AR letter for private individuals - Version 2004-01 City, Date To the ccTLD "it" Registry Institute for Informatics and Telematics of CNR Via Giuseppe Moruzzi, 1 56124 Pisa Object: request for the registration of the domain name........................... Here, the undersigned ................................................ (specify identification data related to: name and surname, date and place of birth, residence address, taxpayer's code number), asks for the registration of the above mentioned domain name according to the technical specifications that are included within the technical registration form forwarded (via E-mail) to the ccTLD "it" Registry (hereinafter referred to as the Registry) by the provider/ maintainer PHOENIX-MNT (indicate the exact "tag" of the provider/maintainer which will forward the technical registration form to the Registry). Furthermore, he/she undertakes the responsibilities coming from the use and management of the domain name and pledges him/herself to inform immediately the Registry of any future changes related to: - change of provider/maintainer; - termination of the domain name use. Particularly, here the undersigned declares under his/her responsibility that he/she: a) is aware and accepts that the assignment of a domain name and its registration are subject to the ccTLD "it" domain names assignment and maintenance Rules and any further amendments; b) is aware of and accepts the rules for a "good use" of the Internet resources as established in the "Netiquette" document, published on the Registry website, as well as commits him/herself to respect them; c) is aware of and accepts the procedure concerning the dispute resolution as established in article 14 of the ccTLD "it" domain names assignment and maintenance Rules; d) has the title to use the requested domain name and/or the juridical disposability of the requested domain names, and therefore, if registering the requested domain name, is not prejudicial to someone else rights; e) entitles the Registry to insert the registration data of the domain in the public database (Register of Assigned Names) of the Registry itself; f) guarantees the accessibility via E-mail of all the people indicated in the "postmaster" tag of the domain registration form, given that the Registry will insert them into the mailing list of the Italian postmasters; g) relieves the Registry of any responsibility coming from the assignment and use of the domain name that the requesting organisation will carry out; h) is aware that, in the instance of false or erroneous declaration in the context of the present request, the Registry will ensure the immediate cancellation of the domain name, unless more extended legal action is in progress; i) is aware of the Italian Codes rules regarding the right of having a name and the individual people right of protecting their names; j) accepts the Italian jurisdiction and the laws of the Italian legal system; Name and surname Legible signature Arbitration clause N.B. For those who wish to settle any dispute coming from the assignment and use of the requested domain by amicable arbitration, it is compulsory to undersign the following clause: The undersigned, entitled to represent the company/owner of the company/firm ......................, pledges him/herself to settle by amicable arbitration any dispute coming from the assignment and use of the domain name requested with the present letter of assumption of responsibility, according to art.15 and following of the "it" domain names assignment and maintenance Rules. Name and surname Legible signature