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

APPLICATION FOR UNMODERATED 2LD

1. Applicant Details

Name:

Name of organisation (if applicable):

Trading Name (if applicable):

Address:

Email address:

Phone number (business):

Phone number (mobile):

Phone number (after hours):

2. The 2LD extension applied for:

3. Define the community of interest for the new 2LD:

4. Explain how your proposed 2LD meets the criteria set out in clause 5.4 of the 2LD policy:

5. Provide your best estimate of the size of the community of interest and your opinion of the potential number of registrations for the new 2LD. Include rationale to support your figures.

Please return this form along with the payment set out in Schedule 2, to the following address:

Domain Name Commission Limited
PO Box 11-881
Wellington 6142
NEW ZEALAND