Kinly Fill Below Membership Form

Company Name:
Name of Person in Charge (CEO / CTO / GM):
Head Office Address:

Administrative contact person to the A.IX

Name:
Telephone & Mobile numbers:
E-mail:

Technical contact person to the A.IX

Name:
Telephone & Mobile numbers:
E-mail:

AS Number:
BGP is Supported?
List of IP Subnets to be announced at A.IX:
Preferred DSP to link with A.IX:

Required Services from A.IX

Peering:
Number of Mbps:
GGC:
Number of Mbps:
FNA:
Number of Mbps:
AK:
Number of Mbps:

Exclusive for ISPs

Number of E1s Licensed from Ministry of Telecom (Reply needed in case CDN services are required):

Router Information that will be linked to AIX (Reply needed in case CDN services are required)

Brand:
Model:
BGP Supported?
IPV6 Supported?

Membership Application Form