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Membership Application Form
   
  Note: Final application form need to be signed in hard copy by authorized officer of the company. The Charter, license and Telecommunications Law shall prevail in all cases.
   
 
Your Email :
 1. Please provide the name and registration number of the legal entity applying for BIX membership.(Charter "Member Responsibilities", Section 23.3)
      Entity Name :
      Registration no :
 
2. Please provide the name of a technical, administrative and billing contact. Please note that the billing contact should be the person who should receive invoices with relation to all of your organisation fees.
      Technical
      Person-name :
      Address :
      Phone :
      Fax-No :
      E-mail :
      Administrative
      Person-name :
      Address :
      Phone :
      Fax-No :
      E-mail :
      Billing
      Person-name :
      Address :
      Phone :
      Fax-No :
      E-mail :
3. Please mention the email addresses of any other person in your organisation     who should be notified and copied with correspondence regarding the joining process.
      Person-name :
      E-mail :
4. Does the applicant agree to further the aims of the BIX and abide by the terms of the Charter, and the organisational and technical requirements of the BIX?
      Yes No
5. What Autonomous System (AS) number(s) will the applicant use for peering with other BIX Members? (Charter " Technical Prerequisites to apply to become a BIX member", Section 21.1.a)
AS number:
6. If the Applicant's application is successful, will the Applicant commit to paying the joining and membership fees? (Charter "Membership Status", Section 24.1.a)
      Yes No
7. If the Applicant's application is successful, will the Applicant pay for BIX Service Fees? (Charter "Fees", Section 28)?
      Yes No
8. If the Applicant's application is successful, will the Applicant provide a signed copy of the Charter? (Charter "Membership Status", Section 24.2.a)
      Yes No
9. Is the Applicant agreed to contribute in good faith towards the operation of the BIX? (Charter "Member Responsibilities", Section 31.1)
      Yes No
10. Does the Applicant accept the authority of the General Assembly as final in matters relating to the BIX?
      Yes No
11. Does the Applicant agree to adhere to the BIX publicity guidelines? (Charter "Publicity", Section 29)
      Yes No
12. Please provide the Applicant's operational contact details:(Charter "Member Responsibilities", Section 23.3.a ) (Charter "Publicity", Section 29)
      NOC 7 day 24-hour Telephone Number:
      NOC E-mail address:
      NOC Fax number:
13. Please provide the email address to which requests for peering should be sent. (Charter "Member Responsibilities", Section 23.3. b)
      Email address:
14. Does this contact agree to respond to any peering request by a potential new member within 2 working days of the request? (Charter "Member Responsibilities", Section 23.4)
      Yes No
15. In which publicly accessible registry is the applicant's routing policy registered? (Charter "Technical Requirements", Appendix 1 – Point 4.f)
 
16. Please provide the number and capacity of ports required.(See Services Definition and Charter Section 23.7)
      No of Ports:
      Internet Bandwidth:
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