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Get Etisalat Authorization Letter

Application form Domain Name Registration Please fill in this application form carefully and make sure that you provide correct complete and accurate information. By registering the Domain Name s listed here in the application form you will be entering into a registrant agreement with Emirates Telecommunications Corporation - Etisalat and a Domain Name Licence with the TR A. Should you not agree to any of the conditions in the registrant agreement or the Domain Name Licence do not proceed with the registration* A copy of the registrant agreement and the Domain Name Licence is attached to this form and also available at our website http //www. nic*ae/ 1. Type oF service New R Registration Renew Delete Modify Contact One year 2. Registrant details mandatory Name City Address P. O. Box Email Country Telephone Fax Mobile 3. Administrative details mandatory 4. Technical details optional 5. Billing details optional 6. Name Server Details optional Primary Server Name Host Name Secondary Server Name 7. Required Domain Name By submitting this application for a domain name you hereby confirm that you are eligible to hold the domain name set out in the application and that all information provided in this application is true complete and correct and is not misleading in any way. If any information is later found not to be true or is incomplete incorrect or misleading in any way or if you have submitted this application in bad faith the domain name licence shall be cancelled and you shall permanently lose the use of the domain name. Also you agree to the terms condistions attached with this application form and / or available on web site http //www. nic*ae Registrant or Representative IF applicable Trade License no. Signature Date Required documents Visa and Passport copy of owner or sponsor Copy of valid Trade Licence Power of Attorney For our use only Request number Account number Company Stamp if required. Should you not agree to any of the conditions in the registrant agreement or the Domain Name Licence do not proceed with the registration* A copy of the registrant agreement and the Domain Name Licence is attached to this form and also available at our website http //www. nic*ae/ 1. Type oF service New R Registration Renew Delete Modify Contact One year 2. Registrant details mandatory Name City Address P. nic*ae/ 1. Type oF service New R Registration Renew Delete Modify Contact One year 2. Registrant details mandatory Name City Address P. O. Box Email Country Telephone Fax Mobile 3. Administrative details mandatory 4. Technical details optional 5. O. Box Email Country Telephone Fax Mobile 3. Administrative details mandatory 4. Technical details optional 5. Billing details optional 6. Name Server Details optional Primary Server Name Host Name Secondary Server Name 7. Billing details optional 6. Name Server Details optional Primary Server Name Host Name Secondary Server Name 7. Required Domain Name By submitting this application for a domain name you hereby confirm that you are eligible to hold the domain name set out in the application and that all information provided in this application is true complete and correct and is not misleading in any way.

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