Application Form for Modifying the Hosting of an Existing ...



|[pic] |Application Form for |

| |Modifying the Hosting of |

| |an Existing Domain Name |

|For the prevailing policy on domain name, please visit |

| |

|To be completed by authorized department representative |

|Department: | | |Date of Request: | |

|Name: | | |Date Needed: | |

|Email: | | |Telephone (or ext.): | |

| | | | | |

|Existing Domain Name (DN): | |

|DN currently is resolved at: |□ University DNS server|□ External DNS server |IP address: | |

| | | |Node name: | |

|DN to be resolved at: |□ University DNS server|□ External DNS server |IP address: | |

| | | |Node name: | |

| | | | | |

|If this domain name or service is to be hosted by a new internal or external Service Provider (SP), please supply the following: |

| Name of the Current SP: | |

|Current Server’s Node Name: | |IP address: | |

|Name of New SP: | |

|New Server’s Node Name: | |IP address: | |

|New SP contact – Telephone: | |Fax: | |

|PO number (if applicable): | | | |

|Description of hosted service: | |

| | |

|If a change in DNS registration information is required, please supply the following: |

| | |

| |

|To be completed by Head of department or Principal Invigilator |

|Authorized by: | |Date: | |

| |(Printed name and title) | | |

| | | | |

| | | | |

|Signature: | | | |

|To be completed by CSC |

|Reviewed by: | |Date: | | |

|Reviewed by: | |Date: | | |

|Application is |□ approved □ disapproved | |

|Comments: | |

| | |

| | | |Date: | |

| | | | | |

|Approved by: | | | | |

| | | | | |

| | | |Date of Action: | |

|Handled by: | | | | |

| | | |Date Notified Dept: | |

| | | | | |

|□ The DNS of the existing domain name will be changed, verify information below: |

|Current DNS’s Node Name:| | |Current DNS’s IP address: | |

|New DNS’s Node Name: | | |New DNS’s IP Address: | |

| | | | |

|□ New domain name is to be served by central name servers |

| | |NS (Domain delegation, i.e., zone.cityu.edu.hk) |

| | |A (IP Address): | | |

| | |MX (Mail Routing): | | |

| | |CNAME (Alias): | | |

| | | | |

|The Service Provider (SP) will be changed, verify information below: |

|□ Name of the Current SP |

|□ Current Server Node Name |□ Current Server’s IP address |

|□ Name of the New SP |

|□ New Server Node Name |□ New Server’s IP Address |

| | |

|Remarks: | |

| | |

| | |

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Please return the completed form to the General Office of the Computing Services Centre.

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