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[ DOMAIN-REQUEST-FORM-FOR-PK-DOMAIN...Version 2.0 ]

Please fill in the following information for a new domain name
in .PK Top Level domain. 

INSTRUCTIONS:

1. WRITE ONLY ON THE SPACE AFTER ':' in each field. 
2. Do NOT add any text between the lines on this form.
3. Please send the completed form to submit@pknic.net.pk. 
4. Allow one week for processing and update. 

By sending this form by email to submit@pknic.net.pk you
agree to all the terms and conditions stated in this form and
to the PKNIC policy posted on PKNIC Web site http://pknic.net.pk



DOMAIN & AUTHORIZATION
1a. Complete Domain Name............:
1b. (N)ew (M)odify (D)elete.........:
1c. Authorization Code..............: 
    The authorization code is required only for Modify or Delete operation.


ORGANIZATION USING DOMAIN NAME
3a. Organization Name (Registrant)..:
3b. Brief Description (single line).:
3c. Registered Tradename/Trademark..: (if used in the domain name)
3d. Street Address..................:
3e. City............................:
3f. Country ........................:
3g. Domain Contact in Organization..:
3h. PKNIC Handle for 3g (if known)..:
3i. Title/Position of Domain Contact:
3j. Phone Number....................:
3k. Email Address...................:

ORGANIZATION TYPE 
3l. Is it a part of Govt of Pakistan:
3m. Is it owned by Govt. of Pakistan:
3n. Is it a non-profit Organization.:
3o. Is it a non-commercial, 
    educational Institute...........:

TECHNICAL CONTACT/AGENT
Note: This may be a third-party company or consultant

4a. PKNIC Handle (if known).........:
4b. Name............................:
4c. Organization Name...............:
4d. Street Address..................:
4e. City............................:
4f. Country ........................:
4g. Phone Number....................:
4h. Email Address...................:

NAMESERVERS

5a. Primary Server Hostname.........:
5b. Primary Server Netaddress (IP)..:
5c. Secondary Server Hostname.......:
5d. Secondary Server Netaddress (IP):

ADDITIONAL NAMESERVERS (optional, not required)
6a. 2nd Secondary Server Hostname.......:
6b. 2nd Secondary Server Netaddress (IP):
6c. 3rd Secondary Server Hostname.......:
6d. 3rd Secondary Server Netaddress (IP):


AGREEMENT

7a. I have read and agree to both this 
	PKNIC Policy Agreement and the 
	PKNIC Policies posted on 
	Web Site http://pknic.net.pk.
	I agree.................................:
    Note: Please type Yes or No for Item 7a.

Please send the completed form to submit@pknic.net.pk. Allow one week for
processing and update (typically all valid forms are processed within 24 to 48 hours).