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NIXI Connection Form for Members

This document is a connection form for members to connect to NIXI. It requests information such as the member's name, contact details, port capacity and plan type, IP addressing details, router/equipment details, current and intended peering connectivity, and BGP information. Completing this form allows NIXI to perform the necessary configuration and wiring work to enable a connection.

Uploaded by

Vipul Jain
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124 views3 pages

NIXI Connection Form for Members

This document is a connection form for members to connect to NIXI. It requests information such as the member's name, contact details, port capacity and plan type, IP addressing details, router/equipment details, current and intended peering connectivity, and BGP information. Completing this form allows NIXI to perform the necessary configuration and wiring work to enable a connection.

Uploaded by

Vipul Jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NIXI CONNECTION FORM FOR MEMBER

ISP Non-ISP / CDN / CONTENT PROVIDER

Kindly complete this connection form to enable us to provide you connection.


This information allows the NIXI to perform the necessary admin,
configuration and wiring work to allow you to connect.

Name of NIXI location:


Port capacity______________________ Plan type__________________________
Member Contact Information:
Installation Site Please provide details.
Company Name Main Contact Phone
Site Address Fax

Mobile Email
To whom questions regarding the service
should be addressed
Pincode Position
Technical Contact on Site Fax Email
Contact Name Phone Provide here details of contact whom
Mobile
Out of Hours Reporting

NIXI can
contact in the event of service problems
outside of working hours.
24 hour contact numbers
Contact Names

Do you need consolidate bill for all locations?(If connected at multiple locations)

Billing Contact
Billing Contact Address
Provide details to whom invoices will be sent
Position Phone
Fax Mobile

Email

Member Signature
Company Seal
NIXI Service Details:

1. Access Circuit

Size of Circuit e.g.10 Gbps Circuit Provider


Expected date by which circuit provisioned
If you are providing your own circuit, please specify delivery date:

2. Router Details/Cache Server/Other Equipment Details


Dedicated Router Details (Owned, supplies and co-located at NIXI)

Height in U Height in Inches Heightin mm

Make and Model:

3. IP Addressing (NIXI will provide one IP address )


What are the assigned address ranges?
From where were these obtained?
Is your current IP address space? Provider Provider
Dependent Independent (Portable)

Current peering Connectivity

Member’s pre-NIXI peering connectivity (select 1,2, or 3)


Member has no peering
Member has a single peering. Specify which one: [Link] has multiple peering. Specify whic

Member Signature
Company Seal
Member’s peering with NIXI will be (select 1or 2):
[Link] will be the sole peering provider to the Member. [Link] will have multiple peering pr

BGP Information

AS number used for peering in the NIXI

List of AS Numbers the applicant would announce.


List of IP Address range the applicant would announce with NIXI.

Member Signature
Company Seal

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