.nz Domain Name Commission

This form is issued by Domain Name Commission Limited (DNC or Domain Name Commission) on behalf of InternetNZ, Internet New Zealand Incorporated.

APPLICATION FORM FOR AUTHORISATION AS A REGISTRAR

Please complete this form electronically, then print, sign, and return to the Domain Name Commission at:

Domain Name Commission Limited
PO Box 11881
Wellington 6142

1.

Please demonstrate below that you have access to, and will continue to have the appropriate standard of, technical skills and knowledge to be an authorised registrar.

(If neccesary, complete on a separate piece of paper)

2.

Please demonstrate that you have, and will continue to have, the customer support services, including billing capability, required to meet your responsibilities to your registrants.

(If neccesary, complete on a separate piece of paper)

3.

Please read the following statements and sign in confirmation at the bottom of the page.

a)

I confirm that my organisation , located at operates as a legal entity.

b)

I permit Domain Name Commission, to carry out third party checks that enable the Domain Name Commission to satisfy themselves that my organisation meets the requirements, and is suitable to be authorised as a registrar.

c)

I have attached a letter from my bank stating that my accounts have been operating satisfactorily.

d)

I have included a copy of our Registrar - Registrant Agreement. I confirm that it contains all the core Terms and Conditions specified as required in .nz Registrant Agreements.

e)

I have read and understand all understand all .nz policies and confirm that my operations and current practices are consistent with these policies.

f) I declare that the information contained in this application is true and complete.

 

Signed:

Date:

 

Name:

 

Email:

 

Organisation Phone
Organisation Email
Organisation Fax
Contact Person
Contact Person Phone
Contact Person Email