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APNIC Document identity

 Title:    Historical resource transfer form

 Short title:			  historical-transfer-form
 Document ref:  		  APNIC-110
 Version:   			  004
 Date of original publication:    13 February 2004
 Date of this version:   	  10 February 2010
 Review scheduled:  		  n/a
 Obsoletes: 			  Previous version
 Status:  			  Active
 Comments:  			  n/a
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            Historical resource transfer form


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

  This form is for use by APNIC Members wishing to receive
  a transfer of historical resources from the original resource
  holder under the criteria described in "Policy for the transfer
  of historical Internet resources" specified in section 5 of 
  APNIC transfer, merger, acquisition, and takeover policy at:

    http://www.apnic.net/policy/transfer-policy#transfer

  Existing holders of historical Internet resources should
  contact the APNIC Member receiving the resources to
  complete this form.


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

  Resources transferred to APNIC account holders using the
  "Policy for the transfer of historical Internet resources" are
  subject to all applicable APNIC policies. Therefore, transferred
  resources will be considered when assessing your APNIC membership
  tier at the time of membership renewal.

  Membership information:

    http://www.apnic.net/member

  A summary of APNIC's fees is available at:

    http://www.apnic.net/fees



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

  A full help guide for this form is available at:

    http://www.apnic.net/publications/media-library/documents/resource-guidelines/historical-maintenance

  Note:

  The "account-name" field in the EXISTING-RESOURCE-HOLDER-TEMPLATE
  is optional.


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:

    admin@apnic.net

  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 - - - - - - - - - - - - - - -


#[APNIC-MEMBER-TEMPLATE]#

account-name:
org-name:
org-address:
contact-name:
contact-email:
contact-phone:
contact-fax:


#[EXISTING-RESOURCE-HOLDER-TEMPLATE]#

account-name:
org-name:
org-address:
contact-name:
contact-email:
contact-phone:
contact-fax:


#[RESOURCE-TEMPLATE]#

ip-range:
asn:

- - - - - - - - - - - - - -  CUT HERE - - - - - - - - - - - - - - -