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Cherrinet

Customer IP Address Justification Form

CHERRINET provides wireline Internet connectivity to its customers across India. Any customer using the CHERRINET for accessing the internet is allocated IP addresses on request in the public IP address space allocated to CHERRINET

CHERRINET is required justify IP address assignment to source supplier to ensure adherence to policies and guidelines set for responsible use of IP address space. Cherrinet or any other access service provider does not own IP addresses. They are allocated / Assigned to customers based upon documented justification. CHERRINET will make necessary allocations within 7 business days of the completed justification FORM reaching us.

Customer understands and agrees to have the facility of maintaining system log/NAT and maintain the logs for a period of one year. The logs shall be disseminated on demand by cherrinet or DoT or security agencies.

Please fill up the necessary details in justification form below.

1 Organisation Name 2 Address 3 Customer IP Administrator's Name 4 Contact No 5 E-Mail Id 6 Bandwidth Requirement 7 Is the customer using public IP addresses? If so,details of IP addresses including addresses space, provider,utilisation of allocated addresses space (use extra sheets if necessary) New Link 8 Pictorial representation of current network layout (use extra sheets if necessary) As attached 9 Type of equipment / service and the IP addresses currently used New Link 10 No of IP addresses required 11 Reason 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 1 Safe,Secure Data Remains Protected Single Ipaddress Multiple devices

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Dial-Up Web hosting

Leased Line

XDSL

Co-Location Enterprise Use

Others(Please specify)

List the Ipaddresses 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)

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Provide any additional informationyou would likeCHERRINET/APNIC to consider for this registration request

Is allocation temporary or permanent? If so reason for temporary allocation

Expected date of surrendering the on cancellation of link,IP's allocation( To be filled if requesting for will be returned a temporary allocation)

Proposed IP address deployment plan including subnetting.(Use extra sheets if necessary)

19 Do you have the facility of maintaining syslog(NAT logs) for one year

Yes/No Enterprise Use Enterprise Use 1 No Permanent

IP addresses utilisation details upto 32

levels

Equipment’s (Example:-Router,Port,Firewall, SMTP/POP3 Servers,FTP/Web servers etc)

Number of IP address

Remarks

Please attach a detailed network diagram clearly mentioning internal distribution of public IP addresses. Please get the seal (if applicable) and signature in all pages from customer.

Date:- Signature of customer Along With seal:-

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