Cng ha x hi ch ngha Vit Nam

c lp T do Hnh phc
--------------

BN CAM KT V GII TRNH V VIC NG K TN MIN DI .GOV.VN

Knh gi: Trung tm Internet Vit Nam (VNNIC)

Tn t chc c nhu cu ng k tn min: ...............................................................................................
-

Tn giao dch quc t (Nu c): ....................................................................................................

a ch lin h: ..............................................................................................................................

S in thoi: ............................ S fax: .............................Email: ..............................................

Thng tin v ngi qun l tn min (c nhn i din hp php ca t chc c nhu cu ng k tn
min):
-

H v tn: .........................................................................................................................

Chc v: ...........................................................................................................................

S CMTND: ............................ Ngy cp: ........................ Ni cp: ...............................

a ch lin h: ..................................................................................................................

in thoi: ................................... Email: ........................................................................

T chc c nhu cu ng k cc tn min c gii trnh v mi lin quan gia ngha tn min ng
k vi chc nng qun l nh nc v lnh vc chuyn mn c phn cng qun l v mc ch s
dng tn min nh sau:

STT

Tn min ng k

Mi lin quan gia ngha tn min ng k

vi chc nng qun l Nh nc ca t chc
c nhu cu ng k tn min / Mc ch s
dng tn min

Ghi ch

1
2
...
T chc xin chu trch nhim trc php lut v cc thng tin cung cp v thc hin vic ng k v s
dng tn min ng k theo ng quy nh hin hnh v qun l v s dng ti nguyn Internet.
Trn trng cm n./.
................, ngy .. thng nm ............
Ngi i din
(K tn, ng du)