Application Form

New / Modify / Delete:

Purpose / Description:

Complete Domain Name:

1. Organization Using Domain Name

Organization Name:

Brief Description:

Organization Type: (e.g. non-commercial, educational, non-profit, etc.)

Complete Address:

Phone Number:

Email Address:

Fax Number:

2. Administrative Contact (This part shall be filled by our company):

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

3. Technical Contact:

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

4. Billing Contact:

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

5. Primary Name Server:

Primary Server Hostname:

Primary Server Net Address:

6. Secondary Name Server(s)

Secondary Server Hostname:

Secondary Server Net Address:

IDN (.misr) Registration

New / Modify / Delete:

Purpose / Description:

Complete Domain Name:

1. Organization Using Domain Name

Organization Name:

Brief Description:

Organization Type: (e.g. non-commercial, educational, non-profit, etc.)

Complete Address:

Phone Number:

Email Address:

Fax Number:

2. Administrative Contact (This part shall be filled by our company):

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

3. Technical Contact:

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

4. Billing Contact:

Name:

Organization Name:

Address:

Phone Number:

Email Address:

Fax Number:

5. Primary Name Server:

Primary Server Hostname:

Primary Server Net Address:

6. Secondary Name Server(s)

Secondary Server Hostname:

Secondary Server Net Address: