ZA NiC

Before applying, be sure you that you agree with the ZA NiC Policy for Domain Registration.

Complete domain name
Organisation
The organisation requesting the domain (If you are an individual, fill the organisation name with your name)	Organisation Name Street Address City Post Code Country
Administrative contact	Technical Contact
The person in charge of administrative matters regarding the domain.	The person in charge of technical matters regarding the domain. (If you leave all fields in the Technical Contact template blank, it will be assumed that it should be the same as the Administrative Contact)
Name and Surname E-Mail (Confirmation of this request will be sent to this email address) Organisation Street Address City State or Province Post Code Country Phone Number Fax Number	Name and Surname E-Mail (Confirmation of this request will be sent to this email address) Organisation Street Address City State or Province Post Code Country Phone Number Fax Number
Technical information
Fill only for new domains or technical change Fill Name1...NameX and IP1...IPX respectively with the fully qualified domain names and (only if necessary) the IP addresses for your domain servers; put the primary at the top of the list. You don't need to fill all lines. IP addresses are only needed when the domain names for the servers are within the requested domain.
Name1:	IP1:
Name2:	IP2:
Name3:	IP3:
Remember: submitting this request means that you agree with the ZA NiC Policy for Domain Registration.
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Organisation