Declaration according to Section 3.3.1 of the Domain Registration Policy
Declaration
For the transition of a document-protected domain name(s) to multi-factor authentication – domain holder: natural person or sole proprietor
The undersigned:
……………………………………………..
Address: ……………………………………………..
Notification email address: ……………………………………………..
Notification phone number: ……………………………………………..
Identifier (for a natural person: mother’s maiden name, date of birth, or ID number with its expiration date; for a sole proprietor: tax number): ……………………………………………..
For the following domain(s) under my use, I request the transition from document-protected registration to multi-factor authentication-based registration.
Domain name(s): ……………………………………………..
Domain name(s) protection level:
☐ Email only			☐ Email and authentication phone number
(Mark the appropriate level with an “X”)
The domain holder’s factor authentication data:
Email address: ……………………… Phone number: ……………………………………………..
I acknowledge the risks associated with multi-factor authentication, including that anyone who possesses the authentication factors I have provided may gain unrestricted control over the domain, even without my knowledge.
I understand that special attention must be paid to safeguarding control over authentication data.
Date: ……………………………………………..
Declarant’s signature:
…………………………………….
(If the declarant digitally signs the document, no witnesses are required, nor is a handwritten signature necessary.)
In the presence of witnesses:
Witness 1	Witness 2	
Name: ………………………	Name: ………………………	
Address: ………………………	Address: ………………………	
Signature: ………………………	Signature: ………………………