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

 Title:    APNIC IPv6 Allocation Request Form
 
 Short title:			  ipv6-alloc-request
 Document ref:  		  APNIC-090
 Version:   			  003
 Date of original publication:    1 July 2002
 Date of this version:   	  16 August 2004
 Review scheduled:  		  n/a                
 Obsoletes: 			  All previous versions
 Status:  			      Obsolete
 Comments:  			  n/a
--------------------------------------------------------------------


		APNIC IPv6 Allocation Request Form



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

  This form is for use by organisations requesting IPv6 allocations
  that they will use for addressing their own infrastructure and
  making assignments to customers.
  
  It may be used by APNIC account holders only.
  


Other IP address request forms
------------------------------

  If you are an APNIC member seeking an IPv4 allocation, then use
  the "IPv4 ISP Request Form", at:

     http://www.apnic.net/services/ipv4/index.html      (web)
     ftp://ftp.apnic.net/apnic/docs/isp-address-request (text)
  
  
  If you are seeking a portable address asignment under APNIC's 
  multihoming, IXP or critical infrastructure policies, then use the 
  "APNIC Portable Assignment Request Form", at:

     ftp://ftp.apnic.net/apnic/docs/portable-assign-request



Eligibility for IPv6 allocation
-------------------------------

  Organisations seeking an IPv6 allocation must meet the minimum criteria 
  described in "IPv6 Address Allocation and Assignment Policy", at:
  
     http://ftp.apnic.net/apnic/docs/ipv6-address-policy 

  Organisations that meet the initial allocation criteria, are eligible
  to receive a minimum allocation of /32.

  Organisations may qualify for an initial allocation greater than /32
  by submitting documentation that reasonably justifies the request.
  If so, the allocation size will be based on the number of existing
  users and the extent of the organisation's infrastructure.
  
  Private networks (those not connected to the public Internet) may 
  also be eligible for an IPv6 address space allocation provided they 
  meet equivalent criteria to those listed in the IPv6 policy document.


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

  Allocations are available to current APNIC account holders only.
  
  Membership information:
  
     http://www.apnic.net/member
  
  A summary of APNIC's fees is available at:
  
    http://www.apnic.net/member/feesinfo.html

  Members making their first Internet address resource request from
  APNIC are subject to the IP resource application fee. For more
  information, see:

     http://www.apnic.net/member/feesinfo.html



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

  A full help guide for this form is available at:

     http://www.apnic.net/services/help/ipv6-alloc-txt
     


Questions
--------- 
 
  If you have other questions, please contact us at:

     <helpdesk@apnic.net>

  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:

     <hostmaster@apnic.net>

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


#[NETWORK TEMPLATE]#

netname:        
descr:          
descr:          
country:        
admin-c:        
tech-c:         
remarks:	
changed:        
mnt-lower:


#[IPV6 USAGE TEMPLATE]#
services:       
cust-types:     
cust-network:    
infrastructure:  
network-plan:   


#[TEMPLATES END]#

#[ADDITIONAL INFORMATION]#
Please answer the following questions that apply to your request.

1. If your organisation has published information online about its 
   proposed IPv6 services, please provide a URL where APNIC view that 
   information.



2. Please provide a network diagram showing your planned IPv6 network. 
   In your diagram, please indicate approximate deployment dates for 
   planned infrastructure and estimates of the amount of IPv6 address 
   space to be assigned in each part of the network. 
   
   
   
3. If you are requesting an initial allocation greater than the /32 
   minimum allocation, please provide details of your existing IPv4
   network using the format shown in the "Additional Information" 
   section of the help guide. 

      existing-network:
      existing-network:
      existing-network:



4. Do you have any additional comments to include here? Refer to 
   "Additional Information" in the help guide for appropriate examples.



Note: Acceptable formats for diagrams: ASCII, JPEG, GIF, PostScript, 
      PDF, Visio, MS Word, MS PowerPoint.

- - - - - - - - - - - - - END OF FORM - - - - - - - - - - - - - - -