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