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GC.CA Subdomain Application
GC.CA Subdomain Application
Please indicate if this is a:
New Application
Information Update
*
Subdomain:
(enter subdomains one-per-line)
*
Description:
*
Organization:
*
Type:
Agency
Commission
Committee
Community of Federal Agencies
Council
Crown Corp.
Department
Events
Functional
Mission
Multi-Departmental
Organizational
Partnership
Secretariat
Task Force
Tribunal
Vanity
*
Mandate:
Contact information required: Administrative contact and at least one Technical contact. The "ADMIN" contact must be at a senior level speaking for the whole organization.
Admin Contact
*
Admin-Name:
*
Admin-Title:
*
Admin-Postal 1:
Admin-Postal 2:
Admin-Postal 3:
Admin-Postal 4:
*
Admin-Phone:
xxx xxx-xxxx
*
Admin-Fax:
xxx xxx-xxxx
*
Admin-Email:
Technical Contact
*
Tech-Org:
*
Tech-Name:
*
Tech-Title:
*
Tech-Postal 1:
Tech-Postal 2:
Tech-Postal 3:
Tech-Postal 4:
*
Tech-Phone:
xxx xxx-xxxx
*
Tech-Fax:
xxx xxx-xxxx
*
Tech-Email:
Second Technical Contact
Tech-Org:
Tech-Name:
Tech-Title:
Tech-Postal 1:
Tech-Postal 2:
Tech-Postal 3:
Tech-Postal 4:
Tech-Phone:
xxx xxx-xxxx
Tech-Fax:
xxx xxx-xxxx
Tech-Email:
Net-provider:
Nameservers (Primary and Secondary - Both must be specified):
Please provide fully qualified Domain Names with their IP Number
Primary NS:
Primary IP Address:
Secondary NS:
Secondary IP Address:
Optional additional secondary nameservers:
Secondary(2) NS:
Secondary(2) IP Address:
Secondary(3) NS:
Secondary(3) IP Address:
Additional information you want us to consider.
Comments:
This application is being submitted by:
*
Contact Name:
*
Contact Organization:
*
Contact Email:
*
Contact Phone:
Fields marked with
*
are Mandatory
Last Updated:
2005-11-17
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