AU registrant name change form

.au Registrant Name Change Form
A registrant name change form is used to transfer the owner of a domain from one legal entity to
another paying by cheque. This form is a legal document and must be completed correctly. If it is not
completed correctly, we will not be able to process your application. If you are unsure or require help in
completing this form, please contact us on [email protected] and we will be happy assist you.
Registrant Name Changes are performed in accordance with AUDA’s Transfers (Change of Registrant)
Policy 2004-03.
Please post to PO Box 270, BROADWAY NSW 2007. Please allow approximately 5 business days for
processing.
New Domain Registrant Details
Domain Name: ______________________________________________________________________________________________
Does the domain name need to be moved to a new Netregistry account (circle)?
Yes / No
Current Account Reference: __________________ New Account Reference (if available): ________________________
New Registrant Entity Name: ________________________________________________________________________________
New Registrant ABN/Eligibility Details: ______________________________________________________________________
(Eligibility details include ABN, ACN, Trademark Number, Incorporated Association Number or Registered State
Business Name & Number – you MUST provide these details for the transfer to be processed).
Payment Details
The Registrant Name Change Process involves a new 2 year registration period being started on the
domain. The total cost of the Registrant Name Change process is $90.00 (GST inclusive).
Payment must be made at the time of registrant change application; we will not provide an invoice for a
Registrant Name Change.
Please indicate a preferred payment method from the list below:
☐
Cheque / Money Order (attached)
Credit card - To pay by credit card, please complete the online Registrant Name Change form found at
https://theconsole.netregistry.com.au/rego/registrantNameChange.jsp
☐
Any paper application forms with credit card details provided will be automatically declined unless
prior approval from Netregistry Domains Department.
Netregistry Pty Ltd. ABN 13 080 859 721 PO Box 270, Broadway NSW 2007 Australia
email [email protected] | fax 02 8079 0742 www.netregistry.com.au
.au Registrant Name Change Form
Current Registration Confirmation
Domain Name: ______________________________________________________________________________________________
Current Domain Registrant: _________________________________________________________________________________
Confirm Current Authcode: _________________________________________________________________________________
The current domain registrant must complete the following declaration:
I declare and warrant to Registrar and to .au Domain Administration Ltd that:
•
I am authorised to submit this form for or on behalf of the current registrant of the domain
name;
•
and the current registrant of the domain name is entitled to transfer the domain name licence to
the proposed new registrant;
•
and all information contained in this transfer form are true, complete and correct, and not
misleading.
The current registrant hereby transfers the domain name licence to the proposed new registrant,
subject to the terms and conditions on which the current registrant held the domain name licence at the
time of transfer.
Signature: ______________________________________ Date: ______________________________________________________
Contact Name: ______________________________________________________________________________________________
Organisation: ________________________________________________________________________________________________
Postal Address: ______________________________________________________________________________________________
Contact Email: _______________________________________________________________________________________________
Phone: _________________________________ Fax (optional): ______________________________________________________
Netregistry Pty Ltd. ABN 13 080 859 721 PO Box 270, Broadway NSW 2007 Australia
email [email protected] | fax 02 8079 0742 www.netregistry.com.au
.au Registrant Name Change Form
New Registration Confirmation
Domain Name: ______________________________________________________________________________________________
New Domain Registrant: ____________________________________________________________________________________
The new domain registrant must complete the following declaration:
I declare and warrant to Netregistry and to .au Domain Administration Ltd that:
•
I am authorised to submit this form for or on behalf of the proposed new registrant of the
domain name; and
•
the proposed new registrant is eligible to hold the domain name licence under auDA’s published
policies from time to time; and
•
all information contained in this transfer form are true, complete and correct, and not
misleading.
The proposed new registrant hereby accepts the transfer of the domain name licence, subject to the
terms and conditions on which the current registrant held the domain name licence at the time of
transfer.
Signature: ______________________________________ Date: ______________________________________________________
Contact Name: ______________________________________________________________________________________________
Organisation: ________________________________________________________________________________________________
Postal Address: ______________________________________________________________________________________________
Contact Email: _______________________________________________________________________________________________
Phone: _________________________________ Fax (optional): ______________________________________________________
If the domain has been registered within the last 6 months, please advise reason for change of
ownership, as per AuDA’s Policy (http://www.auda.org.au/policies/auda-2008-08/).
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Netregistry Pty Ltd. ABN 13 080 859 721 PO Box 270, Broadway NSW 2007 Australia
email [email protected] | fax 02 8079 0742 www.netregistry.com.au