RIPE form

Please fill in the details below in order to request an Internet Engineer to add an entry into the RIPE IP address database

Client Details

Organisation Name:
Website (if any):

Contact Information

Contact Name:
Contact E-mail:

Jurisdiction

Address space usage

Please select the block size that has as much, or more usable address space than you will need in the next two years. Please show how much of this block will be used immediately, within one year, and within two years.

  Size of block Used immediately User In 1 year Used In 2 years Purpose of this space
First block: Purpose:
Second block: Purpose:

Equipment description

Please use these boxes to fill out details of the equipment using IP addresses. Use a seperate section for each different class of equipment. Please use the other data field to indicate how many of each device you have, and how many IP addresses they are using

Equipment Name:
Manufacturer Name:
Model Number:
Other data:

Equipment Name:
Manufacturer Name:
Model Number:
Other data:

Equipment Name:
Manufacturer Name:
Model Number:
Other data:

Other Notes - Please use this section for any other data that might be relevant to the request