This form is for registration within wattle.id.au.

By submitting this form you agree to the policy of wattle.id.au, and agree that your full name, E-mail address and domain name may be published on The Internet (eg: through DNS TXT records).

Note: there is currently (April 2005) a long backlog of registration forms to be processed, so it may take months for your request for a new domain to be processed.

Is this information confidential?

What would you do with your own id.au domain? eg private email address, personal www site, individual host name, full delegation, etc

Full name of applicant(s):

Existing E-mail Address:

E-mail Address which you propose to configure, within id.au (if any):
(If you are not able to setup for yourself (or cause to be setup) a new Email address which can work on some Internet host, then leave this blank. Simply submitting this form will not create a full working e-mail address for you - you must be able to configure your end.)

Phone number 1: eg "(03) 9642-5997 (w)"

Phone number 2: eg "(03) 9555-1234 (h)"

Fax number: eg "(03) 9642-5998"

Residential address:

The domain name requested must be your surname (or abbreviation).
Domain name requested: .wattle.id.au eg: keegel

If the domain name requested is not exactly the same as your surname (for instance if the domain name is an abbreviation of your surname) please justify your reason for requesting a non-standard domain name:

DNS records requested:
eg: MX 10 satay.cyber.com.au

Other information: optional

If you have serious trouble with this form, you may instead contact hostmaster at nic.wattle.id.au and explain the nature of the problem.