Applicant Details Applicant Name (mandatory) Domain Account (if known) Account Email (mandatory) Please use the email address associated with this account (if known) Applicant Phone (mandatory) Domain Details Domain Name(s) (mandatory) If you wish to modify multiple domain names with this request, please enter them one per line. With the removal and addition of the name servers, please ensure that the result contains at least 2 or more name servers. You can view the existing name servers by doing an AusRegistry Whois Lookup. If the name servers are glue records, please also supply their IP addresses. Remove Name Servers Add Name Servers When would you like this change implemented? (mandatory) Standard Change: Select this option for non-time sensitive name server changes that are ready to be implemented. We will endeavour to action this request within one business day. Scheduled Change: Select this option if your name server change is required to be completed at a specific time. Please provide one business day notice and we will endeavour to action this request at the preferred time. Urgent/Emergency Change: Select this option if critical services are impacted and changes to name servers are required to resolve the issue. Please submit this form and call us (mobile: 0437 653 861) to bring this to our attention. Date of Change (mandatory) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201820192020 Preferred Time of Change (mandatory) Hour Hour01234567891011121314151617181920212223 : Minute Minute00153045 Please use local Canberra time (AEST/AEDT) Leave this field blank Submit
