Domain Registration Form

The template below is to be used when registering domain names for Government of Jamaica entities. The form should be completed and submitted to domreg@cito.gov.jm.

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1. Top-level domain.....:

2. Complete Domain Name.:

3a. Organization name....:
3b. Organization address.:

4. Operational Date.....:

Administrative Contact:
5a. NIC Handle (if known):
5b. Name (Last, First)...:
5c. Organization.........:
5d. Postal Address.......:

5e. Phone Number.........:
5f. Net Mailbox..........:

Technical/Zone Contact:
6a. NIC Handle (if known):
6b. Name (Last, First)...:
6c. Organization.........:
6d. Postal Address.......:

6e. Phone Number.........:
6f. Net Mailbox..........:

7a. Prime Server Hostname...:
7b. Prime Server Netaddress.:

8a. Second Server Hostname..:
8b. Second Server Netaddress:

9. Domain/Org Purpose/Desc.:

Notes: In Sections 3b, 5d, & 6d use multiple lines for addresses.
If contacts are registered, only 5a and 6a are needed.
If servers are registered, only 7a&b and 8a&b are needed.
If there is more than one secondary server, just copy Section 8.