Application Form for applying for delegation of an Internet domain under .hu public domains

(Columns to be filled in on a mandatory basis are in bold letters. One domain per Application Form please!)

The English translation of the Domain Registration Rules and Procedures and the Application form is for reference ONLY and by signing this form the Applicant acknowledges that in case of any dispute the Hungarian official versions of the documents are the legally binding ones.

Domain name chosen:

[ ] New application?  [ ] New application with priority? [ ] Amendment? Reason: _________________

If the name is a trade mark, what is the registration number:

Under which public domain do you ask for the delegation?

  [ ] .hu domain    [ ] second level public domain, viz.:_________________

Identifier of the applicant (tax number of the entity (or for the lack thereof the registration number) or the personal (identity card) number of private individual:

Legal status of applicant:

Full name of applicant (in Hungarian):

  Name in English (if not private person):

Postal address of Applicant:

  telephone number:
  telefax number:
  e-mail address:

Administrative contact designated by Applicant (if other than Applicant)

  name:

  postal address:

  telephone number:
  telefax number:
  e-mail address:

I declare that

• I am familiar with, accept and shall comply with the Domain Registration Rules and Procedures;

• I shall accept the decisions of the Registry and the Registrar in issues relating to the application for, delegation and maintenance of the domain;

• I acknowledge that in case of disputes relating to the conformity of the applications to the Domain Registration Rules and Procedures the Registrar and the Registry will submit themselves to the decision of the Consulting Board;

• I submit myself to the decision of the Alternative Dispute Resolution Forum and the Ad Hoc Arbitration backed by the Registry in respect of issues relating to the delegation and registration of the domain and to the effect of the contract concluded on the provision of services and to the rights and obligations arising therefrom, which arbitration shall resolve the dispute with the effect of a final and binding judgement of a judge;

• I have filled in the application form genuinely and that I have perused it completely and signed it approvingly.

Date:

Name of the representative of the Applicant:

due signature

Name of the Registrar taking over the application, date of receipt and the signature of the Registrar:

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PDF version can be found here.