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Appendix G: IP network number requests 173
DMS-100 Family EIU User Guide TELECOM12
1) If the network will be connected to the Internet, you must provide the name of the governmental
sponsoring organization, and the name, title, mailing address, phone number, net mailbox, and NIC
handle (if any) of the contact person (POC) at that organization who has authorized the network
connection. This person will serve as the POC for administrative and policy questions about
authorization to be a part of the Internet. Examples of such sponsoring organizations are: DISA DNSO,
the National Science Foundation (NSF), or similar military or government sponsors.
NOTE: If the network will NOT be connected to the Internet, you do not need to provide this
information.
1a. Sponsoring organization:
1b. Contact name (Last name, First name):
1c. Contact title:
1d. Mail address:
1e. Phone:
1f. Net mailbox:
1g. NIC handle (if known):
2) Provide the name, title, mailing address, phone number, and organization of the technical POC.
The on-line mailbox and NIC handle (if any) of the technical POC should also be included. This is the
POC for resolving technical problems associated with the network and for updating information about
the network. The technical POC may also be responsible for hosts attached to this network.
2a. NIC handle (if known):
2b. Technical POC name (Last name, First name):
2c. Technical POC title:
2d. Mail address:
2e. Phone:
2f. Net mailbox:
Table 37 NIC IP address request form
IP address request form (continued)
(Sheet 2 of 4)