DOMAIN NAME and ACTION
Domain name (e.g. mydomain.co.mz or mydomain.org.mz) *
Action ("New" for first time creation) *
Choose action
New
Update
Confirmation
Delete
ORGANIZATION NAME and BILLING
Organization name *
Postal address
Street address *
Cost of this application (0 if none) *
Payment method *
Choose payment method
ATM/Wire Transfer
Other
Organisation to be billed *
Phone number *
E-Mail *
ADMINISTRATIVE CONTACT
Name *
Title/ Position *
Organization *
Postal address
Phone number *
Fax number
Email address *
NIC Assigned Handle (if known)
THECHNICAL CONTACT
Name *
Title/ Position *
Organization *
Postal address
Phone number *
Fax number
Email address *
NIC Assigned Handle (if known)
NAME SERVER FOR THIS DOMAIN
Primary server FQDN
Primary server IP address
Secondary server FQDN
Secondary server IP address
Secondary server FQDN
Secondary server IP address
Secondary server FQDN
Secondary server IP address
PLEASE DESCRIBE YOUR ORGANIZATION BRIEFLY
DOMICILIUM CITANDI ET EXECUTANDI
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