ICTA Forms

GOV.LK Domain Registration Form
Your Name: *

Your Email Address: *

Your Designation: *


1. Registration Type

Registration Type:


2. Fully-Qualified Domain Name

Registration Category: *

Fully-Qualified Domain Name: *


3. Organization Information

Organization Name: *


Name of the Head of the Organization: *

Designation: *

Head Contact Number: *

Head Email Address: *


4. Reason for Selecting Specific Domain Name

Reason for Selecting Specific Domain Name: *
( e.g. Trademark )


5. Administrative Contact of Org/Domain

Name: *

Organization Name *

Address Line 1: *

Address Line 2:

Voice Phone No: *

Fax No: *

Electronic Mailbox: *


6. Technical Contact of Org/Domain

Name:

Organization Name:

Address Line 1:

Address Line 2:

Voice Phone No:

Fax No:

Electronic Mailbox:


FILL OUT QUESTION 7 FOR REGISTRATION OF INTERNET HOSTS May be copied to register multiple hosts.


7. Resource Records (RRs) for Internet Hosts

Domain Name: *

Type of Record: *

Address/Canonical Name:




FILL OUT QUESTION 8 FOR MAIL FORWARDING May be copied to register multiple domains for mail forwarding


8. Mail Forwarding Information

DOMAIN NAME:

MX:

9. Attachments

Authorized Letter from Head Authorized letter (PDF) from head of the organization


10. For Security Purposes, Please type the text in the image