, the IANA has put in
place constraints on how address space should be allocated in order to
make more efficient use of the remaining IPv4 address space.  In order
to insure your request conforms to those constraints, it is important
that you have read and understood, at a minimum, RFC 1466 (available
from RFC archives around the world).  In addition, the companion docu-
ment to this allocation request form, APNIC-001, is intended to provide
additional information which may be helpful while filling out this form.


     The APNIC IP Address Request form enclosed below is designed to be
machine parsable in order to speed up the processing of IP address
requests.  Lines starting with #[ are used as section delimiters and
should not be removed or altered.  Applications which are not parsable
will be forwarded to an APNIC staff member and may incur additional
delays.


     After filling in the fields below, please transmit the completed
form via electronic mail to ip-request@rs.apnic.net.  Please allow one
week for processing electronically submitted requests.  You may also
send the completed form to APNIC via fax, attention "APNIC Registration
Services" to the fax number provided below.  As a last resort, you may
submit your request via postal mail to the address given below.  Note



APNIC Staff                                                     [Page 1]

APNIC-002.2                                                February 1995


that submitting your request via fax or postal mail may result in signi-
ficant delays.  Submitting your request via email is vastly preferred
and will result in the quickest response to your request.

                                             Sincerely,




                                             APNIC Registration Staff


P.S. It is NOT necessary to include this cover letter when you return
your request form.


               Asia Pacific Network Information Center
c/o Internet Initiative Japan, Inc.                 Tel: +81-3-5276-3973
Sanbancho Annex Bldg.                               Fax: +81-3-5276-6239
1-4 Sanban-cho, Chiyoda-ku                   Email: hostmaster@apnic.net
Tokyo 102, Japan                     Automated: ip-request@rs.apnic.net






























APNIC Staff                                                     [Page 2]

APNIC-002.2                                                February 1995


- - - - - - - - - - - - - - - Cut here - - - - - - - - - - - - - - - -

Part A - Administrative Details

#[NETWORK TEMPLATE V:2.0]#

netname:
descr:
descr:
country:
admin-c:
tech-c:
changed:
source:         APNIC


#[PERSON TEMPLATE V:2.0]#

person:
address:
address:
address:
address:
phone:
fax-no:
e-mail:
nic-hdl:
changed:
source:         APNIC


#[PERSON TEMPLATE V:2.0]#

person:
address:
address:
address:
address:
phone:
fax-no:
e-mail:
nic-hdl:
changed:
source:         APNIC


Part B - Technical Details




APNIC Staff                                                     [Page 3]

APNIC-002.2                                                February 1995


#[TECHNICAL TEMPLATE V:2.0]#

host-bits:
connect:
classless:
single-home:
service-provider:
service-provider:
service-provider:
sub-registry:
network-plan:
country-net:
old-network:
old-network:
source:         APNIC

#[TEMPLATES END]#

Part C - Comments


Part D - Proxy Details

Complete this portion only if you are submitting this application on
behalf of someone else.

This application is made by:

name:
organisation:
country:
phone:
fax-no:
e-mail:

On behalf of the following organisation:

name:
organisation:
country:
phone:
fax-no:
e-mail:








APNIC Staff                                                     [Page 4]