Client Contact Name
Address (No, Street, City, Post Code)
Contact Person
Client Nic Handle*
Telephone
Email
*If you do not have a NIC Handle at this stage, enter 'none' in this field.
Note: This only applies to networks you have been allocated in the state you require new IP addresses in.
Network Address xxx.xxx.xxx.xxx
Netmask xxx.xxx.xxx.xxx
Size of usable network
Addresses in use
Purpose of networkIn most cases, public ip addresses for nated customer networks
West Australian Networks IP allocation policies require that at least 80% of network allocated to a client be in use before extra allocations are made. If you have an exceptional case where you require allocation of further space while this requirement has not been met, you will need to fill out the justification details at the end of this form
West Australian Networks allocates IP addresses based on the existing customer total network allocation to date. The minimum network block West Australian Networks will allocate is a /30 network with 4 IP addresses.
Netmask Required xxx.xxx.xxx.xxx
Size of networkNumber of usable IPs
Number of devices on network
Purpose of networkIn most cases, public IP addresses for nated customer networks
now
within 6 months
within 12 months
Any questions regarding this form should be addressed to West Australian Networks at support@westnet.net.au
Note:Any IP block allocated remains the property of West Australian Networks and can only be used while the client retains connectivity with the West Australian Networks network.
All fields in this form are mandatory. All information supplied will be forwarded to the APNIC registry. Requests for large subnets without sufficient justification may cause rejection and lengthy delay on the application. For further information please contact West Australian Networks at support@westnet.net.au
