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)

The English translation of the Domain Registration Rules and Procedures and the Application Form is for reference ONLY and by signing this form the Domain Applicant acknowledges that in case of any dispute the Hungarian official versions of the documents are the legally binding ones.
 
Domain name(s) chosen by the Applicant:
(A list of names can be attached on a signed separate sheet).
[  ] New application?		[  ] Amendment?	Reason: _________________
Under which public domain do you ask for the delegation?
[  ] .hu domain			[  ] second level public domain, viz.: _________________

Identification data of Domain Applicant (tax number of the legal entity or for the lack thereof the registration number; number of the personal identification document (ID card, passport, driving license or residence permit) of the natural person, or their birthday): ____________________
Legal Status of Domain Applicant: ____________________
Name of the Domain Applicant as per the personal identification document or per the resolution on the registration (in Hungarian):

Postal address of Domain Applicant:
telephone number: ____________________		fax number: ____________________
e-mail address: ____________________
 
Administrative contact designated by the Domain Applicant (if other than Domain Applicant)
name: ____________________
postal address: ____________________
telephone number: ____________________		fax number: ____________________
e-mail address:
 
I declare that
•	I am familiar with, accept and shall comply with the Domain Registration Rules and Procedures in force any time;
•	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 Alternative Dispute Resolution Forum moreover neither the Registrar nor the Registry are responsible for the implementation of decision brought during the alternative dispute resolution;
•	I guarantee that I have completed this Application Form with real data. I accept that the delegation of the domain is to be revoked in case the data provided are false or I fail to notify the Registrar about changes in data;
•	I have read and I accept the Privacy Statement and I authorize the handling of my personal data in the registry and that this authorization is legal according to the laws of my country;
•	I have the authorization of the private person(s) specified as contact(s) to have his/ their personal data handled by the registry;
•	I have read the Application Form in its entirety and approvingly signed, respectively accepted it.
Date: ____________________
Name of Domain Applicant (or name of its representative):
Due signature 
 
Name of the Registrar taking over the application, date of receipt and the signature of the Registrar: