Completed applications should be sent by mail or courier directly to ICANN at the following address:

Internet Corporation for Assigned Names and Numbers
Registrar Accreditation
4676 Admiralty Way, Suite 330
Marina Del Rey, CA 90292 USA
Phone: (310) 823-9358

ICANN accepts applications for registrar accreditation on a rolling basis. There is no deadline for receipt of applications for registrar accreditation.

Please provide the following information on separate paper, answering each request in a numbered paragraph corresponding to the number of the question. If there is no answer available for a particular question, please indicate that fact next to the number corresponding to the question. For Section VI questions ("Business Capabilities"), please give the most complete answer possible, explaining all capabilities in detail, and attaching, labeling, and referencing all necessary supporting documents at the back of the application. See the Application Instructions for additional guidance.

Registrar Accreditation Application

GENERAL INFORMATION:

1. Name and business address of entity applicant.

2. Type of business entity (corporation, partnership, etc.).

3. Telephone number of applicant.

4. Facsimile number of applicant, if available.

5. E-mail address of applicant.

6. Name of contact person.

7. Telephone number and email address of contact person, if different from 3. and 5., above.

8. Internet address for your World Wide Web site.

9. Please list (i) all directors, (ii) all officers, (iii) all relevant managers, and (iv) any persons or entities owning five percent or more of your current or proposed business entity.

BUSINESS CAPABILITIES:

10. Describe your current business capabilities or comprehensive business plan as specified below.

a. Give an overview of your current business operations or business plan. (If you are a publicly traded company, this may be done by providing a copy of your most recent annual report.)

b. What volume of registrations of SLDs do you reasonably project to be able to handle per month?

c. What management, communication, and information processing systems do you have (or propose to have) to handle your projected volume of registration business per month? Please be specific.

d. What management, communication, and information processing systems do you have (or propose to have) to promptly handle SLD holders' requests for changes in registration data? How long do you anticipate that such requests will take to execute?

e. What is your capability (or proposal for capability) for providing a reliable and readily usable daily backup and archive of all SLD holder and registration data?

f. What is your capability (or proposal for capability) for maintaining electronic copies of all transactions, correspondence, and communications with the SRS for at least the length of the registration contract?

g. What is your capability (or proposal for capability) for providing public access on a real-time basis (such as through a WhoIs service) to the data elements ICANN has designated for all active SLD registrations you sponsor in the registry (see Section 3.3.1 of the Registrar Accreditation Agreement)?

h. What is your capability (or proposal for capability) for providing information systems security procedures to prevent system hacks, break-ins, data tampering, and other disruptions to your operations?

i. What is your capability (or proposal for capability) for providing SLD holders with continued use of their domain names in the event you go out of business or otherwise cease to operate as an ICANN-accredited registrar of SLDs in the .com, .net, and .org TLDs?

j. Do you (or will you) have the capacity to engage a sufficient number of qualified employees to handle the registration, update, and customer inquiry volume you projected in question 10.b?

k. What is your capability (or proposal for capability) for ensuring that the operation of the Internet will not be adversely affected in the event you go out of business or otherwise cease to operate as an ICANN-accredited registrar of SLDs in the .com, .net, and .org TLDs?

l. Do you have commercial general liability insurance? From what insurer? In what amount? If you do not currently have such insurance, how do you propose to obtain it, and in what amount? Please attach a current and valid certificate of insurance, if you currently hold it. If you do not currently have insurance, please attach a binder or other similar evidence of insurability (or the intent to insure) from an insurance company.

m. How much working capital do you have available for the operation of the registrar business? Is this level of liquid capital sufficient for your projected registration volume? Please attach evidence of working capital (if available, an audited statement for your most recent fiscal period is sufficient.)

n. Do you hold an existing and operational SLD (i.e., "icann.org"), or third level domain if operating under a country code top level domain (i.e., "cam.ac.uk")? If so, please list all SLDs (or third level domains) under which you or your affiliates do business.

o. Can you meet all of a registrar's obligations under the Registrar Accreditation Agreement ? If there are any provisions of the Registrar Accreditation Agreement you may not be able to fulfill, please explain the circumstances that prevent you from doing so.

11. Have you submitted to ICANN within the past year an accreditation application or material accompanying an accreditation application that ICANN has found to contain a material misrepresentation, material inaccuracy, or materially misleading statement? If yes, then please explain the circumstances.

12. Indicate whether (i) the applicant or any of its (ii) officers, (iii) directors, or (iv) managers:

a. within the past ten years, has been convicted of a felony or of a misdemeanor related to financial activities, or has been judged by a court to have committed fraud or breach of fiduciary duty, or has been the subject of a judicial determination that is similar or related to any of these;

b. within the past ten years, has been disciplined by the government of its, her, or his domicile for conduct involving dishonesty or misuse of funds of others;

c. is currently involved in any judicial or regulatory proceeding that could result in a conviction, judgment, determination, or discipline of the type specified in (a) or (b); or

d. is the subject of a disqualification imposed by ICANN and in effect at the time of this application.
If any of the above events have occurred, please provide details.

13. Do you give ICANN permission to use your company's name and/or logo in its public announcements (including informational web pages) relating to registrar accreditation?

ATTESTATION OF TRUTHFUL DISCLOSURE:

By signing this application, the undersigned Applicant attests that the information contained in this application, and all supporting documents included with this application, are true and accurate to the best of Applicant's knowledge. By signing this application, the undersigned Applicant gives ICANN 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 ICANN 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.

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Signature

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Name (please print)

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Title

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Name of Applicant Entity

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Date

Please attach all answers and supporting documents to a signed copy of this application form. Please include the application fee and send directly or by courier to ICANN at the address indicated above.