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APNIC Document identity
 Short title: asn-request
 Title:       APNIC Autonomous System Number Request Form
 Document ref:      APNIC-092    Version:    002
 Approved:          n/a   	 Active:     17 December 2002
 Review scheduled:  n/a          Obsoletes:  APNIC-066
 Status:            Active  	 Comments:   This document also 
				 exists as an online web form (with
				 appropriate modifications).	     
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     APNIC Autonomous System Number Request Form
     
     
     

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

  This form is for use by organisations requesting an Autonomous System 
  (AS) number used to enable routing in multihomed environments.
  
  It may be used by APNIC members and non-members with a valid
  APNIC account name.
  
  If your organisation is requesting an AS number on behalf of a
  customer, please be aware that your organisation must return the AS
  number to APNIC if the customer ceases connectivity with you. 
  For more information, see section 6.2 of "Policies for Autonomous
  System number management in the Asia Pacific region" at:
  
    http://www.apnic.net/docs/policy/asn-policy.html
  
  There is also an online web version of this form at:
  
    http://www.apnic.net/db/aut-num.html



Eligibility for an AS number
----------------------------

  Organisations requesting an AS number should see RFC 1930 to determine
  whether an AS number is justified.
  
  
  
Fees and accounts
-----------------

  AS numbers are avilable to both current APNIC members and non-
  members. Non-members must first obtain an APNIC account name.
  
  Membership information:
  
     http://www.apnic.net/member
  
  Non-member accounts:
  
     http://www.apnic.net/member/non_member.html
  
  A summary of APNIC's fees is available at:
  
     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/asn-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 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 - - - - - - - - - - - - - - -



#[REQUESTOR TEMPLATE]#

name:
email:
acct-name:
org-relationship:


#[AUTONOMOUS SYSTEM TEMPLATE]#
      
prefix:
date:
peer-as-contacts:



#[AUT-NUM TEMPLATE]#

as-name:       
descr:         
country:        
import:        
export:        
default:       
remarks:       
admin-c:       
tech-c:        
notify:   
mnt-by:  
mnt-routes:


Additional information:

If you are an APNIC member, are you requesting this AS number on
behalf of a customer>

If yes, do you agree to return the AS number to APNIC if your
customer ceases to receive connectivity from you?

Note: If you do not agree, APNIC cannot approve your request.

If you are an APNIC non-member or requesting an AS number for your
own network, you may leave this section blank.

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