| FOR REGISTRATION OF NAMES IN THE TOP LEVEL GH DOMAIN ONLY |
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| 2.Purpose/Description (eg. email or Website) |
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3.Complete Domain Name (eg.www.home.com.gh) |
. gh |
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Organization Using Domain Name |
Administrative Contact |
| 4a. Organization Name: |
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5a. NIC Handle (if known): |
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| 4b. Street Address: |
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5b. Name (Last, First): |
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| 4c. City: |
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5c. Organization Name: |
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| 4d. Region: |
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5d. Street Address: |
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| 4e. Postal Code: |
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5e. City: |
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| 4f. Country: |
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5f. Region: |
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| 4g. Phone_number |
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5g. Postal Code: |
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5h. Country: |
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5i. Phone Number : |
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5j. E-Mail: |
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Technical Contact |
Billing Contact |
| 6a. NIC Handle (if known): |
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7a. NIC Handle (if known): |
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| 6b. Name (Last, First): |
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7b. Name (Last, First): |
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| 6c. Organization Name: |
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7c. Organization Name: |
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| 6d. Street Address: |
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7d. Street Address: |
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| 6e. City: |
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7e. City: |
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| 6f. Region: |
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7f. Region: |
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| 6g. Postal Code : |
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7g. Postal Code : |
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| 6h.Country: |
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7h. Country: |
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| 6i. Phone Number : |
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7i. Phone Number: |
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| 6j. E-Mail : |
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7j. E-mail : |
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Primary Name Server |
Secondary Name Server(s) |
| 8a. Primary Server Hostname: |
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9a. Secondary Server Hostname: |
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| 8b. Primary Server Netaddress: |
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9b. Secondary Server Netaddress: |
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