gov.uk domain registration form

Before completing this application please familiarise yourself with the application process and, in continuing, that you accept our payments and charges.

This form is to be completed by an approved registrar only.

You may find the application process simpler using the domain registry portal where you can track the application process.

Applicant's details

The applicant's details must be the details of the person submitting the request, ie Jisc approved registrar.

First name *

Surname *

Job title *

Email *

Organisation *

Domain name details

Requested domain name *

Please do not add the .gov.uk suffix. This will be added automatically.

What does the domain name represent? *

Please record the associated acronyms directly associated with the application or list the domain owner.

Organisation owning the domain

Which organisation will own the proposed domain? *

Which of the following best describes the organisation? *

Please specify *

What is the role and objective of the organisation? *

What is the status of the staff? *

Please specify *

What is the source of funding? *

Please specify *

To whom is the organisation accountable? *

For example, the secretary of state for....

What is the purpose of the domain name? *

Please specify *

Please give further details of the primary purpose and planned content for the proposed domain name *

Who is the intended audience? *

Does your organisation/department/local authority already own a gov.uk domain? *

If yes, please state the URL *

Contact details for organisation using the domain

This information will be shared with the relevant naming committee for the use of this application and will remain private.

Full name *

Organisation *

Full postal address *

What is the role of the contact within the organisation? *

Email *

Work telephone *

Fax

Public registrant contact

This information will be published in the public Whois. By doing so, you and your customer agree to GDPR requirements. The details can be the same as above or generic details, such as hostmaster / IT manager / clerk.

Registrant name *

Full postal address *

Work telephone *

Email *

Registrar contact

Full name *

The registrar contact must be an employee of the registrar hosting the domain name.

Full postal address *

Email *

Work telephone *

Fax

Nameserver details

Primary nameserver and IP address *

Please enter the name and IP address of your primary nameserver

Secondary nameserver(s) and IP address(es) *

Secondary nameserver(s) and IP address(es)

Please give the details of at least one and up to nine secondary nameserver(s)

Additional information

What is your payment method? *

If applicable, what is your approved registrar membership number?

Notes

Would you like a copy of your submission? *

Privacy notice

The information above is needed for us to setup this hosted internet service. We’ll use it, as described in our standard privacy notice, to provide the service you’ve requested, manage it and to identify problems or ways to make the service better. We’ll keep the information until we are told that you are no longer the representative for your organisation, or until your organisation no longer wishes Jisc to host the service.

(If you're a human, don't change the following field) Enter your name Your first name.