Provider Aggregatable (PA) Assignment Request Form RIPE NCC Document ID: ripe-283 Date: 20 August 2003 Obsoletes: ripe-219 See also: ripe-284 ------------------------88---------------------- #[GENERAL INFORMATION]# request-type: pa-ipv4 form-version: 1.0 x-ncc-regid: #[ADDRESS SPACE USER]# % % Who will use the address space being requested? organisation-name: organisation-location: website-if-available: % % Does the organisation already have address space that % can meet the needs for this request? Enter "Yes" or "No". space-available: #[ADDRESSING PLAN]# number-of-subnets: address-space-returned: % % Size % in CIDR Immediate 1yr 2yr Purpose subnet: totals: % % Which netname will be used when registering this network in % the RIPE Database? netname: #[EQUIPMENT DESCRIPTION]# % % Please describe the equipment that will be used in the % network. Indicate the function of the equipment and provide % information regarding the way it uses IP address space. equipment-name: manufacturer-name: model-number: other-data: #[NETWORK DESCRIPTION]# % % If your description does not allow the Hostmaster to % understand the request you may be asked additional % questions. Please add any additional information that you % think may facilitate the evaluation of this request below. #[NETWORK DIAGRAM]# % % Please enter "Yes" or "No" if you have attached a network % diagram in JPEG or PostScript format to this e-mail % request. diagram-attached: #[END of REQUEST]# ------------------------88----------------------