In accordance with point 3.6.1. of the Domain Registration Policy
Declaration

for the conversion of domain name(s) from a document-based to a one-factor validation-based registration - Domain User: legal person

I, as undersigned: .....................................................

as the official representative of the following legal entity:

name: .....................................................

address: .....................................................

tax number: .....................................................

I am requesting the conversion of the following domain(s) I am using from a document-based to a one-factor validation registration.

Domain name(s): .....................................................

Factor data for the confirmation procedure:

E-mail address: .....................................................

Phone number: .....................................................

I acknowledge the risks associated with the Confirmation Procedure based domain registration, including that the person who holds the factors I have provided may have unrestricted access to the domain, even without my knowledge. I understand that I need to pay special attention to preserving the provision over factor data.

Dated: .....................................................

	.............................................
	Signature in company format