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Registrar Form

Contact and General Business Information

Name of entity applicant *

Address of entity applicant *

Please enter address of entity applicant.

State of entity applicant *

Please enter state of entity applicant.

Telephone number(+[country_code].[number]) *

Include area/city code. Example: +91.1126424001

Please enter valid telephone number of entity applicant.

Email address *

Please enter valid email.

URL of website

Are you an ICANN accredited registrar? *

Yes

What is your IANA ID? *

Please enter your IANA ID.

Which third party backend platform do you intend to use? *

Please enter third party backend platform do you intend to use?

Would you need NIXI support to connect with vendors? *

Yes

I undertake that any individual owning more than 5% of the entity do not appear in any role at more that 3 registrars empaneled with NIXI *

Yes

This field is required.

By submitting this application form, you warrant that you have read, understood, and agree to abide by the Registry Registrar Agreement, the Access Agreements, and all published policies. In addition, you acknowledge that accreditation of registrars is at the sole discretion of the .IN Registry. *

Yes

This field is required.

By submitting this application form, the Applicant attests that the information contained in this application are true and accurate to the best of Applicant's knowledge. By submitting this application, the Applicant gives the .IN Registry and its contracted providers permission to contact third parties, investigate, request, and obtain additional information and documentation, and otherwise verify the information contained in this application. Applicant waives liability on the part of the .IN Registry and its contracted providers for its actions in verifying the information provided in this application. Applicant further waives liability on the part of any third parties who provide truthful, material, relevant information about Applicant as requested in this application. *

Yes

This field is required.

Third party backend platform intend to use *

Yes

This field is required.

By submitting this application form, you warrant that you have read, understood, and agree to abide by the Registry Registrar Agreement, the Access Agree ments, and all published policies. In addition, you acknowledge that accreditation of registrars is at the sole discretion of the .IN Registry. *

Yes

This field is required.

.IN Registry

Registrar Form

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