IP Justification Form - Reliance Communications

APNIC IP Address Justification Form
11 Reasons for new requisition
12 If single real IP address is not shared between
multiple private IP addresses (NAT or Proxy),
justify
13 Type of service for which IP addresses is being
requisitioned:
Dial – up:
Cable:
Web hosting:
Leased line:
XDSL:
Co-location:
Wireless:
Enterprise use:
Others (please specify):
14 List the IP addresses in /24s that will be needed
for each type of service for the next 3 months, 6
months and 12 months.
Host projections:
Dial – up:
Cable:
Web hosting:
Leased line:
XDSL:
Co-location:
Wireless:
Enterprise use:
Others (please specify):
15 Provide any additional information you would
like Reliance / APNIC to consider for this
registration request.
16 Is allocation temporary or permanent If so,
reason for temporary allocation.
17 Expected date of surrendering the allocation (To
be filled if requesting for a temporary allocation)
18 Proposed IP address deployment plan including
subnetting. (use extra sheets if necessary)
No
Wireless
IP addresses to be assigned by Reliance
N.A.
Permanent
Not Applicable
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