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Request a modification to a domain name under ac.uk

All fields marked with an asterisk (*) are required.

Your details

First name *

Last name *

Email *

Domain name *

Representing *

Organisation *

Administration contact

First name *

Last name *

Email *

Telephone *

Address *

City or town *

County

Postcode *

Country *

Technical contact

First name *

Last name *

Email *

Telephone *

Address *

City or town *

County

Postcode *

Country *

Registration contact

First name *

Last name *

Email *

Telephone *

Address *

City or town *

County

Postcode *

Country *

Additional information

Primary nameserver and IP address *

Secondary nameserver and IP address *

If applicable, what is your approved registrar membership number?

If known, who was the previous registrar?

Is there any other information which may be useful?

Submission receipt

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.