Application for IPv6 Address Space

This application will be processed in accordance with the IPv6 Address
Allocation and Assignment Policy which is documented in the RIPE docuement
ripe-267 (http://www.ripe.net/ripe/docs/ipv6policy.html).

Should you have any queries regarding the form please contact lir6@heanet.ie.

Name of Organisation:

 
Description of Organisation:


Requester contact details

Name:
Title:
Postal address:
Phone:
Fax:
E-mail address:
NIC or RIPE handle (if known):


Administrative contact

Name:
Title:
Postal address:
Phone:
Fax:
E-mail address:
NIC or RIPE handle (if known):

 
Technical contact

Name:
Title:
Postal address:
Phone:
Fax:
E-mail address:
NIC or RIPE handle (if known):


Network name:

e.g.	NUI-GALWAY, UCD-NET
 

Is this IPv6 request for the entire organisation or will other parts 
of the organisation also be requesting an allocation?:


Will your organisation also be requesting (or do you already have) an IPv6 allocation from another 
Local Internet Registry (LIR)? If yes please specify each allocation separately below:



Number of hosts needing Internet access

Now:		In 1 year:		In 2 years:

 
Number of subnets now and planned

Now:		In 1 year:		In 2 years:

 
 
Deployment Plan:

a) Please give a brief description of your deployment plans for IPv6. 
   A URL for your IPv6 plans if available.


 

 

b) Please give a general estimate of the period when parts of the IPv6 network will be deployed.

Type of Service		Date to be implemented		Description

e.g. DNS		February 2004			We will establish primary and secondary DNS

 





Current service from HEAnet:


Type of IPv6 Connectivity:

Please explain how your network will be connected to HEAnet's IPv6 Network and
if possible the HEAnet PoP to which you connect.

e.g.	Tunnel, Dedicated Circuit, Dual Stacked Router 


 

Purpose of network:
 

Has a request for address space by your organisation ever been refused?
If so, please give details

 

Signed:

 

Date:


Please note that assignments of any kind of address space are valid only as long as the 
original criteria on which the assignment was based are still valid. After that time, 
addresses must be returned to this registry. 

Once your application as been approved an entry will be registered in the RIPE whois 
database regarding your assignment which will contain your contact details.

When completed and signed, this form should be sent to

E-mail: lir6@heanet.ie		or	Post:	The IPv6 Registry,
Fax:    +353 1 660 3666				HEAnet Ltd.,
                                                1st Floor,
                                                5 George's Dock,
                                                IFSC,
                                                Dublin 1.

© HEAnet Ltd.