Provider Aggregatable (PA) Assignment Request Form 

RIPE NCC

Document ID: ripe-583
Updates: ripe-488
Date: September 2015

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% Provider Aggregatable (PA) Assignment Request Form



#[ADDRESS SPACE USER]#
%
% Who will use the requested address space?

legal-organisation-name:      
organisation-location: 
website-if-available: 

#[REQUEST SIZE]#
% How much IP adresses you need?

Request size:


#[ADDRESSING PLAN]#
% How will the End User use this address space?
%
%       Subnet       Immediate    Intermediate  Entire   Purpose
%       size (/nn)   Requirement  Requirement   Period        

subnet:
subnet:
totals:

number-of-subnets: 

% Which netname will you use for this assignment?

netname:


#[END of REQUEST]#